Ingestion of organo-phosphorous compound is common occurrence in Nepal. These substances can
be fatal if treatment is delayed.
Diagnostic features
• History of intake.
• Typical smell from the mouth.
• Constricted pupil.
• Excessive salivation.
• Abdominal pain associated with diarrhoea and vomiting.
• Frequent micturition.
• Slow pulse.
• Difficulty in breathing.
Treatment
• Clear excessive secretion from the mouth by suction.
• Do gastric lavage in a conscious patient repeatedly till washing becomes clear.
• Maintain an intravenous line.
• Inj. Atropine (0.6 mg/ml) 3 to 6 ml is given intramuscularly, or intravenously; repeat every 15
minutes till signs of Atropine toxicity (dry mouth, tachycardia and pupillary dilation) appear.
• Change the contaminated cloths and belongings.
• If possible use N. G. tube for unconscious patient.
In case of general poisoning:
• Maintain A, B, C (Airways, Breathing and Circulation)
• Gastric lavage
• Treat with activated charcoal
Referral
Every case of poisoning must be referred to the nearby hospital immediately after giving the patient
atropine.
Source : STANDARD TREATMENT PROTOCOL FOR HEALTH POSTS AND SUB HEALTH POSTS 2013,Nepal
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