Case Report
Multimodal Elimination for Intoxication with a Lethal Dose of Organic Mercury
Table 2
Clinical course during detoxification with DMPS.
| Clinical Course |
| Day | Observation |
| 3 | pupils beginning to react to light | 4 | short periods of assisted ventilation | 7 | muscle fasciculations absent | 9 | spontaneous eye opening | 10 | spontaneous breathing | 11 | exanthema starts to decline | 14 | continuous spontaneous breathing | 15 | eye opening to verbal command | 16 | change from CRRT to intermittent dialysis | 17 | increasing vigilance | 19 | patient startles upon verbal command reflexes start to return | 20 | first spontaneous movement of extremities | 23 | first successful mobilization (with assistance) exanthema diminishes | 25 | increasing extremity movement | 30 | switch from dialysis to ultrafiltration only | 31 | visual fixation | 33 | patient mobilized from bed to chair | 34 | all standard reflexes bilaterally reestablished | 37 | spontaneous directed movement of all extremities |
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