The video discusses a case of organophosphorus (OP) poisoning in a 63-year-old male patient, and covers the assessment, treatment, and management of OP poisoning. Here's a summary of the key points: Patient Presentation: The patient presented with a history of deliberate self-harm by consuming an herbicide containing a synthetic organophosphorus compound [00:05]. He experienced vomiting, loose stools, and cough with chest discomfort [01:04]. Initial Management: Gastric lavage was performed at an outside hospital [01:09]. Upon arrival, the patient's airway was patent, breathing was adequate with oxygen, and circulation was stable [02:32]. Decontamination: The patient's clothes were removed and the body was thoroughly washed with soap and water [03:37]. Pharmacological Treatment: Atropine and pralidoxime were administered [04:53]. The video explains the difference between bolus and infusion doses of atropine [06:03]. Intubation: The patient was intubated due to worsening GCS and irregular respirations [08:01]. Indications for intubation in OP poisoning are discussed [08:16]. Monitoring: The video highlights the importance of monitoring heart rate, blood pressure, chest sounds, and temperature [09:20]. Additional Management: Catheterization was performed [10:30]. Oral feeding was initially avoided due to decreased gut motility [10:48]. Atropine and Glycopyrrolate: The video discusses when to stop or alter the atropine regimen, and the use of glycopyrrolate as an alternative [11:28]. Signs and Symptoms of OP Poisoning: The video reviews the signs and symptoms of OP poisoning, including both sympathetic and parasympathetic effects [15:02]. Intermediate Syndrome: The video mentions intermediate syndrome, which can occur 1-5 days after exposure [17:11]. Chronic Toxicity: The video touches on chronic toxicity in agricultural workers [18:00]. Carbamates: The video briefly mentions carbamates and their relationship to OP poisoning [18:58]. Antibiotics: The video addresses the use of antibiotics to prevent ventilator-associated pneumonia [19:17]. Oral Feeds: The video discusses when it is safe to start oral feeds [19:38].
The video discusses a case of organophosphorus (OP) poisoning in a 63-year-old male patient, and covers the assessment, treatment, and management of OP poisoning.
Here's a summary of the key points:
Patient Presentation: The patient presented with a history of deliberate self-harm by consuming an herbicide containing a synthetic organophosphorus compound [00:05]. He experienced vomiting, loose stools, and cough with chest discomfort [01:04].
Initial Management: Gastric lavage was performed at an outside hospital [01:09]. Upon arrival, the patient's airway was patent, breathing was adequate with oxygen, and circulation was stable [02:32].
Decontamination: The patient's clothes were removed and the body was thoroughly washed with soap and water [03:37].
Pharmacological Treatment: Atropine and pralidoxime were administered [04:53]. The video explains the difference between bolus and infusion doses of atropine [06:03].
Intubation: The patient was intubated due to worsening GCS and irregular respirations [08:01]. Indications for intubation in OP poisoning are discussed [08:16].
Monitoring: The video highlights the importance of monitoring heart rate, blood pressure, chest sounds, and temperature [09:20].
Additional Management: Catheterization was performed [10:30]. Oral feeding was initially avoided due to decreased gut motility [10:48].
Atropine and Glycopyrrolate: The video discusses when to stop or alter the atropine regimen, and the use of glycopyrrolate as an alternative [11:28].
Signs and Symptoms of OP Poisoning: The video reviews the signs and symptoms of OP poisoning, including both sympathetic and parasympathetic effects [15:02].
Intermediate Syndrome: The video mentions intermediate syndrome, which can occur 1-5 days after exposure [17:11].
Chronic Toxicity: The video touches on chronic toxicity in agricultural workers [18:00].
Carbamates: The video briefly mentions carbamates and their relationship to OP poisoning [18:58].
Antibiotics: The video addresses the use of antibiotics to prevent ventilator-associated pneumonia [19:17].
Oral Feeds: The video discusses when it is safe to start oral feeds [19:38].
Thank you so much for a clear and informative case discussion on OP poisoning. Special thanks to the professor for the valuable guidance.
Thanks more for this discussion..
When we start atropine infusion... Which does for infusion ?
Thankyou sir 🙏
Sir, can you tell about the maintainance dose of atropine after atropinization.. 😊
Excellent discussion sir ❤