Emergency & Critical Medicine » Poisoning

Acute pulmonary reactions to irritant gases

Exposure to fires and industrial gases can cause acute pulmonary reactions. The symptoms include Intensive coughing, burning sensation, oedema of the epiglottis or larynxes, bronchial obstruction, dry cough or blood-stained sputum dyspnoea, wheezing, nausea and vomiting. Pulmonary oedema in persons exposed to certain irritant gases (e.g. nitrogen dioxide, chlorine) is prevented by immediate administration of inhaled corticosteroid. Workplaces where irritant gases are handled should keep inhaled corticosteroid available. Beta-sympathomimetic is administered if patient has bronchospasm.

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