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Educate patients about CO poisoning and the importance of CO monitoring to prevent poisoning.  |
- To prevent CO poisoning, instruct patients to:
- Install audible electric CO detectors in all floors of buildings where combustion can occur
- Perform routine maintenance to minimize incomplete combustion in all combustion appliances, including:
- Conventional home heating
- Alternative heating
- Water heater
- Fireplace
- Stove
- Prepare for fire by installing smoke detectors and safety ladders in the home and by ensuring that all family members know about emergency exit strategies
- Learn about the nonspecific symptoms of CO poisoning and the need to seek attention for them, including:
- Headache
- Lightheadedness
- Nausea
- Impaired concentration
- Visual changes
- Realize that the source of exposure may not always be obvious and that certain subsets of patients, such as those with heart disease, may be at greater risk
- Emphasize these points in high-risk groups, including:
- People who heat, cook, or generate electricity with alternative combustion sources such as gasoline, kerosene, or charcoal
- Members of ethnic groups, such as recent Southeast Asian immigrants, who are more likely to use alternative indoor cooking appliances
- People who misuse indoor combustion appliances while intoxicated with alcohol
- People who use tools or recreational vehicles powered by internal combustion engines, especially in enclosed areas
- People who use methylene chloride as a paint stripper without adequate ventilation
| Background
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| Jeffrey T. Chapman, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott. |
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The information included herein should never be used as a substitute
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ACP. Because all PIER modules are updated regularly, printed web pages
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compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
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PIER is copyrighted (c) 2009 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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