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At least 613 records · Page 34Linked to original sources

Zinc phosphide ingestion: a case report and review.

We present the case of a patient who attempted suicide by ingestion of the rodenticide zinc phosphide. Zinc phosphide manifests its immediate toxicity through production of phosphine gas. Signs and symptoms of toxicity include nausea, vomiting, dyspnea, and changes in mental status; immediate death results from pulmonary edema. Delayed effects are secondary to the absorption of phosphide, affecting primarily the liver, heart and kidneys. Delayed deaths are related to a direct cardiotoxicity. Treatment is mainly symptomatic and supportive; aggressive airway management and circulatory support are critical to a successful outcome.

Adult↗

Overdoses.

Certain basic principles are applicable to most drug overdose emergencies. These include emptying the stomach, administering activated charcoal, supporting vital functions, protecting target organs and using specific antidotes in appropriate cases. There are certain steps to be taken automatically in an unconscious patient with an unknown overdose. Drug screens rarely affect management. Special situations involve overdoses of acetaminophen, salicylates, tricyclic antidepressants, anticholinergics and narcotics.

Acetaminophen↗

[Effects of emetine and ipecacuana on dopamine central mechanisms. A pilot study].

The lack of any rotational behaviour in unilaterally dopamine lesioned animals after ipecacuana or emetine is a strong indication that these substances lack dopamine receptor stimulating properties when administered systematically. Our results thus support those of Lal et al. (1972). Our results do not allow any conclusions concerning the working mechanism of emetine. However, the lack of central dopamine receptor stimulating properties should probably not be explained by an inability to enter through the blood brain barrier but rather a lack of effect on dopamine receptors. This reasoning would also exclude the dopamine receptors in the chemo-trigger zone as responsible for the emetic effect. In terms of the clinical usage of ipecacuana it seems highly improbable that this usage may cause adverse psychotic like side effects due to stimulation of central dopamine receptors.

Animals↗

On child safety.

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Accident Prevention↗

Health implications of petroleum distillate ingestion.

The authors discuss the clinical approach to the management of hydrocarbon ingestions, including the role, implementation, and type of gastric decontamination utilized; the extent of medical evaluation, observation or hospitalization required; and the appropriate therapy for hydrocarbon pneumonitis. An appendix covers myocardial sensitization following inhalation abuse of hydrocarbons.

Adrenal Cortex Hormones↗