A 33-year-old industrial worker presents with severe hand pain and erythema after a hydrofluoric acid spill. Vital signs show HR 110/min, BP 138/88 mmHg, RR 20/min. Serum calcium is 6.2 mg/dL (normal 8.5-10.5). He develops muscle cramps and diffuse ST-segment elevation on ECG. Physical examination reveals no respiratory distress. He has not taken calcium supplements. Which treatment is most appropriate for managing both local and systemic toxicity?
- A)Protamine sulfate
- B)Pyridoxine
- C)Topical or intravenous calcium gluconateGABARITO
- D)Methylene blue
- E)Flumazenil
Explicação
Hydrofluoric acid causes deep tissue injury and binds calcium and magnesium, leading to severe pain and potentially life threatening hypocalcemia. Calcium gluconate is used to neutralize fluoride ions and treat the electrolyte disturbance. Ver explicação completa e trilha adaptativa →