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1.
Talanta ; 18(9): 977-81, 1971 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18960972

RESUMO

A method is described for the rapid determination of microgram quantities of taurine or cysteic acid in the presence of relatively large amounts of other amino-acids. Dinitrophenylation of the sample followed by chloroform extraction yields an aqueous solution containing only DNP-taurine or DNP-cysteic acid, the absorbance of which gives a direct measure of these components.

2.
Patient Educ Couns ; 25(1): 83-8, 1995 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7603937

RESUMO

A preoperative program was initiated by the nursing staff of an orthopaedic unit to prepare patients and their families by providing information about every aspect of hospitalization for total joint replacement in order to decrease length of stay (LOS) and improve patient satisfaction. This included steps to minimize complications, teaching exercises that would increase post operative function, and quality discharge planning. The program is coordinated by the Patient Care Managers (PCM) and is offered to 4 patients twice weekly. The sample consisted of 463 patients admitted for total hip and knee replacement. The average LOS during the 33-month period was 8.0 days for those patients who received the preoperative program and 8.7 days for those patients who did not. Several outliers that had extended hospitalizations were equally distributed in both groups. By providing education preoperatively, we have not only reduced costs, but we have also provided our patients with timely information and quality care.


Assuntos
Prótese Articular , Avaliação em Enfermagem , Educação de Pacientes como Assunto/métodos , Cuidados Pré-Operatórios/métodos , Humanos , Tempo de Internação , Satisfação do Paciente , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
3.
Lipids ; 39(2): 185-91, 2004 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15134147

RESUMO

Octadecadienoic acids with conjugated double bonds are often referred to as conjugated linoleic acid, or CLA. CLA is of considerable interest because of potentially beneficial effects reported from animal studies. Analysis of CLA is usually carried out by GC elution of FAME. If the presence of low-level isomers is of interest, a complementary technique such as silverion HPLC is also used. These analyses have been hindered by a lack of well-characterized commercially available reference materials. Described here are the synthesis and isolation of selected 6,8- through 13,15-positional CLA isomers, followed by isomerization of these CLA isomers with iodine to produce all the possible cis,cis, cis,trans, trans,cis, and trans,trans combinations. Also present are the GC retention times of the CLA FAME relative to gamma-linolenic acid (6c,9c,12c-octadecatrienoic acid) FAME using a 100-m CP Sil-88 capillary column (Varian Inc., Lake Forest, CA). These data include all the CLA isomers that have been identified thus far in foods and dietary supplements and should greatly aid in the future analysis of CLA in these products.


Assuntos
Cromatografia Gasosa-Espectrometria de Massas , Ácidos Linoleicos Conjugados/química , Cromatografia Líquida de Alta Pressão , Hidrogenação , Ácidos Linoleicos Conjugados/isolamento & purificação , Estereoisomerismo , Ácido alfa-Linolênico/química , Ácido alfa-Linolênico/isolamento & purificação
4.
Lipids ; 30(7): 595-8, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7564913

RESUMO

The objective of this study was to identify oxidation products of conjugated linoleic acid (CLA), a series of octadecadienoic acids with conjugated double bonds, which have been reported to have antioxidant and anticarcinogenic properties. Reference materials of CLA were oxidized in different concentrations of water/methanol; for example, 0.5 g octadecadienoic acid was dissolved in 50 mL methanol, and 100 mL water was added; this suspension was heated at 50 degrees C and continuously aerated. Aliquots of 5 mL were taken over time, extracted with ether, treated with diazomethane and examined by gas chromatography/mass spectrometry and/or gas chromatography with flame-ionization detection. Products identified included the following furan fatty acids (FFAs): 8,11-epoxy-8,10-octadecadienoic; 9,12-epoxy-9,11-octadecadienoic; 10,13-epoxy-10,12-octadecadienoic; and 11,14-epoxy-11,13-octadecadienoic. Conjugated dienes should be considered as a possible source of FFAs, and CLA may have products common to furans in their overall oxidative scheme.


Assuntos
Ácidos Graxos Insaturados/química , Furanos/química , Ácidos Linoleicos/química , Anticarcinógenos/química , Antioxidantes/química , Cromatografia Gasosa , Diazometano/farmacologia , Cromatografia Gasosa-Espectrometria de Massas , Ácido Linoleico , Metanol , Estrutura Molecular , Oxirredução , Água
5.
Lipids ; 35(7): 797-802, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10941882

RESUMO

High-resolution selected-ion recording (SIR) of the exact molecular ion mass was used to confirm unambiguously the presence of conjugated linoleic acid (CLA) derivatives in biological matrices and standard mixtures and to differentiate non-CLA derivatives from CLA derivatives in the CLA region of the gas chromatogram. The success of this method was based on the selectivity of the SIR technique and its sensitivity, which was comparable to that of flame-ionization detection. A minor fatty acid methyl ester (FAME) was identified as methyl heneicosanoate (21:0), and six isomers of 20:2 FAME were found to elute in the CLA region. Isomerization of a standard CLA mixture resulted in a non-CLA flame-ionization response eluting in the CLA region of the gas chromatogram. It is therefore recommended that the identification of minor CLA isomers in natural products or biological matrices should include their direct confirmation by mass spectrometry.


Assuntos
Ácidos Graxos/isolamento & purificação , Cromatografia Gasosa-Espectrometria de Massas/métodos , Ácidos Linoleicos/química , Ácidos Linoleicos/isolamento & purificação , Ésteres , Isomerismo , Sensibilidade e Especificidade
6.
Lipids ; 33(2): 217-21, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9507244

RESUMO

This is the first report of the application of silver-ion impregnated high-performance liquid chromatography (Ag(+)-HPLC) to the separation of complex mixtures of conjugated linolenic acid (CLA) isomers present in commercial CLA sources and foods and in biological specimens. This method showed a clear separation of CLA isomers into three groups related to their trans,trans, cis,trans or trans,cis, and cic,cis configuration of the conjugated double-bond system. In addition, this method separated individual positional isomers of the conjugated diene system within each geometrical isomeric group. Following Ag(+)-HPLC isolation, gas chromatography (GC)-electron impact mass spectrometry, and GC-direct deposition-Fourier transformed infrared spectroscopy were used to confirm the identity of two major positional isomers in the cis/trans region, i.e., delta 8,10- and delta 11,13-octadecadienoic acids, which had not been chromatographically resolved previously. Furthermore, the potential of this method was demonstrated by showing different Ag(+)-HPLC profiles exhibiting patterns of isomeric distributions for biological specimens from animals fed a diet containing a commercial CLA preparation, as well as for a commercial cheese product.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Ácidos Linoleicos/química , Prata , Cátions Monovalentes , Cromatografia Gasosa-Espectrometria de Massas , Isomerismo , Oxazóis/química
7.
Lipids ; 33(10): 963-71, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9832075

RESUMO

Commercial cheese products were analyzed for their composition and content of conjugated linoleic acid (CLA) isomers. The total lipids were extracted from cheese using petroleum ether/diethyl ether and methylated using NaOCH3. The fatty acid methyl esters (FAME) were separated by gas chromatography (GC), using a 100-m polar capillary column, into nine minor peaks besides that of the major rumenic acid, 9c,11t-octadecadienoic acid (18:2), and were attributed to 19 CLA isomers. By using silver ion-high performance liquid chromatography (Ag+ -HPLC), CLA isomers were resolved into seven trans,trans (5-9%), three cis/trans (10-13%), and five cis,cis (<1%) peaks, totaling 15, in addition to that of the 9c,11t-18:2 (78-84%). The FAME of total cheese lipids were fractionated by semipreparative Ag+ -HPLC and converted to their 4,4-dimethyloxazoline derivatives after hydrolysis to free fatty acids. The geometrical configuration of the CLA isomers was confirmed by GC-direct deposition-Fourier transform infrared, and their double bond positions were established by GC-electron ionization mass spectrometry. Reconstructed mass spectral ion profiles of the m + 2 allylic ion and the m + 3 ion (where m is the position of the second double bond in the parent conjugated fatty acid) were used to identify the minor CLA isomers in cheese. Cheese contained 7t,9c-18:2 and the previously unreported 11t,13c-18:2 and 12c,14t-18:2, and their trans,trans and cis,cis geometric isomers. Minor amounts of 8,10-, and 10,12-18:2 were also found. The predicted elution orders of the different CLA isomers on long polar capillary GC and Ag+ -HPLC columns are also presented.


Assuntos
Queijo/análise , Cromatografia Gasosa/métodos , Cromatografia Líquida de Alta Pressão/métodos , Ácido Linoleico/química , Isomerismo , Ácido Linoleico/análise , Lipídeos/química , Espectrometria de Massas/métodos , Metilação , Prata , Espectroscopia de Infravermelho com Transformada de Fourier
8.
Lipids ; 33(8): 803-9, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9727611

RESUMO

The identity of a previously unrecognized conjugated linoleic acid (CLA) isomer, 7 trans, 9 cis-octadecadienoic acid (18:2) was confirmed in milk, cheese, beef, human milk, and human adipose tissue. The 7 trans, 9 cis-18:2 isomer was resolved chromatographically as the methyl ester by silver ion-high-performance liquid chromatography (Ag+-HPLC); it eluted after the major 9 cis, 11 trans-18:2 isomer (rumenic acid) in the natural products analyzed. In the biological matrices investigated by Ag+-HPLC, the 7 trans, 9 cis-18:2 peak was generally due to the most abundant minor CLA isomer, ranging in concentration from 3 to 16% of total CLA. By gas chromatography (GC) with long polar capillary columns, the methyl ester of 7 trans, 9 cis-18:2 was shown to elute near the leading edge of the major 9 cis, 11 trans-18:2 peak, while the 4,4-dimethyloxazoline (DMOX) derivative permitted partial resolution of these two CLA isomers. The DMOX derivative of this new CLA isomer was analyzed by gas chromatography-electron ionization mass spectrometry (GC-EIMS). The double bond positions were at delta7 and delta9 as indicated by the characteristic mass spectral fragment ions at m/z 168, 180, 194, and 206, and their allylic cleavages at m/z 154 and 234. The cis/trans double-bond configuration was established by GC-direct deposition-Fourier transform infrared as evidenced from the doublet at 988 and 949 cm(-1) and absorptions at 3020 and 3002 cm(-1). The 7 trans, 9 cis-18:2 configuration was established by GC-EIMS for the DMOX derivative of the natural products examined, and by comparison to a similar product obtained from treatment of a mixture of methyl 8-hydroxy- and 11-hydroxyoctadec-9 cis enoates with BF3 in methanol.


Assuntos
Tecido Adiposo/química , Queijo/análise , Ácidos Graxos Insaturados/isolamento & purificação , Ácidos Linoleicos/isolamento & purificação , Produtos da Carne/análise , Leite/química , Adolescente , Animais , Bovinos , Criança , Pré-Escolar , Cromatografia Líquida de Alta Pressão , Feminino , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Lactente , Oxazóis , Prata , Espectroscopia de Infravermelho com Transformada de Fourier , Estereoisomerismo
9.
Lipids ; 29(12): 893-6, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7854017

RESUMO

This study reports the structural elucidation of diunsaturated 5- or 6-membered ring cyclic fatty acid monomers (CFAM) isolated from heated flaxseed oil by complementary gas chromatography (GC)-mass spectrometry (MS) and GC-matrix isolation-Fourier transform infrared spectroscopy (MI-FTIR). Infrared measurements of CFAM were carried out on methyl ester derivatives as well-resolved chromatograms were obtained on a polar 100% cyanopropyl polysiloxane capillary GC column. By contrast, electron ionization MS of methyl ester derivatives was of limited value because of double bond migration during the ionization process in the mass spectrometer. This communication reports definitive MS fragmentation patterns that can confirm ring position and double bond position along the fatty acid chain in 1,2-disubstituted CFAM determined as 2-alkenyl-4,4-dimethyl-oxazoline derivatives. Double bond configuration (cis, trans, or conjugated cis,cis) in CFAM was confirmed by GC-MI-FTIR. The presence of CFAM, degradation products found in used frying oils, is a potential source of dietary toxicity.


Assuntos
Ácidos Graxos Insaturados/química , Ácidos Graxos Insaturados/isolamento & purificação , Espectrometria de Massas , Estrutura Molecular , Óleos de Plantas/química , Espectroscopia de Infravermelho com Transformada de Fourier
10.
Lipids ; 34(8): 873-7, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10529099

RESUMO

Conjugated linoleic acid (CLA) mixtures were isomerized with p-toluenesulfinic acid or I2 catalyst. The resultant mixtures of the eight cis/trans geometric isomers of 8,10-, 9,11-, 10,12-, and 11,13-octadecadienoic (18:2) acid methyl esters were separated by silver ion-high-performance liquid chromatography (Ag+-HPLC) and gas chromatography (GC). Ag+-HPLC allowed the separation of all positional CLA isomers and geometric cis/trans CLA isomers except 10,12-18:2. However, one of the 8,10 isomers (8cis, 10trans-18:2) coeluted with the 9trans,11cis-18:2 isomer. There were differences in the elution order of the pairs of geometric CLA isomers resolved by Ag+-HPLC. For the 8,10 and 9,11 CLA isomers, cis,trans eluted before trans,cis, whereas the opposite elution pattern was observed for the 11,13-18:2 geometric isomers (trans,cis before cis,trans). All eight cis/trans CLA isomers were separated by GC on long polar capillary columns only when their relative concentrations were about equal. Large differences in the relative concentration of the CLA isomers found in natural products obscured the resolution and identification of a number of minor CLA isomers. In such cases, GC-mass spectrometry of the dimethyloxazoline derivatives was used to identify and confirm coeluting CLA isomers. For the same positional isomer, the cis,trans consistently eluted before the trans,cis CLA isomers by GC. High resolution mass spectrometry (MS) selected ion recording (SIR) of the molecular ions of the 18:1, 18:2, and 18:3 fatty acid methyl esters served as an independent and highly sensitive method to confirm CLA methyl ester peak assignments in GC chromatograms obtained from food samples by flame-ionization detection. The high-resolution MS data were used to correct for the nonselectivity of the flame-ionization detector.


Assuntos
Ácido Linoleico/química , Cromatografia Gasosa , Cromatografia Líquida de Alta Pressão , Cromatografia Gasosa-Espectrometria de Massas , Isomerismo , Tolueno/análogos & derivados , Tolueno/metabolismo
11.
Lipids ; 33(6): 549-58, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9655369

RESUMO

Pigs were fed a commercial conjugated linoleic acid (CLA) mixture, prepared by alkali isomerization of sunflower oil, at 2% of the basal diet, from 61.5 to 106 kg live weight, and were compared to pigs fed the same basal diet with 2% added sunflower oil. The total lipids from liver, heart, inner back fat, and omental fat of pigs fed the CLA diet were analyzed for the incorporation of CLA isomers into all the tissue lipid classes. A total of 10 lipid classes were isolated by three-directional thin-layer chromatography and analyzed by gas chromatography (GC) on long capillary columns and by silver-ion high-performance liquid chromatography (Ag+-HPLC); cholesterol was determined spectrophotometrically. Only trace amounts (<0.1%; by GC) of the 9,11-18:2 cis/trans and trans,trans isomers were observed in pigs fed the control diet. Ten and twelve CLA isomers in the diet and in pig tissue lipids were separated by GC and Ag+- HPLC, respectively. The relative concentration of all the CLA isomers in the different lipid classes ranged from 1 to 6% of the total fatty acids. The four major cis/trans isomers (18.9% 11 cis,13 trans-18:2; 26.3% 10 trans,12 cis-18:2; 20.4% 9 cis,11 trans-18:2; and 16.1% 8 trans, 10 cis-18:2) constituted 82% of the total CLA isomers in the dietary CLA mixture, and smaller amounts of the corresponding cis,cis (7.4%) and trans,trans (10.1%) isomers were present. The distribution of CLA isomers in inner back fat and in omental fat of the pigs was similar to that found in the diet. The liver triacylglycerols (TAG), free fatty acids (FFA), and cholesteryl esters showed a similar pattern to that found in the diet. The major liver phospholipids showed a marked increase of 9 cis,11 trans-18:2, ranging from 36 to 54%, compared to that present in the diet. However, liver diphosphatidylglycerol (DPG) showed a high incorporation of the 11 cis,13 trans-18:2 isomer (43%). All heart lipid classes, except TAG, showed a high content of 11 cis,13 trans-18:2, which was in marked contrast to results in the liver. The relative proportion of 11 cis,13 trans-18:2 ranged from 30% in the FFA to 77% in DPG. The second major isomer in all heart lipids was 9 cis,11 trans-18:2. In both liver and heart lipids the relative proportions of both 10 trans,12 cis-18:2 and 8 trans, 10 cis-18:2 were significantly lower compared to that found in the diet. The FFA in liver and heart showed the highest content of trans,trans isomers (31 to 36%) among all the lipid classes. The preferential accumulation of the 11 cis,13 trans-18:2 into cardiac lipids, and in particular the major phospholipid in the inner mitochondrial membrane, DPG, in both heart and liver, appears unique and may be of concern. The levels of 11 cis,13 trans-18:2 naturally found in foods have not been established.


Assuntos
Gorduras Insaturadas na Dieta/administração & dosagem , Gorduras Insaturadas na Dieta/farmacocinética , Ácidos Linoleicos/administração & dosagem , Ácidos Linoleicos/farmacocinética , Metabolismo dos Lipídeos , Suínos/metabolismo , Tecido Adiposo/metabolismo , Animais , Cromatografia Gasosa , Cromatografia Líquida de Alta Pressão , Feminino , Ácidos Linoleicos/química , Lipídeos/classificação , Fígado/metabolismo , Masculino , Miocárdio/metabolismo , Prata , Distribuição Tecidual
12.
Lipids ; 34(4): 407-13, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10443974

RESUMO

Operating from one to six silver ion-high-performance liquid chromatography (Ag+-HPLC) columns in series progressively improved the resolution of the methyl esters of conjugated linoleic acid (CLA) isomeric mixtures from natural and commercial products. In natural products, the 8 trans, 10 cis-octadecadienoic (18:2) acid was resolved from the more abundant 7 trans, 9 cis-18:2, and the 10 trans, 12 cis-18:2 was separated from the major 9 cis, 11 trans-18:2 peak. In addition, both 11 trans, 13 cis-18:2 and 11 cis, 13 trans-18:2 isomers were found in natural products and were separated; the presence of the latter, 11 cis, 13 trans-18:2, was established in commercial CLA preparations. Three Ag+-HPLC columns in series appeared to be the best compromise to obtain satisfactory resolution of most CLA isomers found in natural products. A single Ag+-HPLC column in series with one of several normal-phase columns did not improve the resolution of CLA isomers as compared to that of the former alone. The 20:2 conjugated fatty acid isomers 11 cis, 13 trans-20:2 and 12 trans, 14 cis-20:2, which were synthesized by alkali isomerization from 11 cis, 14 cis-20:2, eluted in the same region of the Ag+-HPLC chromatogram just before the corresponding geometric CLA isomers. Therefore, CLA isomers will require isolation based on chain length prior to Ag+-HPLC separation. The positions of conjugated double bonds in 20:2 and 18:2 isomers were established by gas chromatography-electron ionization mass spectrometry as their 4,4-dimethyloxazoline derivatives. The double-bond geometry was determined by gas chromatography-direct deposition-Fourier transform infrared spectroscopy and by the Ag+-HPLC relative elution order.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Ácidos Graxos/química , Ésteres/química , Ácidos Graxos/isolamento & purificação , Isomerismo , Prata
13.
J AOAC Int ; 79(5): 1116-23, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8823920

RESUMO

Gas chromatography/matrix isolation/Fourier transform infrared (GC/MI/FTIR) spectroscopy and GC/mass spectrometry (MS) were used to confirm the identities of trimethylsilyl (TMS) derivatives of trichothecene mycotoxins in naturally contaminated grains. Infrared spectral bands observed in the fingerprint region were unique for 10 trichothecene standards. Characteristic absorption bands were observed for the ester (near 1750 cm-1) and ketone (near 1700 cm-1) carbonyl stretching vibrations, the acetate CH3 symmetric bend (1370 cm-1), the epoxide ring (1262 cm-1), the trimethylsilyl CH3 in-plane deformation (1253 cm-1), the ester (O)C-O asymmetric stretching vibration (near 1244 cm-1), and several other bands including intense features due to the TMS function. Infrared bands observed under cryogenic matrix isolation conditions were compared with those found at room temperature in a potassium bromide matrix for 5 of these standards. Identities of deoxynivalenol (DON) from barley and mixed feed, nivalenol from wheat and barley, and DON and fusarenon-x from sweet corn were confirmed by comparison of their infrared spectral bands with those of standards. The identity of DON in the same test samples of sweet corn was confirmed further by GC/MS. GC/MS was also used to quantitate the levels of DON (67-455 ppm) in sweet corn test samples.


Assuntos
Grão Comestível/química , Contaminação de Alimentos/análise , Inibidores da Síntese de Proteínas/análise , Tricotecenos/análise , Cromatografia Gasosa , Análise de Alimentos/normas , Cromatografia Gasosa-Espectrometria de Massas , Padrões de Referência , Reprodutibilidade dos Testes , Espectroscopia de Infravermelho com Transformada de Fourier
14.
J AOAC Int ; 78(3): 888-92, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-7756907

RESUMO

A halogenated unidentified analytical response (UAR) was encountered in a number of imported Fava bean samples during the Food and Drug Administration's routine pesticide-monitoring program. Gas chromatographic/mass spectrometric (GC/MS) analyses identified the halogenated component as 4-chloro-6-methoxyindole, a naturally occurring promutagen in Fava beans that has been linked to incidents of gastric cancer. Data from electron impact, positive and negative chemical ionization, collision-induced dissociation, and deuteration studies of this compound are presented, along with GC retention time data.


Assuntos
Fabaceae/química , Indóis/isolamento & purificação , Plantas Medicinais , Cromatografia Gasosa-Espectrometria de Massas , Indóis/química , Peso Molecular
15.
J AOAC Int ; 83(1): 104-12, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10693011

RESUMO

Gas chromatography/mass spectrometry (GC/MS) with negative ion chemical ionization permits detection of underivatized patulin in apple juice extracts while minimizing co-extractive responses. The technique has been used with a variety of capillary columns in quadrupole, ion trap, and magnetic sector GC/MS instruments to confirm presumptive findings of patulin in apple juice at concentrations ranging from 68 to 3700 micrograms/L. The demonstrated ability to use any of these 3 mass spectrometers and several capillary columns to confirm the identity of patulin are significant strengths of the technique.


Assuntos
Bebidas/análise , Contaminação de Alimentos , Frutas , Cromatografia Gasosa-Espectrometria de Massas/métodos , Patulina/análise , Sensibilidade e Especificidade
16.
J Chromatogr Sci ; 32(3): 93-6, 1994 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8200919

RESUMO

Supercritical fluid chromatography-mass spectrometry has been used successfully to identify allicin (2-propene-1-sulfinothioic acid S-2-propenyl ester), the predominant thiosulfinate in freshly cut garlic (Allium sativum). A low oven temperature (50 degrees C) and low restrictor tip temperature (115 degrees C) were needed in order to obtain a chemical ionization (CI) mass spectrum of allicin with the protonated molecular ion, m/z 163, as the major ion. The effects of tip temperature on the CI mass spectrum of allicin are presented.


Assuntos
Cromatografia/métodos , Alho/química , Espectrometria de Massas , Plantas Medicinais , Ácidos Sulfínicos/análise , Dissulfetos , Cromatografia Gasosa-Espectrometria de Massas , Temperatura
17.
Orthop Nurs ; 16(3): 49-53; quiz 54-5, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9239068

RESUMO

Acetaminophen is the most widely used and recommended nonprescription analgesic and antipyretic medication in the United States (Rose, 1994). Because acetaminophen is widely advertised and readily available over the counter, consumers as well as health care professionals perceive this medication to be nontoxic. Large or repeated doses of acetaminophen can produce hepatotoxicity, which can occur within 24 hours of an overdose. However, because the signs and symptoms of acetaminophen overdose mimic common illnesses, the real diagnosis may go undetected (Baer & Williams, 1996). Early detection and treatment of acetaminophen overdose is imperative to avoid hepatotoxicity. Nurses play a key role in early identification of both recommended dosages and the clinical features that are associated with acetaminophen toxicity.


Assuntos
Acetaminofen/intoxicação , Analgésicos não Narcóticos/intoxicação , Doença Hepática Induzida por Substâncias e Drogas , Humanos , Hepatopatias/diagnóstico , Hepatopatias/terapia , Fatores de Tempo
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