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Please be aware that this old REACH registration data factsheet is no longer maintained; it remains frozen as of 19th May 2023.

The new ECHA CHEM database has been released by ECHA, and it now contains all REACH registration data. There are more details on the transition of ECHA's published data to ECHA CHEM here.

Diss Factsheets

Toxicological information

Direct observations: clinical cases, poisoning incidents and other

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Administrative data

Endpoint:
direct observations: clinical cases, poisoning incidents and other
Type of information:
other: case report
Adequacy of study:
supporting study
Reliability:
other:
Rationale for reliability incl. deficiencies:
other: case report

Data source

Reference
Reference Type:
publication
Title:
Fatal Hyperkalemia from accidental overdose of potassium chloride
Author:
Wetli ChV, Davis JH
Year:
1978
Bibliographic source:
JAMA 240, 1339

Materials and methods

Study type:
poisoning incident
Endpoint addressed:
acute toxicity: oral
Principles of method if other than guideline:
oral application of a total dose of 4500 mg KCl to a 2-month old baby in three portions
GLP compliance:
no

Test material

Constituent 1
Chemical structure
Reference substance name:
Potassium chloride
EC Number:
231-211-8
EC Name:
Potassium chloride
Cas Number:
7447-40-7
Molecular formula:
KCl
IUPAC Name:
potassium chloride
Details on test material:
no further data

Method

Subjects:
2-months old boy, 4.8 kg
Route of exposure:
oral
Reason of exposure:
intentional
Exposure assessment:
measured

Results and discussion

Clinical signs:
A few hours later the baby became cyanotic, stopped breathing and was rushed to a hospital. The initial serum potassium level was 10.1mEq/liter and remained elevated until the boy died 28 hours later
Outcome of incidence:
A 2 -month old 4.8 kg boy had collic.As adviced by a popular health book, The mother fed the baby wih 3000 mg KCL mixed with breast milk in two portions, the symptoms were relieved but recurred the next morning. The mother fed the baby again with 1500 mg KCl mixed in breast milk.
A few hours later the baby became cyanotic, stopped breathing and was rushed to a hospital. The initial serum potassium level was 10.1mEq/liter and remained elevated until the boy died 28 hours later

Applicant's summary and conclusion