Vol1:1
Toxicology
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?
a. Naloxone
b. N-acetylcysteine
c. Atropine and Pralidoxime (2-PAM)
d. Flumazenil
e. Bicarbonate and Kayexalate
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22 comments:
2PAM and atropine
c. Atropine and Pralidoxime (2-PAM)
Looks like organophosphate poisoning.
Pralidoxime and atropine (2-PAM) for treatment.
C
Atropine and Pralidoxime
c. Atropine and Pralidoxime (2-PAM)
C. Atropine and Pralidoxime (2-PAM)
While hypertension and tachycardia aren't the classic presentation for organophosphate toxicity, they are possible as nicotinic effects.
c. Atropine and Pralidoxime (2-PAM)
2-5mg Atropine titrated to effect, 30 mg/kg 2-PAM.
C. atropine and 2-PAM
C
c. atropine and pralidoxime
Cholinergic crisis: 2-PAM and atropine
2-pam
C. Atropine and pralidoxime
c. atropine and pralidoxime because insecticide is an organo-phosphate
C. 2-PAM, need to give atropine first.
c. 2-PAM, must give atropine first
C. atropine and pralidoxime
C. Atropine and 2 pam this is an organophosphate poisoning with cholinergic toxicity
C. Atropine and Pralidoxime.
c.
Jean
2pam and atropine baby!
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