![]() All women of childbearing age who are suspected of having CO poisoning should have a pregnancy test.Neurological exam should include an assessment of cognitive function such as a Mini-Mental Status Exam.Patients should be examined for other conditions, including smoke inhalation, trauma, medical illness, or intoxication. Diagnosis is based on a suggestive history and physical findings coupled with confirmatory testing.People with chronic heart disease, anemia or respiratory illness.Power washers and other gas powered tools.Charcoal grills, propane stoves, and charcoal briquettes for both cooking and heating indoors.Red Flags: No fever associated with symptoms, history of exposure, multiple patients with similar complaints. ![]() Appropriate and prompt diagnostic testing and treatment is very important. With a focused history, exposure to a CO source may become apparent. Symptoms of severe CO poisoning include malaise, shortness of breath, headache, nausea, chest pain, irritability, ataxia, altered mental status, other neurologic symptoms, loss of consciousness, coma, and death signs include tachycardia, tachypnea, hypotension, various neurologic findings including impaired memory, cognitive and sensory disturbances metabolic acidosis, arrhythmias, myocardial ischemia or infarction, and noncardiogenic pulmonary edema, although any organ system might be involved. Its effects are caused not only by impaired oxygen delivery but also by disrupting oxygen utilization and respiration at the cellular level, particularly in high-oxygen demand organs (i.e., heart and brain). The clinical presentation of CO poisoning is the result of its underlying systemic toxicity. The most common symptoms of CO poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and altered mental status. How to Recognize CO Poisoning: The symptoms and signs of carbon monoxide poisoning are variable and nonspecific.
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