A Systemic Review of Organophosphorus Poisoning by Analyzing the Case Report
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Abstract
Introduction: Poison is any substance that obstructs with ordinary body functions and is capable of affecting adverse effects in living organisms. Self-poisoning from organophosphorus [OP] pesticides is a significant clinical issue in rural areas of developing countries and is responsible for an estimated 2,00,000 fatalities annually. Suspicion recognizable clinical symptoms the odour of pesticides or solvents and decreased butyrylcholinesterase activity in the blood are used for diagnosis.
Case Study: A 30 years old female patient was admitted in a Tertiary Care Hospital, with an alleged history of dimethoate compound poisoning. On arrival the patient was drowsy responds to painful stimuli and afebrile. The treatment was begin with Gastric lavage with normal saline Inj.Pralidoxime in an intravenous route and Atropine was also administered intravenously and repeated every 5 minutes until the pupil dilated and Ranitidine was given to prevent ulceration.
Discussion: The initial method to treat organophosphorus poisoning is to decontaminate the patient by removing and destroying all clothing and using drying agent such as flour sand or bentonite. The patient's irrational usage of medication therapy causes a worsening of the condition and a 10- to 15-day hospitalization.
Conclusion: As per the standard treatment guidelines, atropine should be given as first-line therapy because muscarinic effects are reversed by atropine. By providing this to the patient, you will minimise the severity of their illness minimise down on their stay in the hospital and ultimately save their lives.
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References
I. Robb EL, Baker MB. Organophosphate Toxicity. [Updated 2022 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023
II. Singh S, Sharma N. Neurological syndromes following organophosphate poisoning. Neurol India. 2000 Dec;48(4):308-13. PMID: 11146591.
III. Poisoning and drug over dose by the faculty, staff and associates of California poison control system edited by KENT R. OLSON. Pg no:353 (7th edition)
http://chemistry.elmhurst.edu/vchembook/662cholinergic2.html (Accessed on 03.04.2023)
IV. Haddad LM. Organophosphates and other insecticides. In: Haddad LM, Winchester J, Eds. Clinical management of poisoning and drug overdose. W.B. Saunders Company 1990; 1076-87
V. Walton EL. Pralidoxime and pesticide poisoning: A question of severity? Biomed J. 2016 Dec;39(6):373-375. doi: 10.1016/j.bj.2016.12.001. PMID: 28043415; PMCID: PMC6138517.
VI. Chen KX, Zhou XH, Sun CA, Yan PX. Manifestations of and risk factors for acute myocardial injury after acute organophosphorus pesticide poisoning. Medicine (Baltimore). 2019 Feb;98(6):e14371. [PMC free article] [PubMed]
VII. Mary Jancy Joy, Bharathy Radhakrishnan, Meenakshi Sekar, Shirley David (2019). Organophosphate poisoning: Overview, management and nursing care, 20 (2), 131-140. DOI: 10.4103/IJCN.IJCN_24_20.
VIII. Usha M, Satish Kumar BP, Shahin Maria J, Ebru Joseph S, Laxman W. Developing a Standard Treatment Protocol Towards Organophosphorus Poisoning for Emergency Department in a Hospital, India. J Basic Clin Pharma 2017;8:S64-71
IX. Standard treatment guidelines. A manual for medical therapeutics.Sangeeta Sharma,GR Sethi, Usha Gupta.4th edition, pg no:110.