Poisoning - Carbon monoxide

Notes
  • Mainly from Jiko and car exhaust.
  • It is caused by the formation of carboxyhemoglobin that deprives the tissue oxygen.
Symptoms
  • Dizziness
  • Headache
  • Slurred speech
  • Convulsion
  • Coma
  • Complications:

*Psychosis

*Depression

*Cortical blindness

*Mental impairment

*Dementia

  1. Monitor
  • Pulse oximetry
  • Cardiac functions
  • The possibility of development of cerebral edema by funduscopy, CT Scan and MRI
  • Acid-base balance
  • The patients for 4-6 wks in case of accidental case and more time in case of suicidal attempt.
Management
  • Remove from source
  • Intubation in case of coma
  • Hyperbolic oxygen
  • Mannitol 20%
  • Head elevation
  • Bed rest
  • Psychiatric care.
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