tailieunhanh - Toxicology A Case-Oriented Approach - part 2

Thảo luận về các vấn đề mà các bác sĩ có trong điều trị bệnh nhân nếu họ không được thông báo bởi phòng thí nghiệm một cách kịp thời về danh tính của thuốc quá liều. 2. Những đặc điểm nào ra lệnh hay không phải là một thử nghiệm độc tố nên có sẵn trên một cơ sở ngay lập tức? | Discuss the problems that physicians have in treating patients if they are not informed by the laboratory in a timely manner about the identity of overdosed drugs. 2. What characteristics dictate whether or not a toxicology test should be available on an immediate basis 3. Compare the advantages of ordering comprehensive drug screens with the concept of ordering tests on a selective basis. 4. For each of the following tests list several reasons why or why not the test should be included in those offered by a toxicology laboratory in a clinical setting. Which if any should be available STAT Iron Iron binding capacity Acetaminophen Methanol Benzodiazepines THC marijuana metabolite REFERENCES 1. Ingelfinger J. et al. Reliability of the toxic screen in drug overdose Clin. Pharmacol. Then 29 570-575 1981. 2 Soslow A. Acute drug overdose Ann. Emerg. Med. 10 18-21 1981. 3. Frings . et al. Status of drugs-of-abuse testing in urine under blind conditions an AaCC study Clin. Chem. 35 891-894 1989. 4. Brett . Implications of discordance between clinical impression and toxicology analysis in drug overdose Arch. Int. Med. 148 437-441 1988. 5. Brett . Predicting the clinical course in intentional drug overdose Arch. Int. Med. 147 133-137 1987. 6. Belson . and Simon . Utility of comprehensive toxicologic screens in children Amer. J. Emerg. Med. 17 221-224 1999. 7. Done . The toxic emergency Emerg. Med. 2 91-98 1977. 8. Bryson . The role of the laboratory in Comprehensive Review of Toxicology 2nd ed. Aspen Publishers Rockville MD 1989 43-52. 9. Weisman R. The toxic emergency Using the toxicology lab Emerg. Med. 9 243-248 1984. 2002 by CRC Press LLC Discuss the problems that physicians have in treating patients if they are not informed by the laboratory in a timely manner about the identity of overdosed drugs. 2. What characteristics dictate whether or not a toxicology test should be available on an immediate basis 3. Compare the advantages of ordering .