BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAnticoagulant rodenticides poisoningRat killer poisoning; Rodenticide poisoningAnticoagulant rodenticides are poisons used to kill rats. Rodenticide means rodent killer. An anticoagulant is a blood thinner.Anticoagulant rodenticide poisoning occurs when someone swallows a product containing these chemicals.This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. Poisonous Ingredient Poisonous ingredients include:2-isovaleryl-1,3-indandione 2-pivaloyl-1,3-indandione Brodifacoum Chlorophacinone Coumachlor Difenacoum Diphacinone Warfarin Note: This list may not be all-inclusive. Where Found These ingredients may be found in:D-Con Mouse Prufe II, Talon (brodifacoum) Ramik, Diphacin (diphacinone) Note: This list may not be all-inclusive. Symptoms Symptoms include:Blood in the urine Blood in the urineBlood in your urine is called hematuria. The amount may be very small and only detected with urine tests or under a microscope. In other cases, the...Read Article Now Book Mark Article Bloody stools Bruising and bleeding under the skin Confusion, lethargy, or altered mental status from bleeding in the brain Low blood pressure Nosebleed Pale skin Shock Vomiting bloodVomiting bloodVomiting blood is regurgitating (throwing up) contents of the stomach that contains blood. Vomited blood may appear bright red, dark red, or look lik...Read Article Now Book Mark Article Home Care DO NOT make a person throw up unless told to do so by poison control or a health care professional. Before Calling Emergency Determine the following information:Person's age, weight, and condition The name of the product (ingredients and strengths, if known) Time it was swallowed How much was swallowed Poison Control Your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.Poison control centerFor a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...Read Article Now Book Mark Article This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.Take the container with you to the hospital, if possible. What to Expect at the Emergency Room The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Blood and urine tests will be done. The person may receive:Airway and breathing support, including oxygen. In extreme cases, a tube may be passed through the mouth into the lungs to prevent the person from breathing in blood. A breathing machine (ventilator) would then be needed. Blood transfusion, including clotting factors (which help your blood clot), and red blood cells. Chest x-ray. Chest x-rayA chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.Read Article Now Book Mark Article ECG (electrocardiogram, or heart tracing). ECG (electrocardiogram, or heart tracin...An electrocardiogram (ECG) is a test that records the electrical activity of the heart.Read Article Now Book Mark Article Endoscopy -- a camera down the throat to see the esophagus and stomach. EndoscopyEndoscopy is a way of looking inside the body using a flexible tube that has a small camera and light on the end of it. This instrument is called an...Read Article Now Book Mark Article Fluids through a vein (IV). Medicines to treat symptoms. Medicine (activated charcoal) to absorb any remaining poison (activated charcoal may be given only if it can be done safely within one hour of poison ingestion). Laxatives to move the poison through the body more quickly. Medicine (antidote) such as vitamin K to reverse the effect of the poison. Outlook (Prognosis) Death may occur as late as 2 weeks after the poisoning as a result of bleeding. However, getting the right treatment most often prevents serious complications. If blood loss has damaged the heart or other vital organs, recovery may take longer. The person may not fully recover in these cases.Open ReferencesReferencesCaravati EM, Erdman AR, Scharman EJ, et al. Long-acting anticoagulant rodenticide poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2007;45(1):1-22. PMID: 17357377 pubmed.ncbi.nlm.nih.gov/17357377/.Thomas SHL. Poisoning. In: Penman ID, Ralston SH, Strachan MWJ, Hobson RP, eds. Davidson's Principles and Practice of Medicine. 24th ed. Philadelphia, PA: Elsevier; 2023:chap 10.Welker KL, Thompson TM. Pesticides. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 152.AllVideoImagesTogRelated Information Review Date: 10/6/2022 Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. 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Anticoagulant rodenticides poisoningRat killer poisoning; Rodenticide poisoningAnticoagulant rodenticides are poisons used to kill rats. Rodenticide means rodent killer. An anticoagulant is a blood thinner.Anticoagulant rodenticide poisoning occurs when someone swallows a product containing these chemicals.This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. Poisonous Ingredient Poisonous ingredients include:2-isovaleryl-1,3-indandione 2-pivaloyl-1,3-indandione Brodifacoum Chlorophacinone Coumachlor Difenacoum Diphacinone Warfarin Note: This list may not be all-inclusive. Where Found These ingredients may be found in:D-Con Mouse Prufe II, Talon (brodifacoum) Ramik, Diphacin (diphacinone) Note: This list may not be all-inclusive. Symptoms Symptoms include:Blood in the urine Blood in the urineBlood in your urine is called hematuria. The amount may be very small and only detected with urine tests or under a microscope. In other cases, the...Read Article Now Book Mark Article Bloody stools Bruising and bleeding under the skin Confusion, lethargy, or altered mental status from bleeding in the brain Low blood pressure Nosebleed Pale skin Shock Vomiting bloodVomiting bloodVomiting blood is regurgitating (throwing up) contents of the stomach that contains blood. Vomited blood may appear bright red, dark red, or look lik...Read Article Now Book Mark Article Home Care DO NOT make a person throw up unless told to do so by poison control or a health care professional. Before Calling Emergency Determine the following information:Person's age, weight, and condition The name of the product (ingredients and strengths, if known) Time it was swallowed How much was swallowed Poison Control Your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.Poison control centerFor a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...Read Article Now Book Mark Article This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.Take the container with you to the hospital, if possible. What to Expect at the Emergency Room The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Blood and urine tests will be done. The person may receive:Airway and breathing support, including oxygen. In extreme cases, a tube may be passed through the mouth into the lungs to prevent the person from breathing in blood. A breathing machine (ventilator) would then be needed. Blood transfusion, including clotting factors (which help your blood clot), and red blood cells. Chest x-ray. Chest x-rayA chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.Read Article Now Book Mark Article ECG (electrocardiogram, or heart tracing). ECG (electrocardiogram, or heart tracin...An electrocardiogram (ECG) is a test that records the electrical activity of the heart.Read Article Now Book Mark Article Endoscopy -- a camera down the throat to see the esophagus and stomach. EndoscopyEndoscopy is a way of looking inside the body using a flexible tube that has a small camera and light on the end of it. This instrument is called an...Read Article Now Book Mark Article Fluids through a vein (IV). Medicines to treat symptoms. Medicine (activated charcoal) to absorb any remaining poison (activated charcoal may be given only if it can be done safely within one hour of poison ingestion). Laxatives to move the poison through the body more quickly. Medicine (antidote) such as vitamin K to reverse the effect of the poison. Outlook (Prognosis) Death may occur as late as 2 weeks after the poisoning as a result of bleeding. However, getting the right treatment most often prevents serious complications. If blood loss has damaged the heart or other vital organs, recovery may take longer. The person may not fully recover in these cases.Open ReferencesReferencesCaravati EM, Erdman AR, Scharman EJ, et al. Long-acting anticoagulant rodenticide poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2007;45(1):1-22. PMID: 17357377 pubmed.ncbi.nlm.nih.gov/17357377/.Thomas SHL. Poisoning. In: Penman ID, Ralston SH, Strachan MWJ, Hobson RP, eds. Davidson's Principles and Practice of Medicine. 24th ed. Philadelphia, PA: Elsevier; 2023:chap 10.Welker KL, Thompson TM. Pesticides. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 152.