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Dehydration, heat stress and exposure to environmental toxins are common complaints for Austinites

Dai X, Dharmage SC, Bowatte G, Waidyatillake NT, Perret JL, Hui J, et al

Functions of Glutathione Glutathione plays a multifaceted role in the body, supporting various essential functions: Neutralizes Free Radicals Protects cells from oxidative damage caused by pollution, UV radiation, and stress

It has been suggested that metal-induced oxidative stress in cells is partially responsible for the toxic effects of metals [92]

Most common side effect are vomiting & mild anaphylactoid reactions Tx these with reducing rate of infusion and antihistamines Rare severe anaphylactic reaction, tx by usual kitchen sink approach (fluids, stop drug, epi to support hypotension, antihistamines, steroids) Note*** as per Jesse: PO NAC is essentially never used in a Canadian context more of an American thing.Interestingly anaphylactoid reactions are more common in patients with negative acetaminophen levelsSee Table 143.3 for Side effect profile for NAC formulations [7] Describe a NAC protocol for IV administration *** Always check with your local institutions protocol and always call your local tox centre!*** As seen on LITFL: Adult dosing: Give 150 mg/kg NAC diluted in 200 ml of 5% dextrose IV over 15-60 minutes

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