A 45 year old factory worker is admitted with increasing confusion


Question Number 0682
Question:
A 45 year old factory worker is admitted with increasing confusion and a severe headache two hours after being trapped in a fire in a warehouse factory manufacturing plastic goods. On examination he is noted to be tacchycardic and tacchypneic. Investigations reveal a severe anion gap metabolic acidosis and a high venous oxygen saturation. These clinical features suggest that additional to supportive measures toxicity is best prevented by the following measure
a) normal saline with glucose
b) 100% oxygen
c) hyperbaric 100% oxygen
d) induce a methemoglobinemia
e) Silver sulfadiazine cream


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