A radioimmunoassay procedure has been developed to monitor patients suspected of phencyclidine (PCP) intoxication. Symptoms in 11 patients suspected of phencyclidine intoxication included violent, aggressive behavior with delusions, hallucinations, agitation, and other signs of toxic psychosis. In five subjects serum concentrations of PCP ranged between 0.5 and 40 ng/ml. For laboratory confirmation, ascorbic acid should be administered to the patient after collecting the initial urine specimen. The initial urine and the first and second specimen after acidification should be collected and submitted for analysis. By following this provocative mobilization procedure, phencyclidine has been identified in the first or second postacidification urine when the initial specimen gave either a negative or questionable reaction. Patients reporting to emergency rooms with hallucinations and psychosis and a history of "pot" smoking should be screened for the presence of phencyclidine in their blood and urine. For those cases that turn out to be negative for the phencyclidine group of compounds, other hallucinogenic drugs such as lysergic acid diethylamide, ketamine, mescaline, or psilocybin may be suspect.

Adolescent↗

PubMedDate not supplied

Lead, erythrocyte protoporphyrin, and ferritin levels in cord blood.

A pilot study was initiated to examine cord blood from approximately 300 newborns of various ethnic groups from two New York City hospitals for lead (Pb), erythrocyte protoporphyrin (EP), ferritin (FRT), and hemoglobin (Hb) levels during 1979 and 1980. Results showed an overall mean Pb level of 8 +/- 4 micrograms/dl, EP level of 61 +/- 26 micrograms/dl [geometric mean (GM) = 66.36], FRT level of 165 +/- 107 ng/ml (GM = 135.99), and a distribution frequency of Hb with nearly 69% between 13.5 and 16.9 g % (mean +/- standard deviation = 15 +/- 1), 20% below 13.4 g % (12 +/- 2 g %), and 11% at or above 17.0 g % (18 +/- 1 g %). Both EP and FRT showed a bimodal distribution. There was a negative correlation between blood EP and plasma FRT levels that was significant at the .03% level. The study also showed that a significant drop in mean cord blood Pb levels occurred compared with earlier studies. Follow up of newborns with mildly elevated Pb and EP levels should be made and screening of mothers for Pb levels during early pregnancy should constitute a part of prenatal care, particularly for those from urban areas with previously demonstrated environmental Pb hazard.

Ethnicity↗

PubMedDate not supplied

Rapid, sensitive micro blood lead analysis: a mass screening technique for lead poisoning.

A rapid micro blood lead method is described. Analyses were performed on 20-microL blood samples spotted on filter paper, collected in graduated heparinized capillary glass tubes following finger pricks. The samples were air dried on filter paper and mailed to the laboratory in glassine envelopes. These samples stored on filter paper are stable for at least six months. The blood spots were punched out with a 1/4-in. diameter hole punch and placed in Delves cups for insertion into the flame atomic absorption spectrometer. The innovation of this method is that an ashing step precedes sample introduction into the flame. In phase 1, the Delves cup with the blood sample is pushed 1 cm from the flame. The heat is sufficient for the filter paper to ignite and burn to completion in seconds. After the smoke dissipates, the samples are introduced into the flame for lead analysis, reading the signal at 283.3 nm. The entire analysis time is 15 s per sample. The limit of quantitation is 4 micrograms/dL of lead. Standard curves were linear from 4-42 micrograms/dL. The average CV for this range is 8.2%. The comparative study between the MIBK extraction method and this method yielded a correlation coefficient r = .99 (n = 55). The method is fast, practical, economical, and easily adaptable to screen large numbers of micro lead samples.

Humans↗

PubMedDate not supplied

Measurement of free erythrocyte protoporphyrin in blood collected on filter paper as a screening test to detect lead poisoning in children.

A procedure for the measurement of free erythrocyte protoporphyrin (FEP) in a drop of blood collected on filter paper is described. The method is useful as a screening test for lead poisoning in children. Based on the FEP finding and blood lead tests, asymptomatic children are classified into four major categories. A course of action is suggested for each category.

Child↗