- Hypokalemic Muscular Paralysis Causing Acute Respiratory Failure in a Chronic Glue Sniffer
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Yoon-Hee Choi, Dong-Hoon Lee, Eun-Kyung Eo
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J Korean Soc Clin Toxicol. 2005;3(1):63-66. Published online June 30, 2005
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- Toluene is an aromatic hydrocarbon found in glues, cements, and solvents. It is known to be toxic to the nervous system, hematopoietic system, and causes acid-base and electrolyte disorders. Acute respiratory failure with hypokalemia and rhabdomyolysis with acute renal failure should be considered as potential events in protracted glue sniffing. We reported the case of 26-year-old woman was admitted to the emergency department with the development of respiratory failure and altered mentality due to hypokalemia after chronic glue sniffing. She was weaned from the ventilator 3 days later after potassium and sodium bicarbonate replacement and was discharged without respiratory symptoms and other complications.
- Two Cases of Sodium Bicarbonate Inhalation Therapy in Chlorine Gas Intoxication
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Dong-Hoon Lee, Eun-Kyung Eo
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J Korean Soc Clin Toxicol. 2004;2(1):49-53. Published online June 30, 2004
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- A chlorine gas is a common irritant and when exposed, it result in mild occular, oropharyngeal, or respiratory symptoms. In severe case, however, it may result in pulmonary edema, interstitial pneumonia, or respiratory failure. We report the case of 29-year-old and 46-year-old men is accidentally exposed to chlorine gas during cleaning water. The patients complained dyspnea, chest tightness, cough and both eye pain. During hospitalization, they were treated with inhalation of humidified oxygen, beta-adrenergic agonist and $2\%$ sodium bicarbonate. After several days, patients were discharged without respiratory symptoms and complication. In treatment of chlorine gas toxicity the inhalation of sodium bicarbonate is a possible initial therapy can improve respiratory symptoms in spite of lack of evidence.
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KSCT
Korean Society of Clinical Toxicology