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Subjects/Forensic Medicine/Forensic Medicine
Forensic Medicine
medium
shield Forensic Medicine

A lady was brought from village, unconscious, about 12 hours after ingesting some kind of unknown poison. Her hea rate was 103/min, blood pressure in 90/50 mm Hg and respiratory rate is 19/min. Her breath smelled like kerosene. All of the following should be done in her management, except:

A. Gastric lavage should be done
B. Atropine should be administered till signs of recovery
C. Vasopressors should be administered intravenously
D. Immediate airway management

Explanation

Ans: C. Vasopressors should be administered intravenously(Ref Reddy 34/e p487, 33/e p; Parikh 6/e p10.41-10.45).Signs & symptoms suggestive of organophosphorus poisoning.Antidote of choice - Atropine.Reves bradycardia & hypotension.Vasopressors contraindicated - Due to cholinergic effect combated by atropine.

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