Toxin involved: glyphosate (N-phosphonomethyl glycine)
If the person has no complaints, no abnormalities on physical examination and no abnormalities in laboratory testing, then he or she is considered asymptomatic.
Mild intoxication - resolved within 24 hours and vital signs stable:
(1) nausea and vomiting
(2) diarrhea
(3) abdominal pain
(4) mouth and throat pain
Moderate intoxication:
(1) GI symptoms (above) lasting more than 24 hours
(2) GI hemorrhage
(3) esophagitis or gastritis on endoscopy
(4) oral ulceration
(5) hypotension responsive to fluid resuscitation
(6) pulmonary dysfunction not requiring intubation
(7) acid-base disorder
(8) transient hepatic damage
(9) transient renal damage or temporary oliguria
Severe intoxication:
(1) pulmonary dysfunction requiring intubation
(2) renal failure requiring dialysis
(3) hypotension requiring pressor therapy
(4) cardiac arrest
(5) hepatic failure
(6) coma
(7) seizures
(8) death
where:
• Hepatic failure was not listed in the table, but was included due to the reference to transient hepatic dysfunction under moderate intoxication.
• I did not include death in the spreadsheet since that seemed pretty self-evident.
