Professional Documents
Culture Documents
CASE: HISTORY
• gastrointestinal toxicity
• hydrocarbons are irritants of the GI tract → vomiting
• hydrocarbons are generally poorly absorbed by the GI tract
PATHOPHYSIOLOGY
• chest x-ray
• to rule out asthma and to evaluate lung fields
• sputum culture
• to rule out bacterial pneumonia
Arterial Blood Gas Analysis
to assess ventilation and acid base status
MANAGEMENT
• ABC’s
• secure airway
• support breathing
• provide supplemental oxygen
• consider inhaled β2 agonists
• circulation
• monitor blood pressure and O2 saturation
MANAGEMENT
• Tintinalli, J. E., & Stapczynski, J. S. (2011). Tintinalli's emergency medicine: A comprehensive study guide (7th ed.).
New York: McGraw-Hill.
• Marx, J. A., & Rosen, P. (2014). Rosen's emergency medicine: Concepts and clinical practice (8th ed.).
Philadelphia, PA: Elsevier/Saunders
• Katzung, B. G., Masters, S. B., & Trevor, A. J. (2012). Basic & clinical pharmacology (12th ed.). New York : London:
McGraw-Hill Medical.
• Chilcott, R.P. (2006). Compendium of Chemical Hazards: Kerosene (Fuel Oil). Retrieved from the UK Health
Protection Agency: http://www.who.int/ipcs/emergencies/kerosene.pdf
• Eade, N. R., Taussig, L. M., & Marks, M. I. (1974). Hydrocarbon pneumonitis. Pediatrics, 54(3), 351-357.
• Garciá, M. M., González, R. A., & Casacó, A. P. (1988). Biochemical mechanisms in the effects of kerosene on
airways of experimental animals. Allergologia et immunopathologia, 16(5), 363-367.Garciá, M. M., González, R. A.,
& Casacó, A. P. (1988). Biochemical mechanisms in the effects of kerosene on airways of experimental animals.
Allergologia et immunopathologia, 16(5), 363-367.
• Marik, P. E. (2001). Aspiration pneumonitis and aspiration pneumonia. New England Journal of Medicine, 344(9),
665-671.
• Lietman, P. S., & Wolfsdorf, J. (1976). Kerosene intoxication: an experimental approach to the etiology of the CNS
manifestations in primates. The Journal of pediatrics, 88(6), 1037-1040.