Treatment of mercury poisoning
It is aimed at neutralizing mercury and accelerating its removal from the body.
Rinse the stomach through the probe with the introduction of a 5% solution of unnthiol before and after washing the stomach (50 and 100 ml). Active infusion therapy and forced diuresis, early hemodialysis are necessary. In the presence of pain syndrome – narcotic drugs (promedol, morphine), glucose-novocaine mixture (500 ml of 10% glucose solution with 40 ml of 2% solution of novocaine intravenously drip). In shock, polyglyukine with mezaton, dopamine or dobutrex is prescribed intravenously on a physiological solution. Antidote is unitiol, which is administered intravenously drip (up to 200 ml of a 5% solution), followed by a decrease in dose as the poison is removed from the body. It is also recommended to drip intravenously sodium thiosulfate (30-60 ml of 30% solution in 500 ml of 5% glucose).
To prevent hemolysis, 500 ml of a 4% solution of sodium hydrogencarbonate is indicated.
When bleeding is performed haemostatic therapy. In toxic hepato- and nephropathy – protection of the liver and kidneys, treatment of acute renal failure.
With increased bleeding – ascorbic acid, rutin, glucocorticoids.
With increased excitability of the central nervous system – tranquilizers.
In chronic intoxication, D-penicillamine is administered internally.
A systematic examination and treatment of the oral cavity with a 0,02% solution of furacilin is recommended. With neurologic symptoms – thiamine hydrobromide, cyanocobalamin, proserin. With anemia, cyanocobalamin, pyridoxine, vitamin E, ascorbic acid.
In case of damage to the respiratory tract by mercury vapor – measures to prevent (and treat) pulmonary edema. For the prevention of the infection process – antibiotics and other antimicrobial agents.
Prevention of mercury poisoning
Prevention of mercury poisoning is based on strict compliance with sanitary and hygienic standards of the educational process, living quarters, environmental protection. At the same time, it is necessary to take into account the high sorption ability of mercury to be connected with various building elements, coatings, furniture, interior of residential and production-educational premises, which complicates deactivating measures. The maximum one-time maximum permissible concentration (MPC) of mercury for industrial premises is 0.01 mg / m3, mean-value concentration is 0.005 mg / m3; For atmospheric air – 0.0003 mg / m3; For organic compounds of mercury – 0,005 mg / m3, inorganic – 0,05 mg / m3.
Considering that during the sorption of mercury vapor it is deposited indefinitely in enclosed spaces, special soft floor coverings should be used, which do not allow mercury to penetrate between the floors and in the slit. Spilled mercury should be collected using a rubber pear, suction pump. Chemical demercurization of premises is made by 20% solution of ferric chloride.