Management of Paint Thinner Ingestion

Immediate First Aid and Stabilization

• The American Heart Association recommends not administering anything by mouth, including water, milk, or activated charcoal, unless specifically directed by poison control, and immediately contacting the Poison Control Center while preparing for potential multi-organ toxicity requiring intensive supportive care 1
• The American Heart Association advises against inducing vomiting or administering ipecac, as it is contraindicated and provides no clinical benefit while potentially causing harm 1
• The American Heart Association recommends not giving water or milk for dilution, as animal studies suggest potential benefit, but no human studies demonstrate clinical improvement, and administration may cause emesis and aspiration 1
• Activating EMS immediately if the patient exhibits any life-threatening signs, including altered mental status, seizures, respiratory difficulty, or vomiting, is crucial 1
• Contacting the Poison Control Center immediately to receive specific guidance on systemic toxicity management is essential 2

Clinical Monitoring and Expected Toxicity

• Paint thinner ingestion can cause central nervous system effects, including drowsiness, dizziness, agitation, and coma, according to the American Heart Association 1
• The American Heart Association notes that paint thinner ingestion can cause gastrointestinal manifestations, including sore throat and mucosal irritation 1