THE MEDICAL MANAGEMENT OF INTOXICATION

Intoxication with solvents presents with a picture similar to that of intoxication with alcohol. Behavioural changes together with signs such as nystagmus, incoordination, slurred speech may progress to lethargy, psychomotor retardation and stupor or coma. Death ('sudden sniffing death') may occur from respiratory or cardiovascular depression, acute arrythmias, hypoxia or electrolyte abnormalities. Distinguishing signs include an odour of paint or solvents, conjunctival irritation, 'glue sniffer's rash' around the mouth or nose. Signs of chronic solvent use may be present including jaundice (hepatitis), peripheral and cranial nerve neuropathies, pyramidal tract signs, and signs of chronic renal failure.

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Alcohol Guidelines index

The above information is copyright of Dr Bruce Trathen MBBS MRCPsych (2006). ISBN 0-9545164-0-0. The author grants permission for these guidelines to be downloaded, copied and distributed freely, but does not grant permission for their sale.