sodium hydroxide poisoning symptoms

It's only being taken out due to the amount of pin holes it caused in the copper pipes. AIRWAYS AND LUNGS Breathing difficulty (from inhaling sodium hydroxide) Lung inflammation Sneezing Throat swelling (which may also cause breathing difficulty) ADVERTISEMENT ESOPHAGUS, INTESTINES, AND STOMACH Blood in the stool Springer Berlin Heidelberg. ._2cHgYGbfV9EZMSThqLt2tx{margin-bottom:16px;border-radius:4px}._3Q7WCNdCi77r0_CKPoDSFY{width:75%;height:24px}._2wgLWvNKnhoJX3DUVT_3F-,._3Q7WCNdCi77r0_CKPoDSFY{background:var(--newCommunityTheme-field);background-size:200%;margin-bottom:16px;border-radius:4px}._2wgLWvNKnhoJX3DUVT_3F-{width:100%;height:46px} If burns are mild, the person may be encouraged to begin drinking milk or water fairly soon in order to dilute the corrosive liquid in the stomach. You can call for any reason, 24 hours a day, 7 days a week. Hoyte C. Caustics. Sodium hydroxide is a highly caustic base and alkali that decomposes proteins at ordinary ambient temperatures and may cause severe chemical burns.It is highly soluble in water, and readily . Procedure: 1. There is no antidote for sodium hydroxide. AIRWAYS AND LUNGS Breathing difficulty (from inhaling sodium hydroxide) Lung inflammation Sneezing Throat swelling (which may also cause breathing difficulty) ESOPHAGUS, INTESTINES, AND STOMACH Blood in the stool It can react violently with strong acids and with water. Sodium hydroxide is easy to handle, inexpensive, and very effective for the neutralization of strong or weak acids. The hacker adjusted the level of sodium hydroxide to more than 100 times its normal levels, according to Pinellas County Sheriff Bob Gualtieri. April 2002 This fact sheet answers the most frequently asked health questions (FAQs) about sodium hydroxide. Treatment depends on how the poisoning occurred. Common sources of caustics include solid and liquid drain and toilet bowl cleaners, battery acid, and hydrochloric acid for swimming pools. 1-19). The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Sodium hydroxide can harm workers who come in contact with it. Symptoms may include pain (particularly with swallowing), coughing, shortness of breath, and vomiting. 13 3453-7700 13 99613-2009 Rua Almirante Barroso, 80, Perube-SP. "This isn't just 'Oh, we're putting a little bit of chlorine or a little bit of fluoride, or a little bit of something,' we're basically talking about lye that you are taking from 100 parts per million to 11,100.". Unlike chemicals such as lime NaOH is very highly soluble and relatively easy to handle. Sodium hydroxide poisoning or exposure may severely affect the ocular, olfactory, dermal, respiratory and gastrointestinal systems. Von | 30. . Irrigation (washing of the skin). Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service. If the concentration is strong enough to cause those effects you would know immediately. The mouth is examined for chemical burns. It may be mild in some and severe in others. This article discusses poisoning from swallowing or breathing in drain cleaner. Florida Sen. Marco Rubio wants the hacking of the water treatment system handled as a national security measure, "I will be asking the @FBI to provide all assistance necessary in investigating an attempt to poison the water supply of a #Florida city," the tweet read. Davidson's Principles and Practice of Medicine. Peritonitis results in severe abdominal pain when the stomach perforates. The lethal dose of table salt is roughly 0.5-1g per kg of . Drinking water or milk to dilute the caustic substance. History of Chemical Burns and Scope of the Problem. wwwn.cdc.gov/TSP/MMG/MMGDetails.aspx?mmgid=246&toxid=45, Nondiscrimination and Accessibility Notice, UF Health Senior Medical-Legal Partnership, Breathing difficulty (from inhaling sodium hydroxide), Throat swelling (which may also cause breathing difficulty), Burns of the esophagus (food pipe) and stomach, Severe pain or burning in the nose, eyes, ears, lips, or tongue, Severe change in blood pH (too much or too little acid in the blood), Holes in the skin or tissue under the skin, The name of the product (ingredients and strength if known). Also, DO NOT give water or milk if the person is having symptoms that make it hard to swallow (such as vomiting, convulsions, or decreased alertness). Burns that do not perforate can result in scarring of the esophagus and stomach. Ford Government just launched a preemptive strike on.. there are almost no ambulances in the city tonight. The breakage of bonds in proteins may lead to severe necrosis to the application site. Withdrawal symptoms can include mood swings, irritability, difficulty sleeping, and depression. The city has taken steps to prevent further access into the system. Breathing difficulties, if fumes of the solution or chemical powders are inhaled Speaking and swallowing difficulties due to swelling of tongue and throat Inflammation of the lung Severe burning and associated pain in the mouth, throat, and food-pipe (even the stomach may be burnt); drooling from the mouth ._1EPynDYoibfs7nDggdH7Gq{margin-bottom:8px;position:relative}._1EPynDYoibfs7nDggdH7Gq._3-0c12FCnHoLz34dQVveax{max-height:63px;overflow:hidden}._1zPvgKHteTOub9dKkvrOl4{font-family:Noto Sans,Arial,sans-serif;font-size:14px;line-height:21px;font-weight:400;word-wrap:break-word}._1dp4_svQVkkuV143AIEKsf{-ms-flex-align:baseline;align-items:baseline;background-color:var(--newCommunityTheme-body);bottom:-2px;display:-ms-flexbox;display:flex;-ms-flex-flow:row nowrap;flex-flow:row nowrap;padding-left:2px;position:absolute;right:-8px}._5VBcBVybCfosCzMJlXzC3{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:21px;color:var(--newCommunityTheme-bodyText)}._3YNtuKT-Is6XUBvdluRTyI{position:relative;background-color:0;color:var(--newCommunityTheme-metaText);fill:var(--newCommunityTheme-metaText);border:0;padding:0 8px}._3YNtuKT-Is6XUBvdluRTyI:before{content:"";position:absolute;top:0;left:0;width:100%;height:100%;border-radius:9999px;background:var(--newCommunityTheme-metaText);opacity:0}._3YNtuKT-Is6XUBvdluRTyI:hover:before{opacity:.08}._3YNtuKT-Is6XUBvdluRTyI:focus{outline:none}._3YNtuKT-Is6XUBvdluRTyI:focus:before{opacity:.16}._3YNtuKT-Is6XUBvdluRTyI._2Z_0gYdq8Wr3FulRLZXC3e:before,._3YNtuKT-Is6XUBvdluRTyI:active:before{opacity:.24}._3YNtuKT-Is6XUBvdluRTyI:disabled,._3YNtuKT-Is6XUBvdluRTyI[data-disabled],._3YNtuKT-Is6XUBvdluRTyI[disabled]{cursor:not-allowed;filter:grayscale(1);background:none;color:var(--newCommunityTheme-metaTextAlpha50);fill:var(--newCommunityTheme-metaTextAlpha50)}._2ZTVnRPqdyKo1dA7Q7i4EL{transition:all .1s linear 0s}.k51Bu_pyEfHQF6AAhaKfS{transition:none}._2qi_L6gKnhyJ0ZxPmwbDFK{transition:all .1s linear 0s;display:block;background-color:var(--newCommunityTheme-field);border-radius:4px;padding:8px;margin-bottom:12px;margin-top:8px;border:1px solid var(--newCommunityTheme-canvas);cursor:pointer}._2qi_L6gKnhyJ0ZxPmwbDFK:focus{outline:none}._2qi_L6gKnhyJ0ZxPmwbDFK:hover{border:1px solid var(--newCommunityTheme-button)}._2qi_L6gKnhyJ0ZxPmwbDFK._3GG6tRGPPJiejLqt2AZfh4{transition:none;border:1px solid var(--newCommunityTheme-button)}.IzSmZckfdQu5YP9qCsdWO{cursor:pointer;transition:all .1s linear 0s}.IzSmZckfdQu5YP9qCsdWO ._1EPynDYoibfs7nDggdH7Gq{border:1px solid transparent;border-radius:4px;transition:all .1s linear 0s}.IzSmZckfdQu5YP9qCsdWO:hover ._1EPynDYoibfs7nDggdH7Gq{border:1px solid var(--newCommunityTheme-button);padding:4px}._1YvJWALkJ8iKZxUU53TeNO{font-size:12px;font-weight:700;line-height:16px;color:var(--newCommunityTheme-button)}._3adDzm8E3q64yWtEcs5XU7{display:-ms-flexbox;display:flex}._3adDzm8E3q64yWtEcs5XU7 ._3jyKpErOrdUDMh0RFq5V6f{-ms-flex:100%;flex:100%}._3adDzm8E3q64yWtEcs5XU7 .dqhlvajEe-qyxij0jNsi0{color:var(--newCommunityTheme-button)}._3adDzm8E3q64yWtEcs5XU7 ._12nHw-MGuz_r1dQx5YPM2v,._3adDzm8E3q64yWtEcs5XU7 .dqhlvajEe-qyxij0jNsi0{font-size:12px;font-weight:700;line-height:16px;cursor:pointer;-ms-flex-item-align:end;align-self:flex-end;-webkit-user-select:none;-ms-user-select:none;user-select:none}._3adDzm8E3q64yWtEcs5XU7 ._12nHw-MGuz_r1dQx5YPM2v{color:var(--newCommunityTheme-button);margin-right:8px;color:var(--newCommunityTheme-errorText)}._3zTJ9t4vNwm1NrIaZ35NS6{font-family:Noto Sans,Arial,sans-serif;font-size:14px;line-height:21px;font-weight:400;word-wrap:break-word;width:100%;padding:0;border:none;background-color:transparent;resize:none;outline:none;cursor:pointer;color:var(--newRedditTheme-bodyText)}._2JIiUcAdp9rIhjEbIjcuQ-{resize:none;cursor:auto}._2I2LpaEhGCzQ9inJMwliNO,._42Nh7O6pFcqnA6OZd3bOK{display:inline-block;margin-left:4px;vertical-align:middle}._42Nh7O6pFcqnA6OZd3bOK{fill:var(--newCommunityTheme-button);color:var(--newCommunityTheme-button);height:16px;width:16px;margin-bottom:2px} Improvements in working conditions have remarkably decreased the incidence of antimony toxicity in the workplace. Sodium hydroxide is corrosive. The Indian Journal of Pediatrics, 80(6), 516-518. This article discusses poisoning from touching, breathing in (inhaling), or swallowing sodium . Anxiety . Assessment of prevalence and mortality incidences due to poisoning in a South Indian tertiary care teaching hospital. In some cases, fatalities have been reported, Skin burns may be severe and if the eye is affected, it can also result in total loss of vision, Always follow instructions for usage of any health or cosmetic products, Keeping cosmetics, medications, and other healthcare products out of reach of children in child-proof containers, Keeping any poisonous/hazardous chemicals and other materials out of childrens reach, Wearing appropriate protective wear when working with such chemicals, Being aware of basic first aid steps in case of an emergency (such as inadvertent poisoning), Call 911 (or your local emergency number) for emergency assistance, if symptoms are life-threatening, Call Poison Control Center at 1-800-222-1222 (or the local poison control center) and follow the recommend steps. Because caustic substances can cause as much damage when returning up the esophagus as they did when swallowed, a person who has swallowed a caustic substance should not be made to vomit. Sodium poisoning can cause seizures, coma, and death. 2 NH Locations: Landcare Stone Madbury, NH Stratham Hill Stone Stratham, NH Shipping Nationwide Stridor, vomiting, drooling, and abdominal pain are early symptoms of sodium hydroxide ingestion. ._1x9diBHPBP-hL1JiwUwJ5J{font-size:14px;font-weight:500;line-height:18px;color:#ff585b;padding-left:3px;padding-right:24px}._2B0OHMLKb9TXNdd9g5Ere-,._1xKxnscCn2PjBiXhorZef4{height:16px;padding-right:4px;vertical-align:top}.icon._1LLqoNXrOsaIkMtOuTBmO5{height:20px;vertical-align:middle;padding-right:8px}.QB2Yrr8uihZVRhvwrKuMS{height:18px;padding-right:8px;vertical-align:top}._3w_KK8BUvCMkCPWZVsZQn0{font-size:14px;font-weight:500;line-height:18px;color:var(--newCommunityTheme-actionIcon)}._3w_KK8BUvCMkCPWZVsZQn0 ._1LLqoNXrOsaIkMtOuTBmO5,._3w_KK8BUvCMkCPWZVsZQn0 ._2B0OHMLKb9TXNdd9g5Ere-,._3w_KK8BUvCMkCPWZVsZQn0 ._1xKxnscCn2PjBiXhorZef4,._3w_KK8BUvCMkCPWZVsZQn0 .QB2Yrr8uihZVRhvwrKuMS{fill:var(--newCommunityTheme-actionIcon)} This article discusses poisoning from touching, breathing in (inhaling), or swallowing sodium hydroxide. Burns and severe pain in the mouth and throat Throat swelling, which leads to difficulty breathing Drooling Severe abdominal pain Diarrhea Chest pain Rapid drop in blood pressure (shock) Vomiting, often bloody Symptoms from getting potassium hydroxide on the skin or in the eyes include: Burning Severe pain Vision loss Home Care Below are symptoms of sodium hydroxide poisoning or exposure in different parts of the body. Publication types Case Reports MeSH terms Common childhood poisonings and their outcome in a tertiary care center in Delhi. Below are symptoms of sodium hydroxide poisoning or exposure in different parts of the body. It is made of solid white crystals that absorb water from the air. ._2Gt13AX94UlLxkluAMsZqP{background-position:50%;background-repeat:no-repeat;background-size:contain;position:relative;display:inline-block} It is unknown if the increased levels in Oldsmar would have led to any of these symptoms. Pinellas County Sheriff Bob Gualtieri speaks at a press conference on Monday, February 8, about the attempted hacking of the city of Oldsmar's water treatment system. SOUL Dark Spot Eraser Whitening Soap INNO-DERMA eta Purifying 24h Cream Ivana Skin Purifying Charcoal Bar Klairs Rich Moist Facial Soap Kruidvat Bodylotion Sensitive Almond Oil Lana Age. ._38lwnrIpIyqxDfAF1iwhcV{background-color:var(--newCommunityTheme-widgetColors-lineColor);border:none;height:1px;margin:16px 0}._37coyt0h8ryIQubA7RHmUc{margin-top:12px;padding-top:12px}._2XJvPvYIEYtcS4ORsDXwa3,._2Vkdik1Q8k0lBEhhA_lRKE,.icon._2Vkdik1Q8k0lBEhhA_lRKE{border-radius:100%;box-sizing:border-box;-ms-flex:none;flex:none;margin-right:8px}._2Vkdik1Q8k0lBEhhA_lRKE,.icon._2Vkdik1Q8k0lBEhhA_lRKE{background-position:50%;background-repeat:no-repeat;background-size:100%;height:54px;width:54px;font-size:54px;line-height:54px}._2Vkdik1Q8k0lBEhhA_lRKE._1uo2TG25LvAJS3bl-u72J4,.icon._2Vkdik1Q8k0lBEhhA_lRKE._1uo2TG25LvAJS3bl-u72J4{filter:blur()}.eGjjbHtkgFc-SYka3LM3M,.icon.eGjjbHtkgFc-SYka3LM3M{border-radius:100%;box-sizing:border-box;-ms-flex:none;flex:none;margin-right:8px;background-position:50%;background-repeat:no-repeat;background-size:100%;height:36px;width:36px}.eGjjbHtkgFc-SYka3LM3M._1uo2TG25LvAJS3bl-u72J4,.icon.eGjjbHtkgFc-SYka3LM3M._1uo2TG25LvAJS3bl-u72J4{filter:blur()}._3nzVPnRRnrls4DOXO_I0fn{margin:auto 0 auto auto;padding-top:10px;vertical-align:middle}._3nzVPnRRnrls4DOXO_I0fn ._1LAmcxBaaqShJsi8RNT-Vp i{color:unset}._2bWoGvMqVhMWwhp4Pgt4LP{margin:16px 0;font-size:12px;font-weight:400;line-height:16px}.icon.tWeTbHFf02PguTEonwJD0{margin-right:4px;vertical-align:top}._2AbGMsrZJPHrLm9e-oyW1E{width:180px;text-align:center}.icon._1cB7-TWJtfCxXAqqeyVb2q{cursor:pointer;margin-left:6px;height:14px;fill:#dadada;font-size:12px;vertical-align:middle}.hpxKmfWP2ZiwdKaWpefMn{background-color:var(--newCommunityTheme-active);background-size:cover;background-image:var(--newCommunityTheme-banner-backgroundImage);background-position-y:center;background-position-x:center;background-repeat:no-repeat;border-radius:3px 3px 0 0;height:34px;margin:-12px -12px 10px}._20Kb6TX_CdnePoT8iEsls6{-ms-flex-align:center;align-items:center;display:-ms-flexbox;display:flex;margin-bottom:8px}._20Kb6TX_CdnePoT8iEsls6>*{display:inline-block;vertical-align:middle}.t9oUK2WY0d28lhLAh3N5q{margin-top:-23px}._2KqgQ5WzoQRJqjjoznu22o{display:inline-block;-ms-flex-negative:0;flex-shrink:0;position:relative}._2D7eYuDY6cYGtybECmsxvE{-ms-flex:1 1 auto;flex:1 1 auto;overflow:hidden;text-overflow:ellipsis}._2D7eYuDY6cYGtybECmsxvE:hover{text-decoration:underline}._19bCWnxeTjqzBElWZfIlJb{font-size:16px;font-weight:500;line-height:20px;display:inline-block}._2TC7AdkcuxFIFKRO_VWis8{margin-left:10px;margin-top:30px}._2TC7AdkcuxFIFKRO_VWis8._35WVFxUni5zeFkPk7O4iiB{margin-top:35px}._1LAmcxBaaqShJsi8RNT-Vp{padding:0 2px 0 4px;vertical-align:middle}._2BY2-wxSbNFYqAy98jWyTC{margin-top:10px}._3sGbDVmLJd_8OV8Kfl7dVv{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:21px;margin-top:8px;word-wrap:break-word}._1qiHDKK74j6hUNxM0p9ZIp{margin-top:12px}.Jy6FIGP1NvWbVjQZN7FHA,._326PJFFRv8chYfOlaEYmGt,._1eMniuqQCoYf3kOpyx83Jj,._1cDoUuVvel5B1n5wa3K507{-ms-flex-pack:center;justify-content:center;margin-top:12px;width:100%}._1eMniuqQCoYf3kOpyx83Jj{margin-bottom:8px}._2_w8DCFR-DCxgxlP1SGNq5{margin-right:4px;vertical-align:middle}._1aS-wQ7rpbcxKT0d5kjrbh{border-radius:4px;display:inline-block;padding:4px}._2cn386lOe1A_DTmBUA-qSM{border-top:1px solid var(--newCommunityTheme-widgetColors-lineColor);margin-top:10px}._2Zdkj7cQEO3zSGHGK2XnZv{display:inline-block}.wzFxUZxKK8HkWiEhs0tyE{font-size:12px;font-weight:700;line-height:16px;color:var(--newCommunityTheme-button);cursor:pointer;text-align:left;margin-top:2px}._3R24jLERJTaoRbM_vYd9v0._3R24jLERJTaoRbM_vYd9v0._3R24jLERJTaoRbM_vYd9v0{display:none}.yobE-ux_T1smVDcFMMKFv{font-size:16px;font-weight:500;line-height:20px}._1vPW2g721nsu89X6ojahiX{margin-top:12px}._pTJqhLm_UAXS5SZtLPKd{text-transform:none} Death may occur as long as a month later. Products with Sodium Hydroxide . Consultation with a poison control center is recommended for any poisonings except the . Sodium hydroxide. The Pinellas County Sheriff's Office, FBI and Secret Service are jointly investigating the breach, Gualtieri said. (CNN)A hacker gained access into the water treatment system of Oldsmar, Florida, on Friday and tried to increase the levels of sodium hydroxide -- commonly referred to as lye -- in the city's water, officials said, putting thousands at risk of being poisoned. The signs and symptoms of Caustic Soda Poisoning can vary from one individual to another. If the chemical is ingested, it can cause nausea, vomiting, diarrhoea, stomach cramps and death. Sodium hydroxide is caustic. CNN's Mary Kay Mallonee, Rishi Iyengar and Brian Fung contributed to this report. Medical Management Guidelines for Sodium Hydroxide (NaOH). Syrup of ipecac is not given. The stomach generally suffers rare as the gastric juice is able to neutralize the alkali. The signs of salt poisoning most often reported are: Coma Confusion Convulsions Death Extreme thirst and urination Fluid buildup Headache High fever Increased heart rate (tachycardia) Lack of energy Loss of appetite Muscle spasms Nausea Respiratory distress Seizures Stomach pains Tongue swelling Vomiting Walking like intoxicated Watery diarrhea Effects of Long-Term (Chronic) Exposure: Conclusions cannot be drawn from the limited studies available. Death can occur as long as a month later. This page uses. People exposed to a small amount of sodium azide by breathing it, absorbing it through their skin, or eating foods that contain it may have some or all of the following symptoms within minutes: Clear drainage from the nose (gas or dust exposure) Cough (gas or dust exposure) Dizziness Headache Nausea and vomiting Rapid breathing Rapid heart rate Perhaps every few hours for several days. Fever, sneezing, runny nose, sore throat, and pneumonia are some of the severe consequences of coming in contact with this chemical. Burns, 39(7), 1468-1473. Human poisoning cases indicate that less than 10 grams taken orally is fatal. Philadelphia, PA: Elsevier; 2018:chap 7. You may also develop a painful burning sensation in your eyes, nose, mouth or throat, the University of Maryland Medical Center warns. Early intervention prevented the attack from having more serious consequences, said Robert M. Lee, the CEO of Dragos Inc., an industrial cybersecurity company. Please remove adblock to help us create the best medical content found on the Internet. ._1aTW4bdYQHgSZJe7BF2-XV{display:-ms-grid;display:grid;-ms-grid-columns:auto auto 42px;grid-template-columns:auto auto 42px;column-gap:12px}._3b9utyKN3e_kzVZ5ngPqAu,._21RLQh5PvUhC6vOKoFeHUP{font-size:16px;font-weight:500;line-height:20px}._21RLQh5PvUhC6vOKoFeHUP:before{content:"";margin-right:4px;color:#46d160}._22W-auD0n8kTKDVe0vWuyK,._244EzVTQLL3kMNnB03VmxK{display:inline-block;word-break:break-word}._22W-auD0n8kTKDVe0vWuyK{font-weight:500}._22W-auD0n8kTKDVe0vWuyK,._244EzVTQLL3kMNnB03VmxK{font-size:12px;line-height:16px}._244EzVTQLL3kMNnB03VmxK{font-weight:400;color:var(--newCommunityTheme-metaText)}._2xkErp6B3LSS13jtzdNJzO{-ms-flex-align:center;align-items:center;display:-ms-flexbox;display:flex;margin-top:13px;margin-bottom:2px}._2xkErp6B3LSS13jtzdNJzO ._22W-auD0n8kTKDVe0vWuyK{font-size:12px;font-weight:400;line-height:16px;margin-right:4px;margin-left:4px;color:var(--newCommunityTheme-actionIcon)}._2xkErp6B3LSS13jtzdNJzO .je4sRPuSI6UPjZt_xGz8y{border-radius:4px;box-sizing:border-box;height:21px;width:21px}._2xkErp6B3LSS13jtzdNJzO .je4sRPuSI6UPjZt_xGz8y:nth-child(2),._2xkErp6B3LSS13jtzdNJzO .je4sRPuSI6UPjZt_xGz8y:nth-child(3){margin-left:-9px} Somehow, a bottle of pipe cleaning solution with sodium hydroxide (or lye) was stored in the pub's fridge and mistaken for fizzy apple juice. Can cause dry, red, cracked skin (dermatitis) following skin contact. Club, O. M. S., Kendall, K., Bleach, C., Acid, M., Neutralizer, S. S. L. S. C., Ash, S. C. L. S. S., & pH Indicator Solution Phenol Red, R. (2013). Man found dead after being struck by train. NaOH is a one normal. Sodium hydroxide is found in many industrial solvents and cleaners, including products to strip floors, brick cleaners, cements, and many others. Below are symptoms of sodium hydroxide poisoning or exposure in different parts of the body. However, some common household products, including drain and toilet bowl cleaners and some dishwasher detergents, contain damaging caustic substances, such as sodium hydroxide and sulfuric acid. Because liquids do not stick, it is easier to consume more of the product, and the entire esophagus can be damaged. X-rays and computed tomographic (CT) scans may be necessary to evaluate the extent of the injury. But too much sodium is poisonous. Does anyone have any secret coffee chill spots? 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