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Exposure to high concentrations of ammonia in air causes immediate burning of the nose, throat and respiratory tract. This can cause bronchiolar and alveolar edema, and airway destruction resulting in respiratory distress or failure. Inhalation of lower concentrations can cause coughing, and nose and throat irritation. There is no antidote for ammonia poisoning, but ammonia's effects can be treated, and most people recover. Immediate decontamination of skin and eyes with copious amounts of water is very important. Treatment consists of supportive measures and can include administration of humidified oxygen, bronchodilators and airway management. Ingested ammonia is diluted with milk or water.
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