Inhalant abuse: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
==Workup== | |||
==Diagnosis== | |||
===Workup=== | |||
==Management== | ==Management== | ||
* | *If teen founded down with sudden death with history of recent inhalant abuse, recommended to try a beta-blocker (propanolol, esmolol) given the myocardial sensitization in addition to CPR, etc | ||
==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
==References== | |||
<references/> | |||
[[Category:Tox]] | [[Category:Tox]] | ||
[[Toxicology (Main)]] | [[Toxicology (Main)]] | ||
Revision as of 09:32, 25 June 2015
Background
- first described in the 1950s
- most common abusant in preteens 11-13yo
- most abused: gasoline, solvents like toluene, spray paints, lighter fluid, air fresheners, glue, and electronic cleaners (halogenated hydrocarbons)
- includes: "sniffing", "huffing", "bagging", and "dusting"
Clinical Features
- euphoria, hallucinations
- neuro: impaired motor activity, ataxia, depressed mentation, withdrawal potential
- cardiac: widened QRS, prolonged QT, syncope, arrhythmias
- may cause dermal burns
- "sudden sniffing death" - thought to be occur with sudden catechol surge on a "sensitized" myocardium
Differential Diagnosis
Diagnosis
Workup
Management
- If teen founded down with sudden death with history of recent inhalant abuse, recommended to try a beta-blocker (propanolol, esmolol) given the myocardial sensitization in addition to CPR, etc