For mercury poisoning

There is no specific treatment for mercury poisoning of the kidneys but removal of the source of the metal is important. This maneuver may result in spontaneous improvement in 50% of cases [25]. Brown, in a study from Malawi, described the failure to improve in 2 out of 6 patients with membranous nephropathy who were known to have used skin creams [28]. This occurred despite removal from exposure to the mercury as well as the administration of steroids. 

Normally British Antilewisite (2,3-dimercaptopropa-nol BAL), administered intramuscularly, is used as an antidote for mercury poisoning. Oral D-penicilla-mine has been used for less severe cases. The Tacetyl derivative has been tested with good results. Experimentally, oral m-2,3-dimercaptosuccinic acid and the less toxic 2,3-dimercaptopropane-l-sulfonate are more effective than BAL. 

Use Protective colloid and emulsifying agent in bakery products (especially angel cake), clarification of wines, adhesives, paper coatings, pharmaceuticals, enzyme activation, lithography, analytical reagent, antidote for mercury poisoning, mordant in dyes. Note A recombinant DN A technique has made possible the formation of ovalbumin by the bacterium E. coli. 

Genetic conditions, including cystinosis, cystinuria, and tyro-sinemia, and deficiencies of vitamins C and E or selenium increase the risk for mercury poisoning (Calabrese 1978 Goetz 1985). Vitamin E and selenium reduce the toxic expression but not the accumulation of mercury (Goetz 1985). 

Mercuric Acetate Rubber gloves, dust mask, goggles. Have physician treat for mercury poisoning. Have physician treat for mercury poisoning. Hush with water. Have physician treat for mercury poisoning. Flush with water. 

Explain the way in which British Anti-Lewisite acts as an antidote for mercury poisoning. 

It is recommended, as a minimum, that permanent employees working with mercury or mercury compounds be provided with periodic physical examinations with a test protocol selected specifically for mercury poisoning. Women who may be pregnant should be especially careful and encouraged to participate in the medical surveillance program if they cannot avoid exposure entirely. 

The accepted toxic dose of mercury is 300 p,g/day. Dental offices sometimes contain as much as 180 p,g of mercury per cubic meter of air. If a nurse working in the office ingests 2 X 10 L of air per day, is he or she at risk for mercury poisoning ... 

A 3-year-old girl presented with hypertension and acrodynia without a known history cf exposure. Acrodynia was identified as a primary symptom, a 24-h urine mercury level can confirm the diagnosis. Chelation therapy successfully treated the patient s mercury intoxication. But it was also necessary to concurrently treat her hypertension and the pain associated with her acrodynia. There were no known risk factors for mercury poisoning in this case, may be ritual use of mercury is common in much cfthe United States 1194, 195 ]. 

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