Thursday, November 6, 2014

Treatment of organophosphorus poisoning mnemonic


I focus on how to remember the doses of the medications in this post.

Atropine. aTWOpine. 2 mg IV every 5-10 minutes till full atropinisation occurs.

Pralidoxime is also known as 2-PAM. Two. So 20 mg/kg in 20 minutes is the loading dose. Half that, 10 mg/kg/hr is the maintenance.

Remember to remove the patient from further exposure and wash the skin, give gastric lavage.
Also catheterize the patient before atropine is given (viva concept).

For symptoms of muscarinic poisoning, the common mnemonics are "DUMBBELLS" and "Cholinergics make you leaky"

That's all!

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