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Evaluate patients in 1 to 2 weeks after initial discharge, looking for delayed neurologic sequelae.  |
- Instruct patients to see their primary care providers if they develop recurrent or new neuropsychiatric deficits within 1 month of initial exposure.
- At the return visit perform a full neurologic exam to determine if any new deficits exist.
- If new or recurrent deficits exist, ask the patient about ongoing CO exposure and retest HbCO.
- If significant neuropsychiatric deficits remain during reexamination, use brain CT scanning to prognosticate future recovery.
- Recognize that treatment of delayed neuropsychiatric sequelae is supportive and does not have specific drug or non-drug therapy.
- See table Elements of Follow-up for CO Poisoning.
| Background
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| Carlos Scheinkestel, MD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Jeffrey T. Chapman, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. |
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PIER is copyrighted (c) 2008 by the American College of Physicians,
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Carbon Monoxide Poisoning
