Pneumonic effect

HEALTH SYMPTOMS inhalation (cough, sore throat, shortness of breath) skin (redness, burning sensation) eyes (redness, pain, severe deep bums) ingestion (abdominal pain, chemical pneumonitis, effects on liver, kidneys and thyroid). 

CHRONIC HEALTH RISKS bronchitis lung fibrosis pulmonary edema increase in pulse and respiratory rates chronic pneumonitis effects on adrenal gland acute conjunctivitis rhinitis chronic skin ulcers anorexia death. 

Health and Safety Factors. Boron trifluoride is primarily a pulmonary irritant. The toxicity of the gas to humans has not been reported (58), but laboratory tests on animals gave results ranging from an increased pneumonitis to death. The TLV is 1 ppm (59,60). Inhalation toxicity studies in rats have shown that exposure to BF at 17 mg/m resulted in renal toxicity, whereas exposure at 6 mg/m did not result in a toxic response (61). Prolonged inhalation produced dental fluorosis (62). High concentrations bum the skin similarly to acids such as HBF and, if the skin is subject to prolonged exposure, the treatment should be the same as for fluoride exposure and hypocalcemia. No chronic effects have been observed in workers exposed to small quantities of the gas at frequent intervals over a period of years. 

The health effects of non-infectious bioaerosols include allergy symptoms, asthma symptoms, and hypersensitivity pneumonitis. 

Respiratory Effects. Inhalation exposure of dogs to 241 Am resulted in respiratory insufficiency and pneumonia as well as histopathologic changes in the lungs. Inhalation exposure of rats resulted in radiation pneumonitis. 

Nitric oxide (NO) is severely irritating to eyes and respiratory system. Effects may be delayed for several hours following exposure. Corrosive. Inhalation may result in chemical pneumonitis and pulmonary edema. Nonflammable. Oxidizer. This product accelerates the combustion of combustible material. 

Mineral Oil Hydraulic Fluids. No specific methods were located for interfering with the mechanism of action for toxic effects produced by mineral oil hydraulic fluids. Unstable alveoli and distal airways have been proposed as major factors in the respiratory symptoms that occur after the ingestion of other petroleum-derived materials. Continuous positive airway pressure or continuous negative chest wall pressure, as well as the application of supplemental oxygen, have been recommended to counteract the resultant pneumonitis (Eade et al. 1974 Klein and Simon 1986). 

Mineral Oil Hydraulic Fluids. Aside from the possibility of the development of pneumonitis following the aspiration of ingested mineral oil hydraulic fluid, little is known regarding the toxicity of these materials. Additional animal studies to identify the possible toxic effects of exposure to these materials may provide information relevant to the investigation of methods for reducing the toxic effects. 

Bleomycin -antitumor antibiotic that causes DNA strand breakage -dose-related pneumonitis -mucocutaneous effects (stomatitis, mucositis) -acute pulmonary edema -fever in 50% -hyperpigmentation (can rarely be DLT)... 

Procarbazine -alkylating agent cell cycle independent -bone marrow suppression—prolonged -nausea and vomiting—severe tolerance often develops with repeated dosing -mucocutaneous effects (mucositis, stomatitis, diarrhea) -rash, hives, photosensitivity -interstitial pneumonitis -CNS toxicity—seizures, lethargy, headache, ataxia -flu-like syndrome -azoospermia and amenorrhea almost universal... 

When relatively insoluble forms of l44Ce are inhaled, the primary effects are observed in the lungs and tracheobronchial lymph nodes. With large quantities of 144Ce, animals die of radiation pneumonitis and pulmonary fibrosis. The tracheobronchial lymph nodes are atrophic and fibrotic. At lower exposure levels pulmonary neoplasms are a prominent finding. 

Toxicities are GI (stomatitis, diarrhea, nausea, vomiting), hematologic (thrombocytopenia, leukopenia), pulmonary (fibrosis, pneumonitis), and hepatic (elevated enzymes, rare cirrhosis). Concomitant folic acid may reduce some adverse effects without loss of efficacy. Liver injury tests (aspartate aminotransferase or alanine aminotransferase) should be monitored periodically, but a liver biopsy is recommended during therapy only in patients with persistently elevated hepatic enzymes. MTX is teratogenic, and patients should use contraception and discontinue the drug if conception is planned. 

Non-dose-related adverse effects of sulfasalazine include rash, fever, or hepatotoxicity most commonly, as well as relatively uncommon but serious reactions such as bone marrow suppression, thrombocytopenia, pancreatitis, pneumonitis, interstitial nephritis, and hepatitis. 

Infants with pneumonitis should receive follow-up testing, because erythromycin is only 80% effective. 

The adverse effects of antiandrogens are gynecomastia, hot flushes, GI disturbances, liver function test abnormalities, and breast tenderness. GI disturbances consist of diarrhea for flutamide and bicalutamide and nausea or constipation for nilutamide. Flutamide is also associated with methemoglobinemia, whereas nilutamide causes visual disturbances (impaired dark adaptation), alcohol intolerance, and interstitial pneumonitis. 

Respiratory Effects. Pulmonary function tests were not affected in workers exposed to hexachloroethane for 5 weeks while wearing protective equipment (Selden et al. 1994). Acute exposure of rats to 5,900 ppm hexachloroethane (a combination of gaseous and microcrystalline material) resulted in interstitial pulmonary pneumonitis (Weeks et al. 1979). These pulmonary lesions were seen after a 14-day recovery period. The entrapment of solid hexachloroethane particles in the lungs could have contributed to the symptoms observed. 

Clinical Diagnosis A presumptive diagnosis can be made from by Gram or Wayson stain of lymph node aspirates, sputum, or cerebrospinal fluid. Plague can also be cultured. As for treatment, early administration of antibiotics is very effective. Supportive therapy for pneumonic and septicemic forms is required. 

Prophylaxis For asymptomatic patients exposed to plague aerosol, or to a patient with suspected pneumonic plague, provide doxycycline at 100 mg orally twice daily for seven days, or for the duration of risk of exposure plus one week. Alternative antibiotics include ciprofloxacin, tetracycline, or chloramphenicol. No vaccine is currently available for plague propylaxis. The previously available licensed, killed vaccine was effective against bubonic plague, but not against aerosol exposure. 

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