RT Book, Section
A1 Kosnett, Michael J.
A2 Katzung, Bertram G.
SR Print(0)
ID 1148442250
T1 Heavy Metal Intoxication & Chelators
T2 Basic & Clinical Pharmacology, 14e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259641152
LK accesspharmacy.mhmedical.com/content.aspx?aid=1148442250
RD 2024/04/20
AB CASE  STUDYFollowing  Sunday  morning  services,  27  people  attended  a  church  social  where  coffee,  baked  goods,  and  sandwiches  were  served.  Within  15–60  minutes,  13  people  developed  vomiting  and  abdominal  discomfort,  accompanied  over  the  next  several  hours  by  nonbloody  diarrhea.  Within  12  hours,  seven  of  these  individuals  were  hospitalized  with  ongoing  gastrointestinal  symptoms,  hypotension,  and  anion  gap  metabolic  acidosis.  Fluid  resuscitation  and  pressors  were  accompanied  by  adequate  urine  output.  What  diagnoses  should  be  considered?  What  tests  should  be  conducted,  and  what  therapy  should  be  considered?