Adult Organophosphate

Question 1

Adult Organophosphate - S/S of toxicity?

Answer 1

SLUDGEM

Salivation
Lacrimation
Urination
Defecation
GI upset
Emesis
Miosis (pupil constriction)

Bronchorrhea
Bronchospasm
Bradycardia

Question 2

Adult Organophosphate - Muscarinic Toxicity Mneumonic?

Answer 2

DUMBELS

Diarrhea
Urination
Miosis
Bradycardia, Bronchorrhea, Bronchospasm
Emesis
Lacrimation
Salivation, Secretion, Sweating

Question 3

Adult Organophosphate - Nicotinic Toxicity Mneumonic?

Answer 3

M-T-W-H-F

Mydriasis
Tachycardia
Weakness
Hypertension, Hyperglycemia
Fasciculations

Question 4

Adult Organophosphate - Common agenst?

Answer 4

Organophosphate compounds
Malathion, parathion, Serin, VX
Carbamate compounds:
Carbofuran, Furadan, Carbaryl, Bisphenol-A

Question 5

Adult Organophosphate - Toxic S/S treatment?

Answer 5

Atropine 2 mg q 5 until reversal of symptoms

Question 6

Adult Organophosphate - Atropine Indications

Answer 6

Organophosphate poisoning

Question 7

Adult Organophosphate - Atropine Dose

Answer 7

2 mg IV/IO q 5 min prn, titrate until reversal of toxicity

Question 8

Adult Organophosphate - Atropine Contraindications

Answer 8

Hypersensitivity

Question 9

Adult Organophosphate - Patient safety considerations?

Answer 9

Avoid succinylcholine for intubation

Focus on reducing further harm by proper decontamination