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* step3 - Lead Posioning treatment
 #147890  
  incision - 12/25/06 13:46
 
  UW answer :
level : >70 -- iv dimercaprol or edta
level : 45-70-- iv edta or oral dmsa
level : <45 oral dmsa or pencillamine

is this regine right?????
 
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* Re:step3 - Lead Posioning treatment
#597582
  algolysin - 12/25/06 14:32
 
  1. The finger stick is the initial test for Dx, if lead found to be eleveted then in the next 48 hrs you must f/u w/venous blood lead level.
2. Erythrocyte protoporphyrin level also might be eleveted and must be f/u to see the response to chelation.
3. Children on chelation Therapy can have rebound high lead levels at 4 to 6 weeks due to release of lead from bones. Threfor its important to do blood lead f/u in these chidren.

20-44=MONTHLY monitoring of lead levels until the levels decrease to 20.
then, EVERY 4 MONTHS until the levels are <10
then, YEARLY.
45-70= constant monitoring and chelation Tx, Succimer=DMSA is the 1st line (hepatotoxicity &BM supression)(do regular LFT & CBC), Ca edetate, Bal/Dimercaprol, Penicillamine.
then, monitor ONCE A WEEK until levels <44.
>70= HOspital ADmition & monitoring while on parenteral Tx
 
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* Re:step3 - Lead Posioning treatment
#597589
  incision - 12/25/06 14:48
 
  thanks..
what is algolysin?????
 
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* Re:step3 - Lead Posioning treatment
#597610
  algolysin - 12/25/06 15:23
 
  ITS A PAINKILLER MEDICATION (LIKE ACETOMINOPHAN) IN ISRAEL:)))
I AM FROM ISRAEL....
 
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* Re:step3 - Lead Posioning treatment
#599237
  turtle - 12/27/06 12:23
 
  shalom algolysin  
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