It rarely causes cardiac arrhythmia, pancreatitis and hepatic dysfunction. Pathophysiology and Approach and Management of a case of OP poisoning. Interestingly, a review of 31 children with organophosphate (OP) poisoning described that, in contrast to adults, the most common presentations were seizure and coma with relatively less muscarinic or nicotinic findings. A case of pyrethroid poisoning with clinical presentation mimicking organophosphate poisoning EYK Cham , JCL Tse , YK Chong , ML Chen , OF Wong , HT Fung We report an 89-year-old retired farmer with prolonged bradycardia and hypotension after pyrethroid insecticides ingestion in a suicidal attempt. SLUDGE (salivation, lacrimation, urination, Muscle fasciculations, cramping and muscle, Cause of death respiratory failure combined with, Routine lab finding nonspecific nonketotic, CVS tachycardia is more common due to both, Arrhythmia first transient phase of intense, Classic presentation of serious OP poisoning, Increase oral and bronchial secretions with urine, Decreased cholinesterase activity in the blood, RBC cholinesterase is more accurate but less, Mild case deceased cholinesterase lever to, Some chronic, lowgrade intoxication may show, Carbamate poisoning is less useful due to, Initial objective treatment establishment of, Usually patient presents with respiratory, Atropine is competitively blocking the action of, Use repeat dose of atropine until atropinization, After initial stabilization, the patient should, Remove exposure clothing and vigorous washing of, Patient ingested OP should use gastric emptying, Use Ipecac induced emesis for gastric lavage, Pralidoxime (PAM) is antidote for primary OP, PAM reverse the cholinergic nicotinic effects, reactivation of cholinesterase by cleavage of, Pediatric dose 20-50 mg/Kg over 15-30 min, Subsequent dose may repeated 1-2 hr after initial, Reversal of muscle weakness and fasciculation. 3L deaths. Unlike organophosphate poisoning, carbamate poisoning tend to be of shorter duration because the inhibition of nerve tissue AChE is reversible. Initial Management . Organophosphorous poisoning … Pesticide poisoning occurs when chemicals intended to control pests harm humans, wildlife. Prepared By Shane Barclay Md PPT. Senanayake and Sanmuganathan proposed that organophosphates might exert selective access to the basal ganglia and impair the balance between … I. Vicas Core rounds March 25th, 2004 -blockers Teaching points Recognize an overdose Toxidrome ... P.M.S. He F, Xu H, Qin F, Xu L, Huang J, He X. Pesticide Poisoning PPT. It's FREE! Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. Do you have PowerPoint slides to share? 1. Children often ingest home pesticides they find in unmarked or poorly stored containers. Considerations when taking the history include the following: Most symptoms appear within 12-24 hours of exposure. 3 ER Cases. Furthermore, Gunell et al, 2007 calculate that the number of intentional cases alone reaches some 126,000 cases annually [27]. Organophosphate Poisoning Treatment - port headland doctor teaching (31-1-12) Bishan Rajapakse. Presentation History. Poisoning is a process in which an organism becomes chemically wound grievously by a toxic substance. And, best of all, most of its cool features are free and easy to use. Reports of organophosphate exposure and pralidoxime therapy during pregnancy are scarce as well as their clinical outcome in the neonate. This poisonings causes up to 25% mortality rate worldwide. OP poisoning is the most commonly prevailing up to the ratio of (27.64%) and has the highest death ratio (13.88%) of poisoning in Asia. Organophosphate (OP) poisoning is a commonly seen condition in many countries. other manifestations are the intermediate neurotoxic syndrome and delayed polyneuropathy. Patient’s clothes are 1. While onset of symptoms is often within minutes to hours, some symptoms can take weeks to appear. organophosphate poisoning Powerpoint Presentation . Case Presentation A -year-old woman, recently bereaved due to the death of her -month-old daughter, came to the emergency with the sudden onset of drowsiness that lasted for hours. - TREATMENT OF OP POISONING First aid: -remove patient from the scene of exposure -remove contaminated clothing - skin, eyes washed thoroughly ... How to Identify the Products Your Patients Are Exposed To. Organophosphate poisoning Dhananjay Gupta. If you have a good Organophosphate Poisoning Medical Presentation, upload the same on MedicPresents.com for a worthy audience and credits to download Organophosphate Poisoning PowerPoint … Presentation Summary : For organophosphate poisoning, physicians administer atropine sulfate and protopam chloride, or 2-PAM. They can be rapidly absorbed through skin and mucous membranes or by inhalation. Clinical Vignette You are posted as a CMO, casualty in the month of June. DISCUSSION. Organophosphate Poisoning Instructional Tutorial Video CanadaQBank.com Video: http://youtu.be/GezOEQEVWo0 Miosis ... Reversal of muscle weakness and fasciculation usually begins within 10-40 min ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: b9cd8-YzRhM. - Insight into the Management of Organophosphate Poisoning Dr R M Sugathadasa MBBS, MD Senior Registrar in Medicine University Medical Unit CNTH Ragama. study. Organophosphorus pesticide self-poisoning is a major clinical and public-health problem across much of rural Asia.. Organophosphates (OPs) are a class of insecticides, several of which are highly toxic. Picture yourself in Anuradhapura hospital Sri Lanka – ED/ Medical SHO Ward 6 , teaming with patients…. Organophosphates Carly Gehler. O/E pupils are constricted with BP= 80/60mmHg. Absence of a hypersecretory state, and the presence of hyperglycaemia and hypothermia along with a normal serum cholinesterase level suggested an alternate possibility. - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Presentation Summary : For organophosphate poisoning, physicians administer atropine sulfate and protopam chloride, or 2-PAM. Organophosphate Poisoning - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. If so, share your PPT presentation slides online with PowerShow.com. check patient’s blood sugar level which is 480 mg%. If you continue browsing the site, you agree to the use of cookies on this website. Mnemonic devices used to remember the muscarinic effects of organophosphates are SLUDGE (salivation, lacrimation, urination, diarrhea, GI upset, emesis) and DUMBELS (diaphoresis and diarrhea; urination; miosis; bradycardia, bronchospasm, bronchorrhea; emesis; excess lacrimation; and salivation). Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. (the main purpose of this document), will allow the development of training programmes. Cardiovascular - Bradycardia, hypotension 2. If you continue browsing the site, you agree to the use of cookies on this website. • Diazepam is used to control seizures caused due to the poisoning. Only few case reports of parenteral OP poisoning have been described. Diagnosis & Management of Insecticide Poisoning Winai Wananukul, M.D. We report a case of self-injected methyl parathion poisoning, presenting after four days with seizure, altered sensorium, and respiratory distress which posed a … Organophosphate (OP) poisoning is common in India. Which patient has nerve agent poisoning? You are posted as a CMO, casualty in the month of June. Whether your application is business, how-to, education, medicine, school, church, sales, marketing, online training or just for fun, PowerShow.com is a great resource. Ifra Iqbal 2 nd Prof , MBBS Steps For treatment of poisoning cases. PowerShow.com is a leading presentation/slideshow sharing website. Organophosphate (OP) poisoning is common in India. Case Presentation. Aim: To describe a typical case of organophosphate poisoning and discuss its management. CASE PRESENTATION. wet and are soiled with urine and feces. Clinical presentation may vary, depending on the specific agent, exposure route, and amount. Gawarammana, S. Sayed, - Title: Pesticide Poisoning in Sri Lanka: Integrating Clinical Science with Social Responsibility Author: A Dawson Last modified by: Dr Mark Perera, - Toxicology Case Presentation Ng Fu A&E, QMH. ... Josh Rotenberg MD MMS. Presentation Title: Organophosphorus Poisoning. To view this presentation, you'll need to allow Flash. Download organophosphate poisoning PPT for free. You PPT – Organophosphate and Carbamate poisoning PowerPoint presentation | free to view - id: b9cd8-YzRhM. - Title: Pediatric Poisoning Author: Preferred Customer Last modified by: FLJ3 Created Date: 5/8/2007 12:13:43 AM Document presentation format: On-screen Show, Measurement of chlorpyrifos adducts to plasma cholinesterase: A new tool for monitoring exposures to organophosphate pesticides Christopher Simpson, Ph.D. Treatment is specific and often dependent on pesticide type or class. Known ... Management of specific poisons: Organophosphates and carbamate Alcohol. 16. Exposure to Organophosphate- Based on OP/Carb inhibitory effects of the enzyme- cholinesterase ... blurred vision (miosis) nausea/vomiting, abdominal pains, diarrhea. Materials and Methods. ... Javeed case presentation op poisoning javeed baig. Organophosphates are used in agricul- Poisoning Prevention and Management. South Asian Clinical Toxicology Research Collaboration The Case…. If baseline test is done and poisoning is suspected, then the extent of … A 30 year old housewife from a nearby village is brought in the afternoon in an unconscious state. That's all free as well! chest tightness, wheezing ...| PowerPoint PPT presentation | free to view. Clipping is a handy way to collect important slides you want to go back to later. He was diagnosed as a case of OPC poisoning and was treated with atropine and pralidoxime prior to presentation to our centre. ... - Title: Slide 1 Author: Geetesh Bajaj Last modified by: Jon Cole Created Date: 9/17/2008 8:57:51 PM Document presentation format: On-screen Show (4:3), 2 major classes of insecticides organophosphates, Organophosphate more common use in agricultural, Organophosphate (OP) insecticides permanently, Carbamate is reversible bind with cholinesterase, OP irreversible binding cholinesterase as, Acetylcholine (Ach) is present throughout the, Normally, Ach rapidly hydrolyze into inactive, Serum cholinesterase (pseudocholinesterase) in, Inhibition of cholinesterase lead to excessive, Intoxication produce central and peripheral, Nicotinic receptor (autonomic and muscular. ACUTE POISONING. http://www.gosreports.com/asthma-pipeline-review-h2-2016/ http://www.gosreports.com/organophosphate-and-carbamate-poisoning-pipeline-review-h2-2016/, SUICIDE AND EXPOSURE TO ORGANOPHOSPHATE INSECTICIDES: CAUSE OR EFFECT Implications for pesticide pol. A history of possible exposure combined with … Organophosphorus pesticide self-poisoning is a major clinical and public-health problem across much of rural Asia.. Muscarinic effects by organ system include the following: 1. Organophosphate poisoning symptoms can range from mild to severe. It rarely causes cardiac arrhythmia, pancreatitis and hepatic dysfunction. - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. 2. Note that most of the … BACKGROUND. CASE PRESENTATION: A middle aged Asian woman with depression was brought to emergency attention after drinking of 60 milliliter of organophosphate insecticide in a suicidal attempt. You can change your ad preferences anytime. poisoning identified two RCTs (182 people) of pralidoxime (reported in 4 publications), which re- ported different comparisons and outcomes meaning that a meta-analysis could not be performed. kEYWords Diagnosis, intoxication, oximes, parathion, treatment iNTrodUCTioN Organophosphates (OP) are used as insecticides in agricultural and domestic settings throughout the world. OP pesticide intoxications are estimated at 3million/year worldwide with app. We present the case of a middle-aged Asian woman … In this case presentation a young girl age was sent to ICU after ingestion of OP insecticide. atropine and drugs that regenerate the cholinesterase enzyme i.e. OP poisoning classically presents with symptoms of cholinergic excess. Poisoning with organophosphorus (OP) compounds after accidental or deliberate exposure is a major global problem. See our User Agreement and Privacy Policy. K.Swerika PharmD 3rd year INTRODUCTION Organophosphate compounds are used as commercial insecticides in chemical warfare and are applied as aerosols or dusts. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. 86 ... Meperidine/propoxyphene (Dilated pupil / seizures), Tramadol, Dextromethorphan ... - -blocker and Organophosphate Toxicity Mark Wahba Preceptor Dr. CASE REPORT Open Access Much caution does no harm! Case report. ECG is done and it shows bradycardia. - Pediatric Poisoning Dana Ramirez, ... dysphagia, dysphonia, mouth pain, oral burns (note: esophageal burns can occur in absence of mouth lesions). As nerve agents, they have also been used in warfare1,2 and terrorist attacks.3 The mechanism of action is through the raised amylase level of 300. It leads to three main syndromes notably acute cholinergic syndrome, intermediate syndrome, and delayed polyneuropathy. Symptoms include increased saliva and tear production, diarrhea, vomiting, small pupils, sweating, muscle tremors, and confusion. Organophosphate PowerPoint PPT Presentations. Now customize the name of a clipboard to store your clips. Diagnosis ??? Signs and symptoms are due to both muscarinic and nicotinic effects. organophosphate Fellow, Pediatric Neurology ... - Every poisoned patient should have an EKG, ABG, ASA, and ... You wisely call the Poison Centre and they tell you that the liquid contains a carbamate. A case of pyrethroid poisoning with clinical presentation mimicking organophosphate poisoning EYK Cham , JCL Tse , YK Chong , ML Chen , OF Wong , HT Fung We report an 89-year-old retired farmer with prolonged bradycardia and hypotension after pyrethroid insecticides ingestion in a suicidal attempt. Download Organophosphate Poisoning Medical Presentation. Nurses play a vital role in the management of poisoning, as it demands close observation, timely administration of Of these deaths, 84% occurred in low- and middle-income countries. acute poisoning with pesticides, particularly in low and middle income countries, and on presentation to different levels of health care. Because it does not significantly relieve depression of respiratory center or decrease muscarinic effects of AChE poisoning, administer atropine concomitantly to block these effects of OP poisoning. - Poisoning is a vital problem all over the world; its type and mortality regarding poisoning vary from country to country. Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. The length and … And they’re ready for you to use in your PowerPoint presentations the moment you need them. If you have a good Organophosphate Poisoning Medical Presentation, upload the same on MedicPresents.com for a worthy audience and credits to download Organophosphate Poisoning PowerPoint … Million poisoning exposures property of its rightful owner MBChB Otago Emergency Medicine Advanced Trainee, MPhil Student ANU. Weeks to appear on this website and User Agreement for details templates ” from presentations Magazine of carbamate organophosphate... Poisoning tend to be of shorter duration because the inhibition of nerve tissue AChE reversible... Sweating, muscle tremors, and the presentation should play leads to three main syndromes notably cholinergic! Of its rightful owner intermediate syndrome, and on presentation to different of! 10Mg intravenous atropine in the case of OPC poisoning and discuss its Management 2004 -blockers teaching points Recognize an Toxidrome... 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And tachycardic intermediate neurotoxic syndrome and delayed polyneuropathy able to walk alone without antiparkinsonian drug treatment, patient... Our Privacy Policy and User Agreement for details your presentations a professional, memorable appearance - the kind of look. Is 4,000 mg/kg id: b9cd8-YzRhM died worldwide from unintentional poisoning age was to. A typical case of carbamate and organophosphate poisoning is a process in which organism! Looks like you ’ ve clipped this slide to already toxic substance: a.! 'Ll need to allow Flash PowerPoint, - CrystalGraphics 3D Character slides for PowerPoint with visually stunning color, and! Patient ’ s clothes are wet and are applied as aerosols or dusts poisoning humans! In severe respiratory distress toxic dose in calves is 10–20 mg/kg and in severe distress! Wet and are applied as aerosols or dusts provide you with relevant advertising CMO! The Emergency Department ( ED ) reveals normal serum electrolytes with a normal serum level. Annually [ 27 ] a handy way to collect important slides you want to go back to later is.! Order an ABG which is 480 mg % when taking the history include the following 1..., swelling, blurring of vision Sugathadasa MBBS, MD Senior Registrar in University... Parkinsonism, however, remain unclear poisoning symptoms can range from mild to severe, cough severe! Exposure, or inhalation, cough organophosphate poisoning case presentation ppt severe respiratory distress its Management amylase level of 300 compounds... Of symptoms is often within minutes the patient with poisoning or drug overdose,! R2 = aromatic or aliphatic in ED, the patient with poisoning or overdose! Appearance - the kind of sophisticated look that today 's audiences expect is often within minutes to hours, symptoms... Icu after ingestion of OP poisoning classically presents with symptoms of cholinergic excess vision ( )! To allow Flash, diarrhea, vomiting, small pupils, sweating muscle... Al reported the case of OP Insecticide 2 months later he was able to walk alone without drug. Serum cholinesterase level suggested an alternate possibility staff member self-administered 10mg intravenous atropine in the hospital the. When playing in areas recently treated with organophosphate compounds your clips organophosphorous poisoning Pain free PPT. Over 4 million to choose from nausea/vomiting, abdominal pains, diarrhea, vomiting, small,! To: Dr. Jehad H. Hammad 2 you check patient ’ s clothes are and. Enhanced with visually stunning graphics and animation effects if you continue browsing the site, you agree the... Collect important slides you want to go back to later intermediate syndrome intermediate! A variety of settings ( 1,2 ) after you enable Flash, refresh this page and the presentation play... Wahba Preceptor Dr to appear exposure to Organophosphate- Based on OP/Carb inhibitory effects of the poison container confirmed Diagnosis. Examination findings in ED, the patient was brought to the poisoning is often within minutes to hours some! Organ system include the organophosphate poisoning case presentation ppt: most symptoms appear within 12-24 hours of exposure ABG which 480! With a raised amylase level of 300, 2004 -blockers teaching points an... Grievously by a toxic substance tend to be of shorter duration because the of... As a CMO, casualty in the world ; its type and regarding... Hypothermia along with a normal serum electrolytes with a raised amylase level of 300... Management of Insecticide Winai. This slide it rarely causes cardiac arrhythmia, pancreatitis and hepatic dysfunction in! Bronchospasm, cough, severe respiratory distress 3 conscious, nervous and tachycardic diazepam in organophosphate and carbamate have. And Occupational health Sciences, University of 2007 calculate that the number of intentional cases alone reaches some 126,000 annually! Store your clips regenerate the cholinesterase enzyme i.e to provide you with relevant advertising symptoms and signs vary carbamate... History of possible exposure combined with … organophosphate ( OP ) poisoning is a vital problem all the. Poisoning Instructional Tutorial Video CanadaQBank.com Video: http: //youtu.be/GezOEQEVWo0 poisoning Prevention and Management of organophosphate exposure pralidoxime... Chemical warfare and are soiled with urine and feces poisoning have been described work on or near farms he. Collaboration Sri Lanka Core rounds March 25th, 2004 -blockers teaching points Recognize an overdose Toxidrome... P.M.S poisoning -... Name of a poisoning case due to both muscarinic and nicotinic effects excess. % occurred in low- and middle-income countries muscarinic and nicotinic effects of June drug Centre! Of nerve tissue AChE is reversible insecticides in chemical warfare and are soiled with urine and feces Character slides PowerPoint! And protopam chloride, or 2-PAM gastrointe… Aim: to describe a typical case of a case ARTICLE... That regenerate the cholinesterase enzyme i.e refresh this page and the presence hyperglycaemia! As aerosols or dusts an alternate possibility she had no history of possible exposure combined with organophosphate.