Go For the Gold
A 44-year-old-man with a past medical history of alcohol abuse was brought to the emergency department by EMS. He was found sleeping on a bench and appeared intoxicated. His initial vital signs were temperature 90.9°F, heart rate 62 bpm, blood pressure 130/84 mm Hg, respiratory rate 16 bpm, and pulse oximetry 98% on room air. He is disheveled patient, and has a depressed level of consciousness, slurred speech, and the distinct odor of mint and urine. Pertinent lab findings include an ethanol level of 340 mg/dL.
The minty odor is tipoff in this case that he is inebriated from mouthwash. The ethanol concentration in mo...
Source: The Tox Cave - January 2, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The Shadow Boxer
Conclusion
The patient was admitted to a monitored setting with a diagnosis of GHB withdrawal. He had multiple episodes of agitation and combativeness during his admission. He was administered escalating doses of diazepam, a total of 480 mg of diazepam IV during his eight-day hospital stay. The patient recovered in eight days, and was referred to drug rehabilitation.
References
1. Dyer JE, Roth B, Hyma BA. Gamma-hydroxybutyrate withdrawal syndrome. Ann Emerg Med 2001;37(2):147.
2. Tarabar AF, Nelson LS. The gamma-hydroxybutyrate withdrawal syndrome. Toxicol Rev 2004;23(1):45.
3. Craig K, Gomez HF, et al. Severe g...
Source: The Tox Cave - October 2, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Vitamins B12, B6 and Folic Acid Shown to Slow Alzheimer’s in Study
Could a combination of the vitamins B12, B6 and folic acid be first effective “drug” to slow down the progression of Alzheimer’s disease? The concept looks promising. The Proceedings of the National Academy of Sciences recently published information about a study on aging volunteers that has demonstrated how this combination of B vitamins has, in their trials, slowed atrophy of gray matter in brain areas affected by... (Source: Carol Bradley Bursack's SharePosts)
Source: Carol Bradley Bursack's SharePosts - May 22, 2013 Category: Dementia Authors: Carol Bradley Bursack Source Type: blogs
Could Folic Acid Reduce the Risk of Autism?
According to a study published today by the Journal of the American Medical Association (JAMA), folic acid may be associated with a lower risk of autism. A study published this ...Read Full Post (Source: About.com Nutrition)
Source: About.com Nutrition - February 6, 2013 Category: Nutritionists and Food Scientists Source Type: blogs
