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Biomedical subjects

J C Garriott

Publications and source records attributed to J C Garriott.

61 records · Page 4Linked to original sources
PubMedDate not supplied

A sensitive thin-layer chromatographic procedure for the detection of urinary 11-nor-delta 9-tetrahydrocannabinol-9-carboxylic acid.

A sensitive high-performance thin-layer chromatographic (HPTLC) procedure for the detection of 11-nor-delta 9-tetrahydrocannabinol-9-carboxylic acid (THC-COOH), the major urinary metabolite of delta 9-tetrahydrocannabinol (THC), is described. After alkaline hydrolysis, the THC-COOH is extracted from acidified urine into hexane. The hexane is evaporated and the residue spotted onto an HPTLC plate. Chromatography time is 11 min with heptane/butanol/acetic acid (90:9:1) as mobile phase. The cannabinoids are visualized by sequentially dipping the thin-layer plate in diethylamine then in 0.1% Fast Blue BB. The limit of detection for THC-COOH is 5 ng/mL when 2 mL of urine is used. Extraction efficiencies averaged 71% over the 10-400 ng/mL range. No drugs, drug metabolites, or endogenous urinary substances interfere with the procedure.

Chromatography, Thin Layer↗
PubMedDate not supplied

Isopropyl alcohol metabolism after acute intoxication in humans.

Two cases of acute overdose with isopropyl alcohol are reported. Blood concentrations of the alcohol and its major metabolite, acetone, were measured during the metabolism phase of the alcohol, and acetone was elevated thirty-seven hours later in one case. Isopropyl alcohol disappeared from the blood at a rate following first-order kinetics in both cases. Blood half-live were estimated at 155 and 187 minutes in the two patients, respectively.

1-Propanol↗
PubMedDate not supplied

A death from fentanyl overdose.

A case of death from self-injection of fentanyl and a method for its detection in autopsy specimens are reported. Fentanyl was measured by extraction of biological samples with ethyl acetate, partitioning into 0.1N HCl, then reextracting into ethyl acetate after alkalinization of the acid phase. After reducing to a residue, the fentanyl was measured by selective ion monitoring gas chromatography/mass spectrometry. Concentrations of 4.8, 6.3, and 4.7 micrograms/L were found in blood, urine, and bile, respectively.

Adult↗
PubMedDate not supplied

Five cases of fatal overdose from caffeine-containing "look-alike" drugs.

Five cases of death from ingestion of "look-alike" dose forms are reported. "Look-alikes" are widely used non-prescription drugs sold as appetite suppressants or stimulants. Three of the cases had taken caffeine/ephedrine combinations, and two had taken caffeine only. All had lethal concentrations of caffeine detected in the blood (130 to 344 mg/L), and three had high ephedrine concentrations from 3.5 to 20.5 mg/L. Caffeine and ephedrine were measured in body fluids and tissues (when available) by SIM gas chromatography/mass spectrometry (GC/MS) after extraction with diethyl ether.

Adult↗
PubMedDate not supplied

Renal infarction with absolute ethanol.

Selective renal artery catheterization was undertaken in a series of mongrel dogs. Absolute ethanol was injected on a dose/weight ratio. Venous blood ethanol levels were monitored. Pre- and postprocedure angiography was performed to evaluate the effectiveness of the injection. The dogs were subsequently sacrificed and pathologic examination performed. Renal infarction was produced in all animals. Systemic blood alcohol levels remained consistently below established criteria of toxic levels. No evidence of vascular damage in systemic arteries distal to the renal artery was found. Absolute ethanol is apparently a safe and effective method of producing permanent renal infarction.

Animals↗
PubMedDate not supplied

Chronic acetazolamide intoxication.

Severe acidosis associated with acetazolamide therapy is rare. We report the first case in which plasma and whole blood acetazolamide concentrations were measured. A 61 year-old patient receiving oral acetazolamide for treatment of glaucoma presented with a 7 day history of declining mental status. The patient was lethargic and oriented only to name. The respiratory rate was 36 per minute in a Kussmaul pattern with arterial blood gases revealing a pH of 7.23, pO2 68 mmHg, paCO2 14 mmHg and bicarbonate 6 mEq/L. Serum creatinine was 3.1 mg%, Cl 126 mEq/L, and anion gap 15. Urine pH was 6.0. Infection and other causes of acidosis and bicarbonate loss were excluded, and he was discharged with normal mental status and improving acid-base balance 18 days after admission. Acetazolamide concentrations four days after the last dose were 26.38 mcg/ml and 38.84 mcg/ml in serum and whole blood, respectively. The serum half-life was 34 hours, compared to a range of 1.5 to 6 hours in subjects with normal renal function. Monitoring acetazolamide concentrations may be useful in adjusting dosage and preventing toxicity in patients with decreased renal function.

Acetazolamide↗