Phosgene Oxime Exposure Workup

Updated: Oct 26, 2023
  • Author: Erik D Schraga, MD; Chief Editor: Zygmunt F Dembek, PhD, MS, MPH, LHD  more...
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Workup

Approach Considerations

An arterial blood gas may be useful only in patients with significant respiratory symptoms after exposure. Order a chest radiograph to examine for evidence of pulmonary edema in patients with respiratory symptoms after exposure. A chest radiograph of a patient who developed phosgene-induced adult respiratory distress syndrome is shown below.

Anteroposterior portable chest radiograph in a mal Anteroposterior portable chest radiograph in a male patient who developed phosgene-induced adult respiratory distress syndrome. Notice the bilateral infiltrates and ground glass appearance.