Terpene Toxicity Treatment & Management

Updated: Feb 05, 2019
  • Author: John Said Kashani, DO; Chief Editor: Asim Tarabar, MD  more...
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Treatment

Prehospital Care

Induction of emesis is contraindicated because of the risk of aspiration. Terpenes are not adsorbed by charcoal. It is best to not administer anything by mouth. Careful attention should be paid to the patient's airway.

Treatment guidelines on management of camphor exposure are available from the American Association of Poison Control Centers. [13]

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Emergency Department Care

If the patient is asymptomatic, no immediate intervention is warranted. Supportive measures may be all that is needed. Seizures should be managed with benzodiazepines. Gastric emptying is not recommended.

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Consultations

Pulmonary consultation may be required if aspiration has occurred. Consider consultation with a poison control center or medical toxicologist. Psychiatric consultation is necessary in cases with deliberate exposure. Counseling may be indicated in exposures as a result of folk remedies.

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Prevention

All household products, medications, and chemicals should be safely stored away in their original packages. Medications should never be taken or applied to the skin without first reading the label carefully.

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Long-Term Monitoring

Long-term follow-up care is necessary if pneumonitis develops.

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