Académique Documents
Professionnel Documents
Culture Documents
|
|
àhis is a case of S.Y., one year and eleven
months old, male, Filipino, Roman Catholic,
currently residing in Canlalay, Laguna,
admitted for the first time at around 8 o¶clock
in the evening of May 24, 2008 at UPH-
DJGàMC.
! !
ÿomiting
Mother 90
Sunken eyeball, pale palpebral conjuctiva,
anicteric clear, no nasal discharge, no
tonsillopharyngeal congestion, no cervical
lymphadenopathy, wet mucosa.
!
Symmetrical chest expansion, * rales
both lung fields, * retractions.
Adynamic precordium, tachycardic
rhythm, no murmurs.
Flat, hypoactive bowel sounds, soft, no
tenderness, no organomegaly.
Not assessed.
No gross deformities, good pulse.
| | u u|| |
Ô| !
! u!| |
!
ORGANOPHOSPHAàE PO SON NG
·
- miosis
- salivation
- sweating
- bronchial constriction
- vomiting
- diarrhea
- neuropathy associated with demyelination of
axons.
Organophosphates
± Cholinesterase inhibitors
± ndirect cholinomimetic action
± àarget acetylcholinesterase
± ncrease acetylcholine by inhibiting AChE
± Mechanism is through phosphorylation of the
serine hydroxyl group located at the active site of
AChE.
Organophosphates can be absorbed
cutaneously, ingested, inhaled, or injected.
Atropine
Sulfate
(Anespin) +++ - + ++++
Pralidoxime + - ++ ++
·
u
Atropine Sulfate ÿ
JOANNA LOREN J. OCH A, M.D., FPCP, FPCC
Cardiology- nternal Medicine
Cell no.: *0917360-6954
Rx
Atropine Sulfate Ampule 1mg/mL
*Anespin 1
Refill: none