Essential Oils Quiz

Essential oils are products of plant extracts, which include terpenes, quinines, aromatic and aliphatic esters and alcohols, as well as phenol and benzene substitution products. Are these compounds regulated by the FDA?

A 22-year-old man presents to the emergency department with generalized tonic clonic seizures. He was given 10 mg IM diazepam in the field without resolution of his seizures. Total seizure time has been 15 minutes. Initial vitals have not yet been obtained due to ongoing seizure activity. A nurse has established an 18g IV line in the right antecubital fossa. What is your next best course of action

After administration of the previous agent, the patient’s seizures are controlled. Now the patient is postictal. His vital signs are p130 bp150/70 rr20 O2sat 100%4LNC T37.5rectal. The patient moans to sternal rub, localizes to pain, and opens his eyes when stimulated, and he is protecting his airway. The patients roommate arrives in the ED and says he has no medical problems, or history of seizure, and he had been attempting to make his own absinthe by infusing 90% pure grain spirits with wormwood oil extract he had purchased online. What is the correct pair of molecule and mechanism of action of the constituent that is most likely for responsible for this patients presentation?

You are working in an urgent care in Washington Heights, NYC when a mother brings in her 18-month-old male experiencing generalized tonic clonic seizures. You give 0.1 mg/kg of IM diazepam, which leads to abatement of seizure like activity. Initial vitals are T38C rectal, p140, bp 90/70, rr 24, O2sat98%RA. Collateral reveals that the mother had been treating a cold-like symptoms with an herbal ointment remedy. What is the most likely xenobiotic that lead to this patient’s condition?

A 3-year-old boy presents to the ED with altered mental status. His mother says he was found next to a half empty bottle of clove oil. He had oil around his lips and was complaining of pain to his mouth. His mother then induced vomiting, but only trace amounts of food were produced. His initial vitals are: p120 bp85/70 rr22 O2sat99%RA T37C. On physical exam, the patient is lethargic appearing and is arouseable to noxious stimuli. Pupils are 4mm and reactive. There is no clonus, rigidity, or hyperreflexia. Initial labs are significant for a mildly elevate AST to 98 and ALT 105. What is the most appropriate treatment?

Eucalyptol can cause drowsiness, altered mental status, and in rare cases seizures. It is most commonly found in what over the counter remedy?

Lavender oil has been associated with anxiolysis due to possible GABA-A agonism, and has widespread useage in the united states for its pleasant smell. Despite these properties, it has also been associated with which of the following?