Thursday, July 10, 2008

CO Poisoning

O2 content: Decreased
PaO2: Normal
SaO2: Decreased(Higher affinity of CO for Hb than O2)

Left shifts O2 dissociation curve
Inhibits Cytochrome oxidase

Causes:
Car exhaust
Space heaters
Smoke inhalation in fires(house fires-also have cyanide poisoning)
Wood stoves
Methylene Chloride

S/S:
Headache
Cherry red color of CO-Hb, masks cyanosis.
Long term: Necrosis of Globus Pallidus leading to Parkinson-like findings.

Rx:
100% O2

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