L6: CO Flashcards
Def of simple Asphyxiants
- Gases that displace oxygen from air and reduce the partial pressure of available oxygen.
Examples of simple Asphyxiants
- Carbon dioxide
- Nitrogen
- Butane
- Methane
- Helium
Def of Respiratory Irritants
- Gases that damage respiratory tract by destroying integrity of
mucosa.
Examples of Respiratory Irritants
- Ammonia
- Chloramine
- Chlorine
- Formaldehyde
- Hydrogen sulfide
Sources of CO
- Incomplete combustion of any form of fuel (petrol, wood, charcoal, gas, kerosene).
- Motor vehicles exhaust.
- Fires
- Tobacco smoke
Examples of Systemic Asphyxiants
- Carbon Monoxide
- Cyanide
- Smoke.
Def of Systemic Asphyxiants
Gases with systemic toxicity.
Characters of CO
- Carbon monoxide (CO) is an odorless, colorless, tasteless & non-irritant gas, Making it difficult to detect in environment (The silent or invisible killer).
- CO is formed during incomplete combustion (due to oxygen lack) of any carbon containing compound.
(Normal plasma CO level)
(Normal plasma CO level 1-5% but up to 10% in smokers).
Distribution of CO
Elimination of CO
Toxic Action of CO
What does the clinical picture of CO toxicity depend on?
- Depends on % of CO saturation of blood.
- Symptoms are not noticeable until 20% saturation of hemoglobin occurs.
what are the most sensitive organs to CO Toxicity?
Brain and heart (brain > heart).
Clinical picture of mild CO toxicity
CP of moderate CO toxicity
CP of Severe CO toxicity
What is the permanent neurological sequale of CO Toxicity?
CO poisoning in pregnant women
Dx of CO Toxicity
TTT aspects of CO Toxicity
- Stop exposure and emergency
- Antidote
- Symptomatic treatment
Antidote in CO Toxicity
Oxygen and hyperbaric oxygen (HBO)
Oxygen as antidote in CO Toxicity
Indications of Hyperbaric Oxygen in CO Toxicity
Mechanism of HBO in CO Toxicity
Symptomatic TTT of CO Toxicity
what is Smoke?
Smoke is of a gas phase and a particle phase from the combustion of any organic matter.
what does the exact composition of Smoke depend on?
material burnt
CP of Smoke Toxicity
Dx of Smoke Toxicity
TTT of Smoke Toxicity