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Nitric acid
Definition
Nitric acid is a poisonous clear to yellow liquid. This article discusses poisoning from exposure to nitric acid.
Poisonous Ingredient
Nitric acid
Where Found
- Substances used to clean metals (such as gun barrels)
- Fertilizers
Note: This list may not be all inclusive.
Symptoms
Symptoms from swallowing nitric acid may include:
- Abdominal pain - severe
- Burns to skin or mouth
- Fever
- Mouth pain - severe
- Rapid drop in blood pressure
- Throat swelling, which leads to breathing difficulty
- Throat pain - severe
- Vomiting, bloody
Symptoms from breathing in (inhaling) nitric acid may include:
- Bluish colored lips and fingernails
- Chest tightness
- Choking
- Coughing
- Coughing up blood
- Dizziness
- Low blood pressure
- Rapid pulse
- Shortness of breath
- Weakness
Home Care
Seek immediate medical help. DO NOT make a person throw up unless told to do so by Poison Control or a health care professional.
If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Give 4 to 6 ounces of milk of magnesia, if possible.
DO NOT give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.
If the person breathed in the poison, immediately move him or her to fresh air.
Before Calling Emergency
Determine the following:
- The patient's age, weight, and condition
- The name of the product (and ingredients and strengths, if known)
- The time it was swallowed, inhaled, or touched
- The amount swallowed, inhaled, or touched
Poison Control
The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the U.S. use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
Take the container with you to the hospital, if possible.
See National Poison Control Center.
What to Expect at the Emergency Room
The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. The patient may receive:
- Medicines to treat symptoms
- Nasogastric (NG) tube thru the nose into the stomach to empty the stomach (gastric lavage)
Outlook (Prognosis)
How well a patient does depends on the amount of poison swallowed and how quickly treatment was received. The faster a patient gets medical help, the better the chance for recovery.
Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network.


