Acetylsalicylic Acid (Aspirin) Poisoning in Uganda: What You Should Know

What Is Aspirin Poisoning?

Aspirin poisoning happens when someone takes too much aspirin. For adults, this is usually more than 10 grams, and for children, more than 3 grams.

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Symptoms of Aspirin Poisoning

  • Mild to moderate signs (within 1 to 2 hours):
    • Fast breathing
    • Ringing in the ears or hearing loss
    • Feeling sick or vomiting
    • Dizziness
    • Flushing or redness of the skin
  • Severe signs:
    • Very high fever
    • Seizures
    • Confusion or loss of awareness
    • Fluid in the lungs causing breathing problems
    • Coma
  • There can also be changes in the body’s acid levels, which affect how well the body functions.

What Happens at the Hospital?

  • The medical team will first stabilise your breathing, heart rate, and blood pressure.
  • Oxygen and fluids through a drip are given if needed.
  • Stomach washing (gastric lavage) may be done within 4 hours to remove aspirin that is still inside because aspirin stays longer in the stomach.
  • Activated charcoal may be given in repeated doses to reduce the amount of aspirin absorbed by the body.
  • If blood sugar drops, sugar solutions like dextrose are given.
  • Cooling methods like tepid sponging help reduce high fever.
  • Seizures are treated with medicines like diazepam.
  • If the patient’s condition gets worse or if serious problems develop (like coma or lung issues), they are referred to a higher-level hospital for advanced care.

Special Treatment for Acid-Base Imbalance

  • Some patients may need treatment to correct acid levels in the body.
  • A medicine called sodium bicarbonate is given through a drip to help the kidneys remove aspirin from the body more quickly.
  • The urine is carefully monitored to keep it slightly alkaline, which helps clear the poison.
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