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Related Concept Videos

Vitamins01:30

Vitamins

530
Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
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2° Amines to N-Nitrosamines: Reaction with NaNO201:20

2° Amines to N-Nitrosamines: Reaction with NaNO2

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Secondary amines react with nitrous acid to form N-nitrosamines, as depicted in Figure 1. Nitrous acid, a weak and unstable acid, is formed in situ from an aqueous solution of sodium nitrite and strong acids, such as hydrochloric acid or sulfuric acid, in cold conditions. In the presence of an acid, the nitrous acid gets protonated. The subsequent loss of water results in the formation of the electrophile known as nitrosonium ion.
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Toxic Reactions: Overview01:26

Toxic Reactions: Overview

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When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
921
CNS Depressants: Alcohol and Nicotine01:27

CNS Depressants: Alcohol and Nicotine

166
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
166
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

158
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
158
Types of Toxins01:36

Types of Toxins

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Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
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  1. Home
  2. Research Domains
  3. Chemical Sciences
  4. Inorganic Chemistry
  5. Inorganic Chemistry Not Elsewhere Classified
  6. Chronic Nitrous Oxide Toxicity Despite Elevated Serum Vitamin B12 Level: A Case Report.
  1. Home
  2. Research Domains
  3. Chemical Sciences
  4. Inorganic Chemistry
  5. Inorganic Chemistry Not Elsewhere Classified
  6. Chronic Nitrous Oxide Toxicity Despite Elevated Serum Vitamin B12 Level: A Case Report.

Related Experiment Video

Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers

Published on: January 13, 2018

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Chronic Nitrous Oxide Toxicity Despite Elevated Serum Vitamin B12 Level: A Case Report.

Jessica Graves1, John Hafner2

  • 1Mercy Health-Lourdes Hospital LLC, Department of Emergency Medicine, Paducah, Kentucky.

Clinical Practice and Cases in Emergency Medicine
|May 22, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Nitrous oxide (N2O) abuse can cause severe neurotoxicity, even with vitamin B12 self-supplementation. Emergency physicians must recognize this toxicity for proper patient follow-up and to maximize neurologic recovery.

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In vitro Cell Culture Model for Toxic Inhaled Chemical Testing
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Related Experiment Videos

Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
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A Novel Inhalation Mask System to Deliver High Concentrations of Nitric Oxide Gas in Spontaneously Breathing Subjects
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In vitro Cell Culture Model for Toxic Inhaled Chemical Testing
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Area of Science:

  • Neurology
  • Toxicology
  • Emergency Medicine

Background:

  • Nitrous oxide (N2O) is readily available and increasingly abused recreationally.
  • Abuse can lead to uncommon but severe neurologic deficits and hematologic abnormalities.
  • These sequelae may be permanent if not recognized and managed promptly.