Mercury Flashcards

1
Q

What are sx of inorganic mercury poisoning?

A

GI irritation, corrosion, abdominal pain, vomiting with blood, RENAL TUBULAR DAMAGE

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2
Q

How do you treat inorganic mercury poisoning

A

Lavage sodium formaldehyde sulfoxylate, dimercaprl IM, penicillamine

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3
Q

What are sx of organic mercury poisoning

A

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.

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4
Q

Labs for mercury exposure

A

High LDH, High BUN

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5
Q

How do you treat organic mercury poisoning?

A

Polythiol resin to reduce EHC (enterohepatic cycling)

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6
Q

What is the mechanism for mercury poisoning?

A

binds free sulfhydryl, phosphoryl, carboxyl, and amine groups. Highly corrosive

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