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Facts about inhalants, specifically difluoroethane, pertaining to toxicology

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Question
Answer
What is difluoroethane?   An alternative fluorocarbon found in aerosols (i.e. DustOff)  
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What are some signs of inhalant use?   Residue around nose or mouth. Huffer's rash. Nausea. Watery, bloodshot eyes. Intense headaches.  
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What are the routes of administration for inhalants?   Sniffing or snorting (direct inhalation) Huffing (inhale from saturated rag) Bagging (inhale from product sprayed in bag)  
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Describe the toxicity of inhalants.   Death is caused by hypoxia, a lack of oxygen to the brain.  
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What is sudden sniffing syndrome?   Fatal cardiac arythmia caused by inhalant use  
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How should samples be collected?   Collect the sample immediately, seal in a headspace vial.  
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What types of specimens should be collected?   Antemortem: blood, urine Postmortem: blood, lung, liver, adipose  
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What demographics are seen with difluoroethane use?   100% caucasian 71% male Ages 18-47  
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Hoe long do the effects of difluoroethane last?   The effects have a rapid onset and short duration. The user may not appear impaired by the time of arrest.  
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Describe the elimination of difluoroethane.   Elimination by the 2 compartment model. Fast elimination from the blood followed by a slower elimination from the adipose tissues.  
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What affect does difluoroethane have on the breath alcohol test?   DFE interferes with the breath alcohol test, but alcohol can still be quantified in the tox lab.  
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