<s>[INST] hi sir.. my friend has taken rat poison..and now doctors are saying its too late now..her vomiting is not in control..her age is 19..weight around 48kg..Doctors are saying poison has spread in all her body..2 days before she had taken.. plz..suggest me a way to help her..plz sir [/INST] Usually rat poisons are fatal n dangerous.Most probably the way u are telling it could be aluminum or zinc phosphide poisoning.Best management can be done only in golden hour of presentation.Management can be suggested according to the complications developed.Rat poisoning best management is usually done much before the development of complications to prevent it.In complicated cases magnesium sulphate  for life thretening arrhythmias, digitalization for cardiac failure, vitamin  c and methylene blue if associated methemoglobinemias.Intra aortic balloon pump or exchange transfusion are of last options. </s>