从爆米花到危险:娱乐性酸盐诱导的甲基红蛋白血症
Wasef Alkhateeb1, Gaurav Luthra1, Lanah Almatroud2
1Internal Medicine, Central Michigan University College of Medicine, Saginaw, USA.
Cureus
|September 23, 2024
概括
娱乐性氨基酸盐的使用可能会导致甲基红蛋白血症,这是一种危险的疾病,会影响氧气的使用. 在这种情况下,迅速使用甲蓝的治疗导致了完全康复.
科学领域:
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 吸入的亚酸盐,历史上用于心痛,现在经常被滥用为高兴.
- 娱乐性酸盐吸入剂的使用可以导致甲基红蛋白血症,这是一种潜在的致命性疾病,其特点是氧气运输受损.
- 在2021年,吸入物滥用在过去一年中影响了220万12岁及以上的个人.
相关概念视频
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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Preparation of Amines: Reduction of Oximes and Nitro Compounds
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Oximes can be reduced to primary amines using catalytic hydrogenation, hydride reduction, or sodium metal reduction. The reduction of aliphatic and aromatic nitro compounds to primary amines takes place by either catalytic hydrogenation or by using active metals like Fe, Zn, and Sn in the presence of an acid.
Though catalytic hydrogenation can reduce nitrobenzenes, the reduction is nonselective in the presence of other functional groups. For instance, if nitrobenzene contains an aldehyde group,...
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Physical Properties of Amines
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Amines with low molecular weight are usually gaseous at room temperature, while those with high molecular weight are liquid or solids in nature. Usually, low molecular weight amines have a rotten fish-like smell. Diamines typically have a pungent smell. For instance, cadaverine and putrescine, depicted in Figure 1, are two molecules responsible for decaying tissue.
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Nitric oxide (NO), an inorganic gas, acts as a potent second messenger in most animal and plant tissues. NO diffuses out of the cells that produce it and enters the neighboring cells to generate a downstream response. NO synthase (NOS) catalyzes NO production by the deamination of the amino acid arginine. There are three isoforms of NOS. Endothelial cells have endothelial NOS (eNOS), nerve and muscle cells have neuronal NOS (nNOS), and macrophages produce inducible NOS (iNOS) upon exposure...
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Phase I Reactions: Oxidation of Carbon-Heteroatom and Miscellaneous Systems
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Oxidative reactions are pivotal in metabolizing numerous compounds, including pharmaceutical drugs. These reactions often occur in carbon-heteroatom systems, such as carbon-nitrogen, carbon-sulfur, and carbon-oxygen.
In carbon-nitrogen systems, aliphatic and aromatic amines can undergo oxidative reactions. Secondary and tertiary amines, like those found in tricyclic antidepressants, can undergo N-dealkylation, a process that involves the oxidation of the alkyl group. In addition, oxidative...
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