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Treat hypotension with IV fluids. Treat seizures with benzodiazepines. For ingestion or extensive skin exposure, correct low blood levels of calcium (hypocalcemia) with IV calcium gluconate (adult and child dose: 0.1 to 0.2 mL/kg up to 10 mL/dose of a 10% solution; repeat the dose if necessary) or calcium chloride. Some patient/victims with abnormal heart rhythms may require application of an electric shock (cardioversion) to restore normal heartbeat, plus additional treatment. For skin exposure, consider using an ultraviolet (UV) light source (black light, Wood&#;s lamp) to see phosphorus particles more easily. Phosphorus particles should glow (fluoresce) under UV light. With the exposed areas immersed in cold water (to avoid ignition) carefully remove all visualized phosphorus particles (either loose or imbedded). The use of cold water has the potential to induce hypothermia. Take steps to guard against hypothermia. Place particles of phosphorus that were removed in cold water-filled containers to prevent risk to medical personnel and others. Consultation with an ophthalmologist is required for eye exposure.
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