Related Experiment Video
Updated: Aug 11, 2025
06:29
Salinity-dependent Toxicity Assay of Silver Nanocolloids Using Medaka Eggs
Published on: March 18, 2016
8.1K
Scombroid Poisoning: An Overview for the Emergency Nurse Practitioner
Juan Manuel Gonzalez1, Johis Ortega, Stephen McGhee
1University of Miami School of Nursing & Health Studies, Coral Gables, Florida (Drs Gonzalez, Ortega, and Crenshaw); The Ohio State University College of Nursing, Columbus (Dr McGhee); and University of South Florida College of Nursing, Tampa (Dr Nadeau).
Advanced Emergency Nursing Journal
|February 9, 2023
Summary
Scombroid poisoning, a common fish-borne illness, results from histamine formation in improperly stored fish. Prompt identification and treatment by emergency nurse practitioners are crucial to manage symptoms and avoid misdiagnosis as fish allergy.
Area of Science:
- Clinical Toxicology
- Foodborne Illness
- Environmental Health
Background:
- Scombroid poisoning is a frequent fish-borne disease encountered in clinical practice.
- Inadequate fish storage permits bacterial growth, converting histidine to histamine.
- Histamine, once formed, is not eliminated by cooking or freezing.
Purpose of the Study:
- To highlight the importance of recognizing scombroid poisoning.
- To differentiate scombroid poisoning from fish allergy.
- To guide emergency nurse practitioners in diagnosis and treatment.
Main Methods:
- Literature review on scombroid poisoning.
- Analysis of clinical presentations and diagnostic criteria.
- Emphasis on differential diagnosis with fish allergy.
Main Results:
- Scombroid poisoning symptoms include cutaneous, gastrointestinal, and anaphylactoid reactions.
- Histamine toxicity is the underlying mechanism.
- Misdiagnosis as fish allergy is a common clinical pitfall.
Conclusions:
- Emergency nurse practitioners must accurately diagnose scombroid poisoning.
- Timely and appropriate treatment is essential for patient recovery.
- Distinguishing scombroid poisoning from true fish allergy prevents unnecessary interventions.
Related Concept Videos
01:14Prevention of Further Absorption of Poison
894
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
894
01:26Anticholinesterase Agents: Poisoning and Treatment
959
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
959
01:27Pulmonary Embolism III: Nursing Management
21
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
21
01:29Pulmonary Embolism I: Introduction
18
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
18
01:14SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
01:28Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
232
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
232