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Mullins ME, Yu M, O’Grady L, Khan S, Schwarz ES. Adverse reactions in patients treated with the one-bag method of N-acetylcysteine for acetaminophen ingestion. TOXICOLOGY COMMUNICATIONS 2020. [DOI: 10.1080/24734306.2020.1770498] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- Michael E. Mullins
- Division of Emergency Medicine, Section of Medical Toxicology, Washington University School of Medicine, Saint Louis, MO, USA
| | - Mary Yu
- Division of Emergency Medicine, Section of Medical Toxicology, Washington University School of Medicine, Saint Louis, MO, USA
| | - Lauren O’Grady
- Division of Emergency Medicine, Section of Medical Toxicology, Washington University School of Medicine, Saint Louis, MO, USA
| | - Shariq Khan
- Division of Emergency Medicine, Section of Medical Toxicology, Washington University School of Medicine, Saint Louis, MO, USA
| | - Evan S. Schwarz
- Division of Emergency Medicine, Section of Medical Toxicology, Washington University School of Medicine, Saint Louis, MO, USA
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Mullins ME, Yarema MC, Sivilotti MLA, Thompson M, Algren DA, Beuhler MC, Holstege CP. Comment on “Acetylcysteine in paracetamol poisoning: a perspective of 45 years of use” by D. N. Bateman and J. W. Dear, Toxicol. Res., 2019, 8, 489. Toxicol Res (Camb) 2019. [DOI: 10.1039/c9tx00158a] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract
We point out an acetylcysteine protocol that a previous article (D. N. Bateman and J. W. Dear, Toxicol. Res., 2019, 8, 489–498) overlooked. The standard concentration protocol uses a uniform concentration of 30 mg mL−1 for all patients to reduce errors in preparation and administration. Usually a single 1 L bag is sufficient for most patients. Various centers in the US and Canada use this approach.
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Affiliation(s)
- Michael E. Mullins
- Section of Medical Toxicology, Division of Emergency Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA
| | - Mark C. Yarema
- Poison and Drug Information Service, Alberta Health Services, Calgary, Alberta, Canada
| | | | - Margaret Thompson
- Ontario Poison Centre, Division of Clinical Pharmacology and Toxicology, Hospital for Sick Kids, Toronto, Ontario, Canada
| | - D. Adam Algren
- Department of Emergency Medicine, Children's Mercy Medical Center, Kansas City, Missouri, USA
| | - Michael C. Beuhler
- North Carolina Poison Center, Atrium Health-Carolinas Medical Center, Charlotte, North Carolina, USA
| | - Christopher P. Holstege
- Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine, Chartottesville, Virginia, USA
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Schwarz ES, Mullins ME, Liss D. When two is not better than one. Br J Clin Pharmacol 2017; 83:2310-2311. [PMID: 28543530 DOI: 10.1111/bcp.13320] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Revised: 04/12/2017] [Accepted: 04/16/2017] [Indexed: 11/29/2022] Open
Affiliation(s)
- Evan S Schwarz
- Division of Emergency Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA
| | - Michael E Mullins
- Division of Emergency Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA
| | - David Liss
- Division of Emergency Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA
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