Several treatments may be needed. Continuous ECG and clinical monitoring are essential during this procedure. Local anesthetic may be required. Exposures to the head and neck should arouse suspicion of pulmonary involvement. If any doubt is present, admission for observation is advised.
Pulmonary edema is treated along conventional lines, as needed.
Secure the airway prior to gastric lavage. Consultation with specialty units may be required depending on individual circumstances. The goal of pharmacotherapy is to reduce morbidity and prevent complications. Pharmacologic antidote - The major pharmacologic intervention is with calcium gluconate. Depending on the clinical situation, it may be used in a gel, intravenously, or intra-arterially.