question: why it is importent to not make someone vomit after they had swallow chemical product (such as soap for the floor)
comment: Harsh chemicals can do more than just poison you. Once they're in your stomach they're at least partially diluted by the other contents of your stomach. At that point the bigger concern can be protecting your throat, and your ability to breath. Vomiting is going to re-expose your throat to the chemicals, and potentially damage something there, that could include removing your ability to breath.
passages: Washing out the mouth with soap is meant to be unpleasant, but is usually not intended to cause death or serious harm. Nonetheless, many people employ the aforementioned techniques with extremely limited knowledge regarding the safety of ingesting their chosen cleansing agents. Agents likely to cause serious harm if swallowed include many automatic dishwasher detergents and laundry detergents. Even ordinary bar soaps and liquid hand soaps may cause harmful effects including vomiting, diarrhea, irritation of the lining of the mouth and digestive tract, and in rare instances, pulmonary aspiration. This is especially true if these products are ingested in large quantities.
   The other elimination pathways are less important in the elimination of drugs, except in very specific cases, such as the respiratory tract for alcohol or anaesthetic gases. The case of mother's milk is of special importance. The liver and kidneys of newly born infants are relatively undeveloped and they are highly sensitive to a drug’s toxic effects. For this reason it is important to know if a drug is likely to be eliminated from a woman’s body if she is breast feeding in order to avoid this situation.
  
  Section::::Pharmacokinetic parameters of elimination.
   This stage was introduced in many protocols as it was found that many people were too quick to undertake potentially dangerous interventions, such as abdominal thrusts, for items which could have been dislodged without intervention. Also, if the choking is caused by an irritating substance rather than an obstructing one, and if conscious, the patient should be allowed to drink water on their own to try to clear the throat. Since the airway is already closed, there is very little danger of water entering the lungs. Coughing is normal after most of the irritant has cleared, and at this point the patient will probably refuse any additional water for a short time.
   There is a theoretical concern that performing PSA on a patient with food in their stomach can increase the risk of aspiration. Currently, there are no papers that demonstrate this. However, when possible fasting is still preferred. For most agents the person should have had nothing to eat for at least six hours. Clear fluids can be allowed up to two hours before the procedure. An exception to this may be with ketamine in children where fasting may be unnecessary. However, in the emergency department setting, PSA is usually administered without waiting the full six hours unless there is clear evidence that the patient may not be able to maintain his/her airway on their own.
   In the 1940s, washing out the mouth with soap was a hazing ritual in the British Royal Navy.
  
  In the 1950s, several American schoolboards ruled in favour of washing out a pupil's mouth with soap as a legitimate punishment.
   When anaesthesia is required in an emergency, nasogastric aspiration is usually performed to reduce gastric contents and the risk of its pulmonary aspiration.
  
  Section::::Unrestricted clear fluids.
  
  Fasting guidelines often restrict the intake of any oral fluid after two to six hours preoperatively. However, it has been demonstrated in a large retrospective analysis in Torbay Hospital that unrestricted clear oral fluids right up until transfer to theatre could significantly reduce the incidence of postoperative nausea and vomiting without an increased risk in the adverse outcomes for which such conservative guidance exists.
   Cardiac toxicity can result from improper injection of agent into a vessel. Even with proper administration, it is inevitable for some diffusion of agent into the body from the site of application due to unforeseeable anatomical idiosyncrasies of the patient. This may affect the nervous system or cause the agent to enter into general circulation. However, infections are very seldom transmitted.
   The addition of antiseptic chemicals to soap ("medicated" or "antimicrobial" soaps) confers killing action to a hand-washing agent. Such killing action may be desired prior to performing surgery or in settings in which antibiotic-resistant organisms are highly prevalent.
   Contrary to common misconception, swallowing gasoline does not generally require special emergency treatment, and inducing vomiting does not help, and can make it worse. According to poison specialist Brad Dahl, "even two mouthfuls wouldn't be that dangerous as long as it goes down to your stomach and stays there or keeps going." The US CDC's Agency for Toxic Substances and Disease Registry says not to induce vomiting, lavage, or administer activated charcoal.
  
  Section::::Safety.:Inhalation for intoxication.
   Hazardous drugs are often used for patients suffering from cancer. For example, chemotherapy agents are routinely used in the treatment of cancer. However, chemotherapy can be dangerous to a person even if they don't have cancer, as chemotherapy often indiscriminately affects both healthy and cancerous cells. For the healthcare worker tasked with preparing hazardous medications like chemotherapy, manipulation of these agents presents a substantial risk; for example, it may negatively affect their fertility, increase their risk of developing certain cancers themselves, or have unwelcome effects on fetuses. As an addition to standard safe handling practices, CSTDs are devices that are designed to additionally limit exposure of hazardous drugs to the personnel that manipulate them.
   The presence of endotoxins in the blood is called endotoxemia. It can lead to septic shock, if the immune response is severely pronounced.
  
  Moreover, endotoxemia of intestinal origin, especially, at the host-pathogen interface, is considered to be an important factor in the development of alcoholic hepatitis, which is likely to develop on the basis of the small bowel bacterial overgrowth syndrome and an increased intestinal permeability.
   On December 11, 2008, the FDA issued a Safety Alert stating that "FDA has become aware of reports of acute phosphate nephropathy, a type of acute kidney injury, associated with the use of oral sodium phosphate products (OSP) for bowel cleansing prior to colonoscopy or other procedures. These products include the prescription products, Visicol and OsmoPrep, and OSPs available over-the-counter without a prescription as laxatives (e.g., Fleet Phospho-soda). In some cases when used for bowel cleansing, these serious adverse events have occurred in patients without identifiable factors that would put them at risk for developing acute kidney injury ... The agency is equally concerned about the risks associated with the use of OSP products that are available over-the-counter (OTC), for example, Fleet Phospho-soda, when used at higher doses for bowel cleansing."
   The patient is kept NPO (Nil per os) or NBM (Nothing By Mouth) that is, told not to eat, for at least 4 hours before the procedure. Most patients tolerate the procedure with only topical anesthesia of the oropharynx using lidocaine spray. However, some patients may need sedation and the very anxious/agitated patient may even need a general anesthetic. Informed consent is obtained before the procedure. The main risks are bleeding and perforation. The risk is increased when a biopsy or other intervention is performed.
   Vomiting is different from regurgitation, though the terms are often used interchangeably. Regurgitation is the return of undigested food back up the esophagus to the mouth, without the force and displeasure associated with vomiting. The causes of vomiting and regurgitation are generally different.
  
  Section::::Complications.
  
  Section::::Complications.:Aspiration.
  
  Vomiting is dangerous if gastric content enters the respiratory tract. Under normal circumstances the gag reflex and coughing prevent this from occurring; however, these protective reflexes are compromised in persons under the influence of certain substances (including alcohol) or even mildly anesthetized. The individual may choke and asphyxiate or suffer aspiration pneumonia.
   BULLET::::- 15 – 20 minutes - moderate to severe irritants and chemicals that cause acute toxicity
  
  BULLET::::- 30 minutes - most corrosives
  
  BULLET::::- 60 minutes - strong alkalis such as sodium, potassium or calcium hydroxide
  
  Transporting the affected person to a health care facility may be important, depending on condition. In the case that the victim needs to be transported before the recommended flush time, then flushing should be done during the transportation process. Some chemical manufacturers may state the specific type of cleansing agent that is recommended.
  
  Section::::Long-term risks.
  
  Section::::Long-term risks.:Cardiovascular disease.
   DEET may be quantitated in blood, plasma or urine by gas or liquid chromatography-mass spectrometry to confirm a diagnosis of poisoning in hospitalized patients or to provide evidence in a medicolegal death investigation. Blood or plasma DEET concentrations are expected to be in a range of 0.3-3.0 mg/L during the first 8 hours after dermal application in persons using the chemical appropriately, 6 mg/L in intoxicated patients and 100 mg/L in victims of acute intentional oral overdose.
  
  Section::::Effects on materials.
   Pralidoxime has an important role in reversing paralysis of the respiratory muscles but due to its poor blood–brain barrier penetration, it has little effect on centrally-mediated respiratory depression. Atropine, which is choice of drug to antagonise the muscarinic effects of organophosphates, is administered even before pralidoxime during the treatment of organophosphate poisoning. While the efficacy of atropine has been well-established, clinical experience with pralidoxime has led to widespread doubt about its efficacy in treatment of organophosphorus poisoning.
  
  Section::::Dosage.
   In the DEET Reregistration Eligibility Decision (RED) in 1998, the United States Environmental Protection Agency (EPA) reported 14 to 46 cases of potential DEET-associated seizures, including 4 deaths. The EPA states: "... it does appear that some cases are likely related to DEET toxicity," which may underreport the risk as physicians may fail to check for history of DEET use or fail to report cases of seizure subsequent to DEET use.
   This punishment still has advocates today, even though its use has diminished considerably in recent years in favour of discipline methods that are not considered violent or humiliating. Additionally, ingestion of soaps and detergents can have potentially serious health consequences, and persons utilizing this form of punishment may face legal sanctions.
  
  Section::::Technique.
   Foremost among the play's historical inspirations is the evidence that the Nazi regime had a program at the Danzig Anatomic Institute in 1944 to develop a process for the mass-production of soap from the fat of Jews being slaughtered in Nazi extermination camps, and produced soap in small quantities at a nearby concentration camp. In a dramatic moment, the players re-enact testimony from the Nuremberg Trials, including this recipe:
   The play's central character, is an elderly Holocaust survivor called Milton Saltzman, worked doggedly to establish as fact the idea that the Nazis produced and used soap made from human corpses, even handing bars of such soap to Jews on their way into the sealed chambers that functioned alternately as gas chambers and as shower rooms in the Nazi concentration camps.
   In 2010, the United States FDA raised health concerns over triclosan, an antibacterial substance used in some dish liquids. Elsewhere, triclosan has been found to create problems at wastewater treatment plants, whereby it can "sabotage some sludge-processing microbes and promote drug resistance in others." The United States FDA has found that triclosan provides no health benefits over soap and water. As of 2014, at least one state within the United States has banned triclosan in dishwashing liquids.
  
  Many dishwashing liquids contain perfume which can cause irritant or allergic contact dermatitis.
  
  Section::::Brands.
   Safe handling refers to the process in which health care workers adhere to practices set forth by national health and safety organizations, that have been designed to eliminate or significantly reduce occupational exposure. Some of these practices include but are not limited to, donning of personal protective equipment such as a disposable gown, gloves, masks and the utilization of a closed-system drug transfer device. The key safe handling is to protect the health care worker throughout the three phases of contact with the hazardous drugs. These phases are drug preparation, administration and disposal. Some studies have shown that while compounding hazardous drugs in a Class II BSC in conjunction with a closed-system drug transfer device, a significant decrease in drug contaminants inside a Class II BSC has resulted. This led the Oncology Nursing Society (ONS) to make the statement in 2003 that a closed-system drug transfer device is viewed as one of safest measures to prevent hazardous drug exposure in a clinician’s working environment. However, a Cochrane review published in 2018 that synthesized all available controlled studies found no evidence of a closed-system drug transfer device offering an additional decrease in contamination or exposure to safe handling practices alone.
   In surgery, triclosan coated sutures reduce the risk of surgical site infection. 
  
  Some studies suggest that antimicrobial hand soaps containing triclosan provide a slightly greater bacterial reduction on the hands compared to plain soap. , the US FDA had found clear benefit to health for some consumer products containing triclosan, but not in others; for example the FDA had no evidence that triclosan in antibacterial soaps and body washes provides any benefit over washing with regular soap and water.
   If taken by mouth it is deemed to be very toxic. Side effects may include nausea, vomiting, and shortness of breath may occur. If a sufficiently large amount (about 10 grams) is eaten death may occur.
  
  Concentrated solutions when drunk have resulted in adult respiratory distress syndrome or swelling of the airway. Recommended measures for those who have ingested potassium permanganate include gastroscopy. Activated charcoal or medications to cause vomiting are not recommended. While medications like ranitidine and N-acetylcysteine may be used in toxicity, evidence for this use is poor.
  
  Section::::Mechanism of action.
  