Page 1312 - Cote clinical veterinary advisor dogs and cats 4th

Mothball Toxicosis 661.e3

• Ascorbic acid (antioxidant effect) at 20-30 • Paradichlorobenzene: good prognosis with SUGGESTED READING
mg/kg PO, IM, or slow IV q 8h for 2-3 supportive care DeClementi C: Moth repellent toxicosis: toxicology
VetBooks.ir Supportive care: PEARLS & CONSIDERATIONS ADDITIONAL SUGGESTED Diseases and Disorders
days
brief. Vet Med 100:24–28, 2005.
• IV fluid diuresis
• Control seizures with diazepam 0.5-2
• Large exposures and severe toxicity are
mg/kg IV prn for intoxications involving Comments READINGS
Oehme FW, et al: Miscellaneous indoor toxicants. In
paradichlorobenzene-type mothballs. uncommon. Peterson ME, et al, editors: Small animal toxicology,
• Blood transfusion if needed (p. 1169) • Differentiation of the two types of mothballs ed 2, St. Louis, 2006, Saunders, pp 223-243.
is difficult because both are white, crystalline U.S. Department of Health and Human Services,
Possible Complications solids at room temperature, and they have Agency for Toxic Substances and Disease Registry:
• Hepatotoxicity from naphthalene a similar odor. Toxicological profile for naphthalene, 1-methyl-
• Rare liver or renal damage with • Sink versus float test naphthalene, and 2-methylnaphthalene, Research
paradichlorobenzene ○ Thoroughly dissolve 3 tbsp (45 mL) of Triangle Institute, 1995 (website). http://www.
table salt (sodium chloride) in 4 oz (120 atsdr.cdc.gov/toxprofiles/TP.asp?id=240&tid=43.
Recommended Monitoring mL) of tepid water. Drop the unknown
• CBC (hematocrit, methemoglobinemia/ mothball in this saturated salt solution. RELATED CLIENT EDUCATION
hemoglobinemia, Heinz body anemia) ■ Naphthalene mothball floats in salt SHEET
• Serum biochemistry profile (serum bilirubin, solution but sinks in water.
renal values, and hepatic enzymes) ■ Paradichlorobenzene mothball sinks in How to Induce Vomiting
• Urinalysis salt solution and sinks in water.
AUTHOR: Irina D. Meadows, DVM, DABT
PROGNOSIS & OUTCOME Technician Tips EDITOR: Tina Wismer, DVM, MS, DABT, DAVBT
Assess pet’s breath/vomit for mothball smell
• Naphthalene: good prognosis with supportive and presence.
care; poor prognosis if severe hemolysis, renal
or hepatic damage occurs

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