After being fired from his job, a 35-year-old man attempts suicide by drinking from a bottle labeled “Insecticide”. Three hours later, EMS brings him in to the ED and you notice he is extremely diaphoretic, drooling, and vomiting. He is awake but confused. His vital signs are BP 170/90 mm Hg, HR 100, RR 22, Temp 98.6 ºF, and oxygen saturation 95% on room air. Physical exam demonstrates pinpoint pupils and crackles on lung exam. What is the treatment to reverse this patient’s poisoning?
c. Atropine and Pralidoxime (2-PAM)
e. Bicarbonate and Kayexalate
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