A 38-year-old industrial worker presents with severe cramping abdominal pain, persistent vomiting, and hypotension (BP 85/52 mmHg, HR 110/min). He reports garlic odor on his breath following acute occupational exposure to an arsenic-contaminated insecticide. Serum arsenic level is elevated at 45 mcg/dL (normal <5). Urine output remains adequate. He denies respiratory symptoms. Which chelating agent is most appropriate for this acute arsenic poisoning?
- A)Deferoxamine
- B)Succimer
- C)Protamine sulfate
- D)DimercaprolGABARITO
- E)Methylene blue
Explicação
Dimercaprol is used for arsenic, inorganic mercury, and in some cases severe lead poisoning in conjunction with other chelators. The garlic odor and gastrointestinal collapse after exposure strongly suggest arsenic toxicity. Ver explicação completa e trilha adaptativa →