{"id":342,"date":"2021-03-11T05:32:22","date_gmt":"2021-03-11T05:32:22","guid":{"rendered":"https:\/\/blogs.rch.org.au\/clinicalguide\/?p=342"},"modified":"2021-03-11T05:32:22","modified_gmt":"2021-03-11T05:32:22","slug":"new-cpg-nitrous-oxide-misuse","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/clinicalguide\/new-cpg-nitrous-oxide-misuse\/","title":{"rendered":"New CPG: Nitrous Oxide misuse"},"content":{"rendered":"<p>The Toxicology committee has developed a new <a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Nitrous_Oxide_Misuse\/\">Nitrous Oxide misuse<\/a> CPG.<\/p>\n<p><span style=\"font-size: 14pt\">The Key points for the CPG are<\/span><\/p>\n<ol>\n<li>Chronic high-level recreational N<sub>2<\/sub>O exposure impedes vitamin B12 function, leading to neurological dysfunction and rarely myelosuppression<\/li>\n<li>Patients often present with symptoms and signs consistent with subacute combined degeneration of the spinal cord<\/li>\n<li>Measured vitamin B12 may be normal and does not reflect \u2018functional vitamin B12\u2019 concentration<\/li>\n<li>Discontinuation of N<sub>2<\/sub>O and administration of intramuscular vitamin B12 and oral methionine are the mainstays of management<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nitrous Oxide misuse is a new CPG and will be considered for Victorian endorsement by PIC in April 2021. <\/p>\n","protected":false},"author":165,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11797,28,9503],"tags":[],"class_list":["post-342","post","type-post","status-publish","format-standard","hentry","category-individual-cpg-posts","category-news","category-newsletter"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/users\/165"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/comments?post=342"}],"version-history":[{"count":1,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/342\/revisions"}],"predecessor-version":[{"id":343,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/342\/revisions\/343"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/media?parent=342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/categories?post=342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/tags?post=342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}