Severe
Lung Injury after Exposure to Chloramine Gas from Household Cleaners:
Everyday
household cleaners can be extremely dangerous since most of its users are
unaware of their chemical composition and how these could react with other
seemingly harmless substances and gases. An article published by the New England
Journal of Medicine talks about the dangers of mixing household cleaners. This article discusses the case in which a
healthy 53 year old woman suffered from swelling of the upper airway requiring
an emergency tracheostomy after mixing over the counter bleach and ammonia
while cleaning a freezer at her place of employment. She later developed pneumonitis and needed
artificial ventilation before recovering.
Without thinking too
much about it, I have seen how family members and friends mix different
cleaners to achieve a “stronger cleaning power”, and refill bottles of bleach
with some other types of cleaners. This
article explains how pulmonary irritation and pneumonitis are just some of the
possible side effects of mixing and inhaling cleaners’ fumes. The combination of such common cleaners as
household ammonia and bleach releases chloramines’ gas which in turn will
“react with the moisture of the respiratory tract to release ammonia,
hydrochloric acid and oxygen free radicals.” (Graeme, Tanen, and Raschke
848-849) These molecules will typically cause mild respiratory tract irritation
when inhaled in small amounts, but in high concentrations these chemical
combinations could “cause corrosive effects and cellular injury” (Graeme,
Tanen, and Raschke 848-849) that could result in pneumonitis and edema.
Graeme, Kimberlie, David Tanen, and Robert Raschke.
"Severe Lung Injury after Exposure to Chloramine Gas from Household
Cleaners." New England Journal Of Medicine. 344 (1999): 848-849.
Web. 9 Jul. 2012.
<http://www.nejm.org/doi/full/10.1056/NEJM199909093411115>.
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