1.
2.
3.
4. |
Bromodiolone
Coumachlor
Coumatetralyl
Warfarin |
Bleeding from nose, gums blood in urine and stool.
Possible polar and petechial rash, late-massive echymoses or hematoma of skin, joints, brain hemorrhage. |
Remove the person from the contaminated environment.
In case of (a) skin contact – Remove all contaminated clothings and immediately wash with lot of water and soap; (b) Eye contamination – Wash the eyes with plenty of cool and clean water; (c) Inhalation – Carry the person to the open fresh air, loosen the clothings around neck and chest, and (d) Ingestion – If the victim is fully conscious, induce vomiting by tickling back of the throat. Do not administer milk, alcohol and fatty substances. In case the person is unconscious make sure the breathing passages is kept clear without any obstruction. Victim’s head should be turned to one side in the lying down position. In case of breathing difficulty, give mouth to mouth or mouth to nose breathing.
Medical aid: Take the patient to the doctor/Primary Health Centre immediately along with the original container, leaflet and label. |
- Give Vitamin K1(Phytonadione) oral or injection 15-25 mg for adults; 5-10 mg for children orally*.
- Transfuse with fresh blood if bleeding is severe or until anemia is corrected.
- Iron (Ferrous sulfate) by mouth for correction of secondary anemia, 0.3 gm t.i.d.
* Vit K1 is specifically required. Neither Vit K3 nor Vit K4 is an antidote for these anticoagulants.
Carefully observe for 4-5 days. |