Poisoning therapy

Poisoning—prevention control. 4. Poisoning—therapy. QV 663 C5177 2008]... 

Cadmium, 925-1022 acute poisoning, 1000 chronic poisoning, 1000 metallothioneins, 1021 poisoning therapy, 1001 toxicology, 999 Cadmium complexes alcohols, 964 amides, 944 amine oxides, 964 amines, 933 amino acids, 938... 

A variety of therapies for thallium poisoning have been suggested by neutralising thallium in the intestinal tract, hastening excretion after resorption, or decreasing absorption. Berlin-Blue (fertihexacyanate) and sodium iodide in a 1 wt % solution have been recommended. Forced diuresis hemoperfusion and hemodialysis in combination results in the elimination of up to 40% of the resorbed thaHous sulfate (39). 

Warfarin [81-81-2] (6) is prepared by the Michael condensation of benzyHdene acetone with 4-hydroxycoumarin (86). It is used as a rodenticide (see Poisons, commercial) and in anticoagulant therapy. 

There is no proven antidote for hydrogen sulfide poisoning. Treatment consists of supportive measures such as evaluating and supporting airway, breathing, and circulation (ATSDR 1994). Sodium nitrite may or may not be an effective antidote, but if proper precautions in administration are observed, intravenous administration of sodium nitrite may help some hydrogen sulfide poisoned persons (Hall 1996 Hall and Rumack 1997). Hyperbaric oxygen therapy is controversial, but it may be effective for patients not treated successfully by other measures (ATSDR 1994). 

Smilkstein MJ, Bronstein AC, Pickett HM, et al. 1985. Hyperbaric oxygen therapy for severe hydrogen sulfide poisoning. J Emerg Med 3 27-30. 

A study of 55 adolescents who had been treated for lead intoxication in early childhood (11-17 years earlier) revealed no evidence of chronic nephropathy, as evidenced by endogenous creatinine clearance, BUN, serum uric acid, and routine urinalysis (Chisolm et al. 1976). PbB levels during the acute poisoning episode ranged from 100 to 650 pg/dL all patients received immediate chelation therapy. At the time of the study, their PbB levels had decreased to less than 40 pg/dL. 

Ercal N University of Missouri, Rolla, MO The adjunctive use of NAC to enhance the effectiveness of chelation-oriented therapies in lead poisoning National Institute of Environmental Health Sciences... 

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