INHALATION: Move patient to fresh air. Monitor for respiratory distress. If cough or difficulty breathing develops, evaluate for respiratory tract irritation, bronchitis, or pneumonitis. Administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist. Consider systemic corticosteroids in patients with significant bronchospasm.

In symptomatic patients, administer oxygen, determine blood gases and obtain a chest x-ray.

If acute lung injury is present, consider positive end expiratory pressure ventilation and steroids.

DECONTAMINATION: Remove contaminated clothing and jewelry and place them in plastic bags. Wash exposed areas with soap and water for 10 to 15 minutes with gentle sponging to avoid skin breakdown. A physician may need to examine the area if irritation or pain persists (Burgess et al, 1999).

Treat dermal irritation or burns with standard topical therapy. Patients developing dermal hypersensitivity reactions may require treatment with systemic or topical corticosteroids or antihistamines.

DECONTAMINATION: Remove contact lenses and irrigate exposed eyes with copious amounts of room temperature 0.9% saline or water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist after 15 minutes of irrigation, the patient should be seen in a healthcare facility.

Prolonged flushing and early ophthalmologic consultation should be considered in cases with significant eye irritation or burns.

The use of diluents is controversial. Residual perioral alkali should be rinsed with milk or water. Activated charcoal is not indicated.

Neutralization is contraindicated.

Emesis or lavage should be avoided. Patient should be NPO following dilution until after surgical consultation.

Esophagoscopy should be performed 12 to 24 hours postingestion to assess severity where history indicates a definite ingestion of a caustic agent or where stridor, dysphagia or drooling are present.

Although controversial, consider with caution administration of pharmacologic doses of steroids (1 milligram/kilogram prednisone) where deep or circumferential esophageal burns are detected on esophagoscopy. Continue therapy for 3 weeks then taper if burns are found or esophagoscopy is not performed.

Antibiotics should be used only for specific indications of infection.

Consider performing a barium swallow at 10 days to 3 weeks following initial burn to assess severity of esophageal damage.

Dilation may be necessary when there is evidence of esophageal strictures. Intervals between dilatations per appropriate surgical consult.

Intraposition of the colon may be necessary if dilatation fails to provide an adequate sized esophagus. Some surgeons prefer a gastric tube to colonic intraposition.

4.3: Dangerous when wet material. See 49 CFR section 173.124 for definitions.

I: Packing Group I - indicates the degree of danger presented by the material is great.

4.3: Dangerous When Wet.

A7: Steel packagings must be corrosion-resistant or have protection against corrosion.

A8: For combination packagings, if glass inner packagings (including ampoules) are used, they must be packed with cushioning material in tightly closed metal receptacles before packing in outer packagings.

A19: Combination packagings consisting of outer fiber drums or plywood drums, with inner plastic packagings, are not authorized for transportation by aircraft.

A20: Plastic bags as inner receptacles of combination packagings are not authorized for transportation by aircraft.

B9: Bottom outlets are not authorized.

B48: Portable tanks in sodium metal service may be visually inspected at least once every 5 years instead of being retested hydrostatically. Date of the visual inspection must be stenciled on the tank near the other required markings.

B68: Sodium must be in a molten condition when loaded and allowed to solidify before shipment. Outage must be at least 5 percent at 98 °C (208 °F). Bulk packagings must have exterior heating coils fusion welded to the tank shell which have been properly stress relieved. The only tank car tanks authorized are Class DOT 105 tank cars having a test pressure of 2,069 kPa (300 psig) or greater.

IB4: Authorized IBCs: Metal (11A, 11B, 11N, 21A, 21B, 21N, 31A, 31B and 31N).

IP1: IBCs must be packed in closed freight containers or a closed transport vehicle.

N34: Aluminum construction materials are not authorized for any part of a packaging which is normally in contact with the hazardous material.

T9: Minimum test pressure (bar): 4; Minimum shell thickness (in mm-reference steel) (See sxn.178.274(d)): 6 mm; Pressure-relief requirements (See sxn.178.275(g)): Normal; Bottom opening requirements (See sxn.178.275(d)): Prohibited.

TP7: The vapor space must be purged of air by nitrogen or other means.

TP33: The portable tank instruction assigned for this substance applies for granular and powdered solids and for solids which are filled and discharged at temperatures above their melting point which are cooled and transported as a solid mass. Solid substances transported or offered for transport above their melting point are authorized for transportation in portable tanks conforming to the provisions of portable tank instruction T4 for solid substances of packing group III or T7 for solid substances of packing group II, unless a tank with more stringent requirements for minimum shell thickness, maximum allowable working pressure, pressure-relief devices or bottom outlets are assigned in which case the more stringent tank instruction and special provisions shall apply. Filling limits must be in accordance with portable tank special provision TP3. Solids meeting the defnintion of an elevated temperature material must be transported in accordance with the applicable requirements of this subchapter.

TP46: Portable tanks in sodium metal service are not required to be hydrostatically retested.

Exceptions: None

Non-bulk packaging: 211

Bulk packaging: 244

Passenger aircraft or railcar: Forbidden

Cargo aircraft only: 15 kg

Vessel stowage location: D

Vessel stowage other: 52

SETIQ:

CENACOM:

CIQUIME:

PRÓ-QUÍMICA:

CISPROQUIM:

CANUTEC:

CHEMTREC®:

CHEM-TEL, INC.:

INFOTRAC:

3E COMPANY:

NATIONAL RESPONSE CENTER (NRC):

MILITARY SHIPMENTS:

NATIONWIDE POISON CONTROL CENTER (United States only):