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E-raamat: Oxford Desk Reference: Toxicology [Oxford Medicine Online e-raamatud]

Edited by (, Consultant Occupational Physician, Health Management Ltd., UK), Edited by , Edited by (, Formerly Professor of Clinical Toxicology and Consultant Physician, Royal Infirmary of Edinburgh and Director, National Poisions Information Service, UK), Edited by (, Consulta), Edited by
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Overdose and poisoning are one of the most frequent acute medical presentations seen in emergency departments, and high dependency and intensive care facilities. The Oxford Desk Reference: Toxicology provides an authoritative guide for the management of patients with poisoning. Each chapter includes key clinical features and potential treatment options to help physicians to assess the potential severity of the poisoned patient and provide the optimum clinical care.

A reader-friendly layout ensures that information is easy to find and assimilate, and topics are self-contained to aid quick diagnosis. Presented in an easy-to-use double-page spread format, highly bulleted and concise, the Oxford Desk Reference: Toxicology is ideal for quick referral when an acute problem arises.

Contributions from the leading figures in toxicology make this book indispensable for all those involved with the management of poisoned patients, especially trainees and consultants working in emergency medicine, acute medicine, and critical care.
List of Contributors xv
Symbols and Abbreviations xvii
1 Scientific principles in clinical toxicology 1(30)
Epidemiology of poisoning
2(2)
Basic mechanisms of poisoning
4(4)
Basic mechanisms of mutagenicity and carcinogenicity
8(2)
Drug handling in the poisoned patient—toxicokinetics
10(2)
Poisons information services
12(2)
Pharmacovigilance
14(2)
Principles of surveillance of non-pharmaceutical poisoning (toxicovigilance)
16(4)
Clinical trial design
20(2)
Study assessment and interpretation
22(2)
Classification of psychiatric disorders and principles of treatment relevant to poisoning
24(4)
Risk assessment and principles of occupational exposure assessment
28(3)
2 General management of the poisoned patient 31(32)
Assessment and general management
32(4)
Decontamination
36(4)
Principles of enhanced elimination in the poisoned patient
40(2)
Antidotes
42(4)
Drug and alcohol withdrawal
46(2)
Management of the pregnant woman who is poisoned
48(4)
Psychiatric risk assessment and management of the patient with self-harm
52(4)
Management of vulnerable, violent, and disturbed patients
56(3)
UK health law and competency and its application to the poisoned patient
59(4)
3 Common complications of poisoning 63(32)
Cardiovascular toxicity
64(4)
Respiratory tract management in poisoning
68(2)
Renal failure
70(3)
Hepatic failure
73(2)
Acid—base and electrolyte disturbances in the poisoned patient
75(2)
Rhabdomyolysis and compartment syndrome
77(2)
Serotonin syndrome
79(2)
Malignant hyperpyrexia
81(2)
The anticholinergic syndrome
83(2)
The opioid syndrome
85(2)
The stimulant syndrome
87(2)
Delirium (acute confusional state)
89(2)
Convulsions
91(2)
Bleeding disorders
93(2)
4 CNS drugs 95(20)
Anticonvulsants
96(4)
Antidepressants
100(4)
Antihistamines
104(2)
Antipsychotics
106(2)
Benzodiazepines
108(2)
Other hypnotics
110(2)
Lithium
112(3)
5 Analgesics 115(16)
Paracetamol
116(6)
Non-steroidal anti-inflammatory drugs
122(2)
Salicylates
124(4)
Opioid analgesics
128(3)
6 Cardiovascular acting agents 131(18)
Beta-adrenoceptor antagonists
132(2)
Calcium channel blockers
134(2)
ACE inhibitors and angiotensin receptor antagonists
136(2)
Antidysrhythmic drugs
138(2)
Nitrates
140(2)
Digoxin
142(4)
Theophylline
146(3)
7 Other common pharmaceutical toxins 149(30)
Antibiotics and antituberculous drugs
150(2)
Antidiabetic drugs
152(2)
Antithrombotic drugs
154(4)
Antiviral drugs
158(2)
Caffeine
160(2)
Chloroquine
162(2)
Colchicine
164(2)
Iron poisoning
166(2)
Methotrexate and other chemotherapeutic agents
168(4)
Quinine
172(2)
Thyroxine and tri-iodothyronine
174(2)
Vitamins
176(3)
8 Drugs of abuse 179(26)
Introduction to problems in the drug user
180(2)
Amfetamines and related compounds
182(2)
Cannabis and khat
184(2)
Cocaine
186(2)
Gamma-hydroxybutyrate and related compounds
188(2)
Ketamine and related compounds
190(2)
Psychedelic agents
192(2)
Opioids
194(2)
Solvents
196(2)
Volatile nitrites
198(2)
Drugs of abuse in sport
200(2)
Body packers and stuffers
202(3)
9 Common chemical poisonings 205(60)
Acetone and isopropanol
206(2)
Acids and alkalis
208(4)
Ammonia
212(2)
Benzene and toluene
214(2)
Bromates and chlorates
216(2)
Carbon disulphide
218(1)
Carbon monoxide
219(2)
Chlorinated hydrocarbons
221(4)
Chlorine
225(2)
Complex glycols (glycol ethers)
227(2)
Cyanide
229(3)
Dioxins and polychlorinated biphenyls
232(2)
Essential oils
234(2)
Ethanol and methanol
236(3)
Ethylene dibromide
239(1)
Ethylene and diethylene glycols
240(2)
Fluoroacetate (sodium fluoroacetate)
242(3)
Formaldehyde and metaldehyde
245(2)
Hydrofluoric acid
247(2)
Hydrogen sulphide
249(1)
Hydrocarbons
250(2)
Isocyanates
252(2)
Naphthalene and paradichlorobenzene
254(1)
Nitrogen and nitrogen oxides, and smoke inhalation
255(2)
Phenol and related compounds
257(3)
Phosgene
260(1)
Strychnine
261(1)
Sulphur dioxide
262(2)
Xylenes
264(1)
10 Poisoning due to metals, and their salts 265(24)
Antimony
266(1)
Arsenic and arsine
267(4)
Cadmium
271(1)
Chromium
272(2)
Copper salts
274(1)
Fluoride (sodium fluoride)
275(1)
Lead
276(2)
Manganese
278(1)
Mercury and mercury salts
279(4)
Metal fume fever
283(1)
Phosphorus
284(2)
Thallium
286(3)
11 Household products 289(8)
Detergents
290(2)
Antiseptics and disinfectants
292(2)
Non-toxic household products
294(3)
12 Pesticides, herbicides, and rodenticides 297(18)
Organophosphorus insecticides
298(3)
Carbamates
301(2)
Other insecticides: pyrethroids, nicotine, and neonicotinoids
303(2)
Chlorophenoxy herbicides
305(2)
Paraquat and diquat
307(2)
Glyphosate
309(2)
Coumarin rodenticides
311(2)
Aluminium phosphide and phosphine
313(2)
13 Poisoning due to fungi, plants, and animals 315(20)
Poisonous fungi
316(4)
Common plant poisonings
320(4)
Venomous animals—spiders and scorpions
324(4)
Marine envenoming
328(4)
Common venomous snakes
332(3)
14 Chemical warfare agents 335(22)
Principles of triage
336(2)
Outline of chemical incident management
338(4)
Nerve agents
342(3)
Ricin and abrin
345(2)
Sulphur mustard
347(1)
Botulinum toxin
348(2)
Organic arsenicals
350(2)
Riot control agents
352(3)
Centrally acting incapacitating agents
355(2)
15 Principles of radiation toxicology 357(24)
Outline to radiation biology as applied to poisoning
358(3)
Biological dosimetry for the clinician
361(2)
Alpha sources
363(4)
Beta sources
367(4)
Gamma sources and X-rays
371(4)
Neutron radiation
375(1)
Triage, monitoring, treatment for management of the public in the event of a radiation release
376(2)
Treatment of internal contamination with radionuclides
378(3)
16 Occupational and industrial aspects of toxicology assessment 381(12)
Principles of industrial hygiene and toxic hazards in the workplace
382(6)
Medical surveillance in the workplace
388(2)
Principles of air and water safety standards and their regulations
390(3)
Index 393