Chest x-ray Abnormalities usually occur early. CNS imaging As in all patients with altered mental status, consider obtaining a CT scan of the head or MRI for CNS imaging. It is best to administer nothing by mouth. Emesis induction is contraindicated because of the initial risk of aspiration and the risk of CNS depression or seizure development before ipecac syrup can produce vomiting. Supportive care is instituted only as necessary.
Symptomatic relief is usually is the only treatment necessary.
Seizures may be managed with benzodiazepines. Gastric emptying usually is not indicated. Absorption of the truly toxic terpene, camphor, is so rapid as to make any attempt at gastric emptying ineffective. Pulmonary consultation may be required when severe aspiration has occurred. Consider consultation with a poison control center or medical toxicologist.