This is poisoning from swallowing shellac.
This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.
- Methyl isobutyl ketone
- Paint remover
- Wood finishing products
Note: This list may not be all-inclusive.
Eyes, ears, nose, and throat:
Heart and blood:
- Disturbance of the acid balance of the blood (leads to multi-organ failure)
- Low blood pressure
Lungs and airways:
(blue skin, lips, or fingernails)
Stomach and intestines:
Do NOT make a person throw up unless told to do so by poison control or a health care professional. Seek immediate medical help.
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, unless instructed otherwise by a health care provider. Do NOT give water if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.
Before Calling Emergency
Determine the following information:
- Person's age, weight, and condition
- Name of the product (ingredients and strengths, if known)
- Time it was swallowed
- Amount swallowed
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 United States 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: Poison control center - emergency number
What to Expect at the Emergency Room
The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:
- Breathing support, including tube through the mouth into the lungs, and breathing machine (ventilator)
- Bronchoscopy -- camera down the throat to see burns in the airways and lungs
- Chest x-ray
- EKG (heart tracing)
- Endoscopy -- camera down the throat to see burns in the esophagus and the stomach
- Hemodialysis (kidney machine)
- Fluids through a vein (IV)
- Medicine (antidote) to reverse the effect of the poison
- Surgical removal of burned skin (skin debridement)
- Tube through the mouth into the stomach to wash out the stomach (gastric lavage
- Washing of the skin (irrigation) -- perhaps every few hours for several days
Isopropanol and methanol are extremely poisonous. As little as 2 tablespoons of methanol can kill a child, while 2 to 8 ounces can be deadly for adults.
How well a person does depends on the amount of poison swallowed and how quickly treatment was received. The faster a person gets medical help, the better the chance for recovery.
Jacobsen D, Hovda KE. Methanol, ethylene glycol, and other toxic alcohols. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. 4th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 32.
White SR.Toxic Alcohols. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Mosby; 2013:chap 155.
Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.