Laboratory Tests
Routine laboratory studies for all exposed patients include CBC, glucose, and electrolyte determinations. Additional studies for patients exposed to phosphine include ECG monitoring, renal function tests, and liver-function tests. Chest radiography, pulse oximetry (or ABG measurements), and PFl3 are recommended to establish baseline for pulmonary status. Serial myocardial enzyme levels may also be helpful.
Phosphine is metabolized to phosphite and hypophosphite, which are excreted in the urine. Although analysis for these metabolites is not clinically useful in an emergency setting, urine samples can be collected and frozen for future analysis, particularly if questions on the nature or extent of exposure are likely.
วิเคราะห์ปริมาณ CBC glucose และ electrolyte