Approach to ingestion of petroleum distillates and other aliphatic hydrocarbons*

SABA: short-acting beta-adrenergic agonists; NPO: nil per os (nothing by mouth); ECG: electrocardiogram.
* Common aliphatic hydrocarbons include kerosene, mineral seal oil (furniture polish), gasoline, turpentine, naphtha (charcoal lighter fluid), and mineral spirits. For management of other acute hydrocarbon exposures, including ingestion of aromatic or halogenated hydrocarbons, refer to UpToDate topics on acute hydrocarbon exposure and hydrocarbon inhalation.
¶ Epinephrine may precipitate catecholamine-induced ventricular arrhythmias in patients with hydrocarbon toxicity.
Δ For approach to external decontamination of skin, hair, and eyes and gastrointestinal decontamination of large-volume petroleum distillate ingestions, refer to UpToDate topics on acute hydrocarbon exposure.