Crude Oil

Laboratory

A) Monitor vital signs and mental status.
B) Blood concentrations are not readily available or useful to guide management.
C) Obtain an ECG and institute continuous cardiac monitoring in patients with moderate to severe toxicity or chlorinated hydrocarbon exposure.
D) Obtain CBC, basic chemistry panel, serum creatinine and liver enzymes in severe overdoses or in patients with chronic exposures.
E) Monitor arterial blood gases, pulse oximetry, and pulmonary function tests and obtain chest radiograph in patients with any respiratory symptoms. NOTE: The chest radiograph may be normal early in the clinical course.
F) Standard urine toxicology screen does not detect hydrocarbons.
G) Monitor fluid and electrolyte status in patients with significant diarrhea and vomiting.
H) Head CT should be obtained in patients with altered mental status.
I) Monitor for methemoglobinemia in cyanotic patients who do not respond to supplemental oxygen, and who may have been exposed to hydrocarbons which contain nitrobenzene or aniline.
Find more information on this substance at: Hazardous Substances Data Bank , TOXNET , PubMed