Ethylene Glycol MSDS
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20Mg Spironolactone I.P…..50Mg
For the use only of a Registered Medical Practitioner or Hospital or a Laboratory. This package insert is continually updated: Please read carefully before using a new pack Frusemide and Spironolactone Tablets Lasilactone® 50 COMPOSITION Each film coated tablet contains Frusemide I.P. …….. 20mg Spironolactone I.P…..50mg THERAPEUTIC INDICATIONS Lasilactone® contains a short-acting diuretic and a long-acting aldosterone antagonist. It is indicated in the treatment of resistant oedema where this is associated with secondary hyperaldosteronism; conditions include chronic congestive cardiac failure and hepatic cirrhosis. Treatment with Lasilactone® should be reserved for cases refractory to a diuretic alone at conventional doses. This fixed ratio combination should only be used if titration with the component drugs separately indicates that this product is appropriate. The use of Lasilactone® in the management of essential hypertension should be restricted to patients with demonstrated hyperaldosteronism. It is recommended that in these patients also, this combination should only be used if titration with the component drugs separately indicates that this product is appropriate. POSOLOGY AND METHOD OF ADMINISTRATION For oral administration. The dose must be the lowest that is sufficient to achieve the desired effect. Adults: 1-4 tablets daily. Children: The product is not suitable for use in children. Elderly: Frusemide and Spironolactone may both be excreted more slowly in the elderly. Tablets are best taken at breakfast and/or lunch with a generous amount of liquid (approx. 1 glass). An evening dose is not recommended, especially during initial treatment, because of the increased nocturnal output of urine to be expected in such cases. -
Preventing Dehydration
State of New Jersey Department of Human Services Division of Developmental Disabilities DDDDDD PREVENTIONPREVENTION BULLETINBULLETIN Dehydration Dehydration is a loss of too much fluid from the body. The body needs water in order to maintain normal functioning. If your body loses too much fluid - more than you are getting from your food and liquids - your body loses electrolytes. Electrolytes include important nutrients like sodium and potassium which your body needs to work normally. A person can be at risk for dehydration in any season, not just the summer months. It is also important to know that elderly individuals are at heightened risk for dehydration because their bodies have a lower water content than younger people. Why people with Common Causes and a developmental Risk Factors for disability may be Dehydration: at a higher risk for dehydration. v Diarrhea v Vomiting v People with physical limitations may v Excessive sweating not be able to get something to drink on their own and will need the assistance of v Fever others. v Burns v People who cannot speak or whose v Diabetes when blood sugar is too high speech is hard to understand may have a v hard time telling their support staff that Increased urination (undiagnosed diabetes) they are thirsty. v Not drinking enough water, especially on warm and hot days v Some people may have difficulty swal- lowing their food or drinks and may v Not drinking enough during or after exercise refuse to eat or drink. This can make v Some medications (diuretics, blood pressure them more susceptible to becoming meds, certain psychotropic and anticonvul- dehydrated. -
ETHYLENE GLYCOL: Environmental Aspects
This report contains the collective views of an international group of experts and does not necessarily represent the decisions or the stated policy of the United Nations Environment Programme, the International Labour Organisation, or the World Health Organization. Concise International Chemical Assessment Document 22 ETHYLENE GLYCOL: Environmental aspects First draft prepared by Dr S. Dobson, Institute of Terrestrial Ecology, Natural Environment Research Council, Huntingdon, United Kingdom Please note that the layout and pagination of this pdf file are not identical to those of the printed CICAD Published under the joint sponsorship of the United Nations Environment Programme, the International Labour Organisation, and the World Health Organization, and produced within the framework of the Inter-Organization Programme for the Sound Management of Chemicals. World Health Organization Geneva, 2000 The International Programme on Chemical Safety (IPCS), established in 1980, is a joint venture of the United Nations Environment Programme (UNEP), the International Labour Organisation (ILO), and the World Health Organization (WHO). The overall objectives of the IPCS are to establish the scientific basis for assessment of the risk to human health and the environment from exposure to chemicals, through international peer review processes, as a prerequisite for the promotion of chemical safety, and to provide technical assistance in strengthening national capacities for the sound management of chemicals. The Inter-Organization Programme for the Sound Management of Chemicals (IOMC) was established in 1995 by UNEP, ILO, the Food and Agriculture Organization of the United Nations, WHO, the United Nations Industrial Development Organization, the United Nations Institute for Training and Research, and the Organisation for Economic Co-operation and Development (Participating Organizations), following recommendations made by the 1992 UN Conference on Environment and Development to strengthen cooperation and increase coordination in the field of chemical safety. -
The Effect of Dehydration, Hyperthermia, and Fatigue on Landing Error Scoring System Scores
ABSTRACT THE EFFECT OF DEHYDRATION, HYPERTHERMIA, AND FATIGUE ON LANDING ERROR SCORING SYSTEM SCORES Purpose: To examine the effects of exercise-induced dehydration, hyperthermia, and fatigue on Landing Error Scoring System (LESS) scores during a jump-landing task, and the effectiveness of a personalized hydration plan. Methods: Five recreationally active heat-acclimatized males 25.4 y (SD=5.7) completed two trials: with fluid replacement, (EXP) and without fluid (CON), in a counterbalanced, randomized, cross-over fashion. Exercise was terminated when gastrointestinal temperature (Tgi) = 39.5°C and fatigue ≥ 7/10, or 90 min of exercise. Percent dehydration was determined by body mass change from pre- exercise (PRE) and post-exercise (POST). Tgi, heart rate (HR), and perceived fatigue were measured PRE, during exercise, and POST. Three jump-landing tasks were filmed in the frontal and sagittal planes. An experienced grader evaluated jump-landing tasks using the LESS. Statistical Analysis: Repeated measures ANOVA assessed primary dependent and independent variables while a priori dependent t-tests evaluated pairwise comparisons. Results: No interaction, group, or time main effects were observed for LESS scores (p=0.437). POST dehydration (%) was greater in CON (M=2.59, SD=0.52) vs. EXP (M=0.92, SD=0.41; p<0.001), whereas hyperthermia (°C) (CON, M=39.29, SD=0.31, EXP, M=39.03, SD=0.61; p=0.425), and fatigue (CON, M=9, SD=1, EXP, M=9, SD=2; p=0.424) were similar. Conclusion: LESS scores were not affected by exercise-induced dehydration, hyperthermia, and fatigue, nor by a personal hydration plan. -
Ethylene Glycol Ingestion Reviewer: Adam Pomerlau, MD Authors: Jeff Holmes, MD / Tammi Schaeffer, DO
Pediatric Ethylene Glycol Ingestion Reviewer: Adam Pomerlau, MD Authors: Jeff Holmes, MD / Tammi Schaeffer, DO Target Audience: Emergency Medicine Residents, Medical Students Primary Learning Objectives: 1. Recognize signs and symptoms of ethylene glycol toxicity 2. Order appropriate laboratory and radiology studies in ethylene glycol toxicity 3. Recognize and interpret blood gas, anion gap, and osmolal gap in setting of TA ingestion 4. Differentiate the symptoms and signs of ethylene glycol toxicity from those associated with other toxic alcohols e.g. ethanol, methanol, and isopropyl alcohol Secondary Learning Objectives: detailed technical/behavioral goals, didactic points 1. Perform a mental status evaluation of the altered patient 2. Formulate independent differential diagnosis in setting of leading information from RN 3. Describe the role of bicarbonate for severe acidosis Critical actions checklist: 1. Obtain appropriate diagnostics 2. Protect the patient’s airway 3. Start intravenous fluid resuscitation 4. Initiate serum alkalinization 5. Initiate alcohol dehydrogenase blockade 6. Consult Poison Center/Toxicology 7. Get Nephrology Consultation for hemodialysis Environment: 1. Room Set Up – ED acute care area a. Manikin Set Up – Mid or high fidelity simulator, simulated sweat if available b. Airway equipment, Sodium Bicarbonate, Nasogastric tube, Activated charcoal, IV fluid, norepinephrine, Simulated naloxone, Simulate RSI medications (etomidate, succinylcholine) 2. Distractors – ED noise For Examiner Only CASE SUMMARY SYNOPSIS OF HISTORY/ Scenario Background The setting is an urban emergency department. This is the case of a 2.5-year-old male toddler who presents to the ED with an accidental ingestion of ethylene glycol. The child was home as the father was watching him. The father was changing the oil on his car. -
Water Requirements, Impinging Factors, and Recommended Intakes
Rolling Revision of the WHO Guidelines for Drinking-Water Quality Draft for review and comments (Not for citation) Water Requirements, Impinging Factors, and Recommended Intakes By A. Grandjean World Health Organization August 2004 2 Introduction Water is an essential nutrient for all known forms of life and the mechanisms by which fluid and electrolyte homeostasis is maintained in humans are well understood. Until recently, our exploration of water requirements has been guided by the need to avoid adverse events such as dehydration. Our increasing appreciation for the impinging factors that must be considered when attempting to establish recommendations of water intake presents us with new and challenging questions. This paper, for the most part, will concentrate on water requirements, adverse consequences of inadequate intakes, and factors that affect fluid requirements. Other pertinent issues will also be mentioned. For example, what are the common sources of dietary water and how do they vary by culture, geography, personal preference, and availability, and is there an optimal fluid intake beyond that needed for water balance? Adverse consequences of inadequate water intake, requirements for water, and factors that affect requirements Adverse Consequences Dehydration is the adverse consequence of inadequate water intake. The symptoms of acute dehydration vary with the degree of water deficit (1). For example, fluid loss at 1% of body weight impairs thermoregulation and, thirst occurs at this level of dehydration. Thirst increases at 2%, with dry mouth appearing at approximately 3%. Vague discomfort and loss of appetite appear at 2%. The threshold for impaired exercise thermoregulation is 1% dehydration, and at 4% decrements of 20-30% is seen in work capacity. -
Process for the Electrochemical Synthesis of Ethylene Glycol From
Patents mt JEuropiitchesEuropean Patent Office © Publication number: 0 145 239 Office europeen das brevets A1 © EUROPEAN PATENT APPLICATION © Application number: MI07SM.0 © Im.CI.-: C 26 B 3/10 X C 26 B 3/04 ® D.t. of mine: M.11J4 //C07C47/04, C07C31/20 (§) Priority: 03.11.SI US MS481 © Applicant: THE HALCON SD GROUP, INC. 2 Park Avenue New York, N.Y.1001MUS) VjjJ Data of publication of application: 1B.MM Bulletin IB/2B @ Inventor: Barber, James J. 24 Milo Street @ Designated Contracting States: West Newton Massachusetts 02118IUS) n m m oi rr ni @ Representative: Cropp, John Anthony David et al, MATHYS ft SQUIRE 10 Fleet Street London, IC4Y1AYJQB) ® Proeess for the eleetroehemfsel synthesis of ethylene Olyeol from formaldehyde. A© processA proeeea for the formationformetion of glycols,glyws, partlcyisrtyponiewarly ethylene glyeelglycol through the eteetreehemicalelectrochemical eeupllngaoupling of aldehyde*sidthydes auehsuch *•so formefdehydeformotdohyde In neutral or addleacidic solu>solu. tlonetlont producing high yields and product teleetlvitiesselectivities lais disclosed.disclssd. The process cancen alioelso hebe effectivelysffectively operated Inin the presence of ae widewide varietyveriety of polar,poier, miselble,misalble, organicorgenle eoeelvents.ecselvente Cr&yttoft PUMin^ Comp«r<Y IM. BACKGROUND OF THE INVENTION Field of the Invention This invention relates to a process for the produc- tion of a glycol from an aldehyde feedstock, and more particularly, relates to an efficient electrochemical cou- pling of formaldehyde in neutral or acidic aqueous or aqueous-organic solutions at carbon-based electrodes to form ethylene glycol. Description of the Prior Art The formation of glycols through the mechanism of an electrochemical coupling of selected aldehydes and ketones is a generic reaction well documented in the prior art. -
Synthesis of Aliphatic Amines and Substituted Pyridines Over HZSM",5 Catalyst
Indian Journal of Chemistry Vol. 30A, December 1991, pp.1041-1043 Synthesis of aliphatic amines and tom. The products were analyzed using'5% SE-30 substituted pyridines over HZSM",5 and carbowax columns by gas chromatography. The catalyst' mass spectra were used to confirm the product ana- lysis. SJKu1karni* & M Subrahmanyam Results and discussion Indian Institute of Chemical Technology, Hyderabad 500 007, The reaction of propylene oxide with ammonia in India water was carried out over HZSM-5 catalyst in the Received 18 June 1991; revised 5 August 1991; accepted range 300-400°C (Tables 1 and 2). Above 220°C, 9 September 1991 the conversion with respect to propylene oxide was The reactions of propylene oxide, propylene glycol, 100 percent and the formation of picolines de- ethylene glycol and acetaldehyde with ammonia have creased with the increase in temperature from 300 been carried out in the temperature range 220°C-450°C to 400°C. The maximum selectivity to 2-picoline with water as diluent. The major products obtained are was 12.0 percent at 300°C with the reactants to wa- methylamine, ethylamine, picolines and acetone. The ter ratio (by volume) was 1:1. The increase of water reaction schemes are proposed based on the product in the feed decreased the picoline formation. The al- distribution. The reactions of acetaldehyde or propylene iphatic amines, particularly, methylamine, ethyla- glycol with ammonia lead to picolines in high yield over mine and acetone were invariably observed in the HZSM-5 catalyst. products in the temperature of 220 to 400°C. The substituted pyridines like picolines are useful intermediates in the preparation of herbicides, Table I-The effect of temperature on the product distribution in the reaction of propylene oxide with ammonia over HZSM-5 pharmaceuticals and surface-active agents. -
Glycols Partitioning at High Pressures in Gas Processing Systems
Heriot-Watt University Research Gateway Glycols Partitioning At High Pressures In Gas Processing Systems Citation for published version: Burgass, RW, Chapoy, A, Reid, AL & Tohidi Kalorazi, B 2017, 'Glycols Partitioning At High Pressures In Gas Processing Systems', Paper presented at GPA Midstream Convention 2017, San Antonio, United States, 9/04/17 - 12/04/17. Link: Link to publication record in Heriot-Watt Research Portal Document Version: Other version General rights Copyright for the publications made accessible via Heriot-Watt Research Portal is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. Take down policy Heriot-Watt University has made every reasonable effort to ensure that the content in Heriot-Watt Research Portal complies with UK legislation. If you believe that the public display of this file breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. Download date: 02. Oct. 2021 GLYCOLS PARTITIONING AT HIGH PRESSURES IN GAS PROCESSING SYSTEMS Rod Burgass, Alastair Reid, Antonin Chapoy1, Bahman Tohidi Hydrates, Flow Assurance & Phase Equilibria Research Group, Institute of Petroleum Engineering, Heriot-Watt University, UK ABSTRACT Glycols are commonly used chemicals in the gas processing industry, for example monoethylene glycol is (MEG) injected at the well head to prevent hydrate formation; glycols are also used in dehydration units to remove water from natural gas streams. Because of the low vapour pressure of glycols, limited information on glycol solubility in high pressure systems is available in the literature. -
Hyperchloremia – Why and How
Document downloaded from http://www.elsevier.es, day 23/05/2017. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. n e f r o l o g i a 2 0 1 6;3 6(4):347–353 Revista de la Sociedad Española de Nefrología www.revistanefrologia.com Brief review Hyperchloremia – Why and how Glenn T. Nagami Nephrology Section, Department of Medicine, VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at UCLA, United States a r t i c l e i n f o a b s t r a c t Article history: Hyperchloremia is a common electrolyte disorder that is associated with a diverse group of Received 5 April 2016 clinical conditions. The kidney plays an important role in the regulation of chloride concen- Accepted 11 April 2016 tration through a variety of transporters that are present along the nephron. Nevertheless, Available online 3 June 2016 hyperchloremia can occur when water losses exceed sodium and chloride losses, when the capacity to handle excessive chloride is overwhelmed, or when the serum bicarbonate is low Keywords: with a concomitant rise in chloride as occurs with a normal anion gap metabolic acidosis Hyperchloremia or respiratory alkalosis. The varied nature of the underlying causes of the hyperchloremia Electrolyte disorder will, to a large extent, determine how to treat this electrolyte disturbance. Serum bicarbonate Published by Elsevier Espana,˜ S.L.U. on behalf of Sociedad Espanola˜ de Nefrologıa.´ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/). -
Hyperthermia & Heat Stroke: Heat-Related Conditions
Hyperthermia & Heat Stroke: Heat-Related Conditions Joseph Rampulla, MS, APRN,BC eat-related conditions occur when excess heat taxes or overwhelms the body’s thermoregulatory mechanisms. Heat illness is preventable and occurs more Hcommonly than most clinicians realize. Heat illness most seriously affects the poor, urban-dwellers, young children, those with chronic physical and mental illnesses, substance abusers, the elderly, and people who engage in excessive physical The exposure to activity under harsh conditions. While considerable overlap occurs, the important the heat and the concrete during the syndromes are: heat stroke, heat exhaustion, and heat cramps. Heat stroke is a life- hot summer months places many rough threatening emergency and occurs when the loss of thermoregulatory control results sleepers at great risk in hyperpyrexia (very high fever) and severe damage to many internal organs. for heat stroke and hyperthermia. Photo by Epidemiology Sharon Morrison RN Heat illness is generally underreported, and the deaths than all other natural disasters combined in true incidence is unknown. Death rates from other the USA. The elderly, the very poor, and socially causes (e.g. cardiovascular, respiratory) increase isolated individuals are disproportionately affected during heat waves but are generally not reflected in by heat waves. For example, death records during the morbidity and mortality statistics related to heat heat waves invariably include many elders who died illness. Nonetheless, heat waves account for more alone in hot apartments. Age 65 years, chronic The Health Care of Homeless Persons - Part II - Hyperthermia and Heat Stroke 199 illness, and residence in a poor neighborhood are greater than 65. -
ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic Ketoacidosis and the Hyperglycem
Received: 11 April 2018 Accepted: 31 May 2018 DOI: 10.1111/pedi.12701 ISPAD CLINICAL PRACTICE CONSENSUS GUIDELINES ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic ketoacidosis and the hyperglycemic hyperosmolar state Joseph I. Wolfsdorf1 | Nicole Glaser2 | Michael Agus1,3 | Maria Fritsch4 | Ragnar Hanas5 | Arleta Rewers6 | Mark A. Sperling7 | Ethel Codner8 1Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts 2Department of Pediatrics, Section of Endocrinology, University of California, Davis School of Medicine, Sacramento, California 3Division of Critical Care Medicine, Boston Children's Hospital, Boston, Massachusetts 4Department of Pediatric and Adolescent Medicine, Medical University of Vienna, Vienna, Austria 5Department of Pediatrics, NU Hospital Group, Uddevalla and Sahlgrenska Academy, Gothenburg University, Uddevalla, Sweden 6Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado 7Division of Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York 8Institute of Maternal and Child Research, School of Medicine, University of Chile, Santiago, Chile Correspondence Joseph I. Wolfsdorf, Division of Endocrinology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA. Email: [email protected] 1 | SUMMARY OF WHAT IS Risk factors for DKA in newly diagnosed patients include younger NEW/DIFFERENT age, delayed diagnosis, lower socioeconomic status, and residence in a country with a low prevalence of type 1 diabetes mellitus (T1DM). Recommendations concerning fluid management have been modified Risk factors for DKA in patients with known diabetes include to reflect recent findings from a randomized controlled clinical trial omission of insulin for various reasons, limited access to medical ser- showing no difference in cerebral injury in patients rehydrated at dif- vices, and unrecognized interruption of insulin delivery in patients ferent rates with either 0.45% or 0.9% saline.