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Fundamental Toxicology
Article in The Clinical biochemist. Reviews / Australian Association of Clinical Biochemists · November 2006
Source: PubMed Central
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Kenneth F Ilett
University of Western Australia
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Fundamental Toxicology
Duffus JH, Worth HGJ, editors. RSC Publishing, Cambridge; 2006
Kenneth F Ilett
Clinical Pharmacology and Toxiciology Laboratory, Nedlands, WA 6009 Australia
For correspondence: Dr KF Ilett e-mail: Ken.Ilett@uwa.edu.au
This is a very comprehensive text from The Royal Society of Chemistry publishers and aimed at the undergraduate student.
There are 25 chapters on subjects such as basic toxicodynamics and toxicokinetics, risk assessment and management of toxins
in humans, monitoring of biomarkers, genetic aspects of toxicology and carcinogenesis, toxicology of compounds in the
reproductive, integumentary, nervous and immune systems, in organs such as the lung, liver, and kidney, and effects of toxins on
behaviour. Other chapters cover environmental contaminants, radionuclides, biocides and pesticides, pharmaceutical toxicology
and safe handling of chemicals in the laboratory. It is an excellent text for the undergraduate, or for the graduate who needs to
gain a broad understanding of toxicology as a discipline.
The only chapter that has direct interest to the practising clinical biochemist would be “Toxicology in the clinical laboratory”,
authored by RA Braithwaite. This contains a comprehensive discussion of appropriate specimen collection, choice of laboratory
measurement techniques, and use of both simple biochemical measurements (eg acid base balance, sodium and water, plasma
osmolality and osmolar gaps, calcium etc) and more specific testing for drug substances of clinical or medico-legal interest (eg
alcohols, glycols, amphetamines, cannabis, CO, pesticides, cocaine, cyanides, metals, common therapeutic drugs, etc). My
only criticism of this otherwise excellent chapter is that it lacks a thoughtful discussion of when specific testing is appropriate in
management of the poisoned patient.