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Baseline studies in children receiving chelation for lead poisoning

Baseline studies in children receiving chelation for lead poisoning
Abdominal radiograph for leaded foreign bodies or flecks in the GI tract
Free erythrocyte protoporphyrin (if not already obtained)
Serum electrolytes
Blood urea nitrogen
Serum creatinine
Serum calcium
Serum magnesium
Serum aspartate aminotransferase and alanine aminotransferase
Urinalysis
Neuroimaging (eg, computed tomography of the brain) in patients with encephalopathy
Screening for G6PD deficiency (eg, fluorescent spot test or methemoglobin reduction test)*

GI: gastrointestinal; G6PD: glucose-6-phosphate dehydrogenase.

* Indicated for patients of an ethnicity with high prevalence for the disease (eg, African-American or Mediterranean descent) who are receiving succimer or dimercaprol (no longer manufactured). However, chelation should not be delayed while awaiting results.
Graphic 107904 Version 2.0

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