Enter con
Title of Journal Article
Title
of Journal
Volume____50,
No. 3_________Date ___March 2005__________________Page Numbers_________383-385_____________
What
organization was responsible for publishing the journal you chose?
American Association
for Respiratory Care
What
is your overall evaluation of this article?
____Poor ________Fair __________Good ________x_Very Good
_______Excellent
Why
did you choose to review this particular article?
How
would you rate this article as a tool for teaching a student about cardiopulmonary physiology, radiography, or another allied
health specialty?
Students:
_________Poor __________Fair
_______Good ____x_ Very Good
_______Excellent
Teachers:
________ Poor __________Fair ______ Good____x_Very Good
______Excellent
Patients:
_________Poor ___________Fair_____x__Good_________Very Good
_______Excellent
Comment
on the readability of this article.
Very
readable, but laced with so much medical terminology, the lay person would have a difficult time understanding all the terminology.
Course
Topics Covered:
1. Paraquat poisoning
2. case study of patient with paraquat poisoning
3. manifestations of paraquat poisoning
4. initial management of paraquat poisoning
5. Prognosis of paraquat poisoning
Brief
Summary:
This
article concerns the case study of a patient in Thailand who attempted suicide by ingesting
paraquat At first there seemed to be no serious medical problems, but the electrocardiogram
and the urine dithionite test suggested otherwise. She was admitted to intensive
care and given fluids and 100 g of activated charcoal plus 100 mL of 70% sorbitol via a nsogastric tube. By day 2 her pain
was
increasing
and all blood chemistries were elevated. By day 3
the chest Xray revealed bilateral infiltrates, pneumomediastinum, and pneumopericardium. Her renal function deteriorated. Progressive multiple-organ
failure ensued and she died on day 4. The article described the progression of
this poisoning and attempts at each stage to alleviate suffering. There is no
specific antidote. Patients have a poor prognosis.
Identify
and attempt to explain three (3) terms, procedures or concepts that were unfamiliar to you when reviewing this article.
1. Poisoning by pesticides and other agricultural
chemicals is a major public health problem worldwide, especially in developing countries, causing about 20,000 annual fatalities.
2. Urine dithionite test (confirms the presence
of paraquat).
3. The clinical manifestations of paraquat poisoning
range from local irritation to multiple-organ failure and death.
Detail
the strengths/weaknesses of this article.
This
article is very strong in explaining the testing for paraquat poisoning and detailing how the poison affects the organs.
The
only weakness that I can see is that it uses so many technical/clinical term (which may be necessary given the seriousness
and the viewpoint of the author).
How
might this article be useful to you in your further studies and career?
This
article would be useful in diagnosing someone in the ER who had exposure to paraquat poisoning with procedural guidelines
on how to treat them and what to expect as lungs are effected and pulmonary failure occurs.
Does
the article include a list of references/citations that can be used to find more information on the topics they cover?
Yes,
it has a very detailed reference list.
Your
Name_____Marshall Stables Date______04/23/05
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