carbon monoxide toxicity Ammar yaser ahm

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1. Carbon monoxide toxicity Ammar alsadeq Gr . 4

2. Case Patient Profile: Name: John Doe Age: 45 Gender: Male Occupation: Factory Worker Medical History: Non-smoker, no significant past medical history

3. case John Doe was found unconscious in his home by his wife and was brought to the emergency department. Prior to losing consciousness, he had been experiencing headaches, dizziness, nausea, and shortness of breath for the past 24 hours. There was no history of trauma or ingestion of any toxic substances. His wife mentioned that their home heating system had been malfunctioning recently. Presenting Complaint: Headache, dizziness, nausea, and shortness of breath

4. diagnosis Physical Examination: General Appearance: Unconscious, in moderate respiratory distress. Vital Signs: Temperature: 37°C Heart Rate: 110 beats per minute Blood Pressure: 140/90 mmHg Respiratory Rate: 24 breaths per minute Oxygen Saturation: 85% on room air Skin: Cherry red discoloration noted, especially on lips and fingertips- Neurological: Unresponsive to verbal stimuli, but responds to painful stimuli; pupils equal and reactive to light

5. diagnosis Diagnostic Workup Arterial Blood Gas (ABG): pH: 7.35 PaCO2: 35 mmHg PaO2: 90 mmHg Carboxyhemoglobin: 25% (Normal: <2%) Electrocardiogram (ECG): Sinus tachycardia, no signs of ischemia Complete Blood Count (CBC): Normal Electrolytes: Normal Chest X-ray: Normal

6. Treatment Initial Management: 100% oxygen via non-rebreather mask Continuous monitoring of vital signs and oxygen saturation Further Management: Hyperbaric oxygen therapy was initiated due to the high level of carboxyhemoglobin and neurological symptoms. Supportive care including intravenous fluids to maintain hydration.

7. Outcome John Doe responded well to hyperbaric oxygen therapy with a gradual improvement in his neurological status and a decrease in carboxyhemoglobin levels. He regained full consciousness within 24 hours of treatment.

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