Mercury Flashcards
What are sx of inorganic mercury poisoning?
GI irritation, corrosion, abdominal pain, vomiting with blood, RENAL TUBULAR DAMAGE
How do you treat inorganic mercury poisoning
Lavage sodium formaldehyde sulfoxylate, dimercaprl IM, penicillamine
What are sx of organic mercury poisoning
CNS effects: paresthesia, muscle twitching, ataxia, mania “mad as a hatter”. Organic mercury is lipophilic where inorganic is not, thus organic has all the CNS effects.
Labs for mercury exposure
High LDH, High BUN
How do you treat organic mercury poisoning?
Polythiol resin to reduce EHC (enterohepatic cycling)
What is the mechanism for mercury poisoning?
binds free sulfhydryl, phosphoryl, carboxyl, and amine groups. Highly corrosive