Red Tide: Causative Agent
Red Tide: Causative Agent
Red Tide: Causative Agent
Causative Agent
Red tides are caused by an explosive growth and accumulation of certain
microscopic algae, predominantly dinoflagellates, in coastal waters. Some species of
dinoflagellates produce toxins that are among the most potent known to man.
Mode of Transmission- ingesting of contaminated sea foods (clams, mussels , fish,
shellfish etc)
Diagnostic Procedure
ask about Recent shellfish ingestion
toxin testing related to the microscopic epidemiology of red tide
Treatment Modalities
Anticurare drugs were ineffective, while DL amphetamine (benzedrine) was most
effective in aiding the artificial respiration and decreasing the recovery period.
supportive measures are the basis of treatment for PSP, especially ventilatory
support in severe cases.
Close monitoring for at least 24 hours and aggressive airway management at any
sign of respiratory compromise should prevent severe morbidity and mortality.
Nursing Management
Gastrointestinal decontamination with activated charcoal is recommended for
patients who present within 4 hours of ingestion.
Nasogastric or orogastric lavage may be performed if the patient presents within 1
hour of ingestion, but this is often unnecessary.
If gastric lavage is performed, the use of isotonic sodium bicarbonate solution as a
lavage irrigant has been suggested because many of the shellfish toxins have
reduced potency in an alkaline environment.
Prevention
Avoid entering bodies of water that have a distinct foul odor, appear discolored, or
have foam, scum, or algal mats (sheet-like accumulations of blue-green algae) on the
surface.
Follow local or state guidance about the safety of the water.
Check environmental or state websites for local beach or lake closures before
visiting.
Do not drink directly from lakes, rivers, or ponds.
Do not fish, swim, boat, or participate in water sports in areas experiencing a red
tide.
Rinse off pets with clean water after they’ve been in the pond, lake, or ocean. Do not
allow them to lick their fur until they’ve been rinsed.
Follow local guidance when consuming harvested fish or shellfish.
Avoid eating large reef fish.