Chest x-ray Abnormalities usually occur early. CNS imaging As in all patients with altered mental status, consideration for CNS imaging by CT scan or MRI must be made. It is best to give nothing by mouth. Emesis induction is contraindicated because of the initial risk of aspiration and the fact that CNS depression or seizures may occur before ipecac can produce vomiting. Supportive care is instituted only as necessary.
Symptomatic relief is usually all that is necessary.
Seizures may be managed with benzodiazepines. Gastric emptying is probably 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 needed when severe aspiration has occurred. Consultation with a poison control center or medical toxicologist should be considered.