Organophosphorus compounds are a group of chemicals commonly used as pesticides and in industrial applications. They inhibit acetylcholinesterase, an enzyme responsible for breaking down acetylcholine, leading to an accumulation of acetylcholine and overstimulation of the nervous system. Here's a breakdown of symptoms and treatment:
Symptoms of Organophosphorus Poisoning
Mild Exposure:
Headache
Dizziness
Nausea
Vomiting
Abdominal cramps
Moderate Exposure:
Muscle twitching
Excessive salivation
Sweating
Diarrhea
Difficulty breathing
Blurred vision
Severe Exposure:
Convulsions
Loss of consciousness
Severe respiratory distress
Coma
Possible death
Treatment of Organophosphorus Poisoning
Immediate Actions:
Decontamination: Remove the person from the contaminated area and remove any contaminated clothing. Wash the skin with soap and water.
Medical Treatment:
Antidotes:
Atropine: Helps counteract the effects of excess acetylcholine. Administered intravenously or intramuscularly.
Pralidoxime (2-PAM): Reactivates acetylcholinesterase. Effective primarily in the early stages of poisoning.
Supportive Care:
Respiratory Support: Provide oxygen or mechanical ventilation if needed.
Seizure Management: Use anticonvulsants like diazepam or lorazepam if seizures occur.
Additional Measures:
Observation and Monitoring: Regular monitoring of vital signs and supportive care as needed.
Hydration and Electrolyte Balance: Ensure proper hydration and manage electrolyte imbalances.
Early diagnosis and prompt treatment are crucial for the best outcomes. If poisoning is suspected, seek medical attention immediately.
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