Management of A Case of Acute Poisoning
Management of A Case of Acute Poisoning
Management of A Case of Acute Poisoning
ACUTE POISONING
Ifra Iqbal
2 nd Prof , MBBS
Steps For treatment of
poisoning cases
• Chlorpromazine hydrochloride
• Either injection or orally (5
c.c.ampule/10 c.c.ampule )
qRelieving
pain
Body pain :
Paracetamol
Ibuprofen
Diclofenac sodium
Abdominal pain :
Atropine injection
SAFEGUARDING RESPIRATION
• Epinephrine 1:1000
• Atropine(0.5-1 mg injection)
• Cortisone
Narcosis :
Morphine
Short acting barbiturate
To prevent narcosis :
Laptozol, Nikethinamide etc.
qCardiac arrest :
• Cardiac massage
• Caffeine
• Digitalis
• Nicotinamide
• Xylocaine
• Digoxin
qVAGAL INHIBITION :
Atropine
Hepatic coma
• Deeply sedated : 10% Glucose
solution is to be administered
bottle after bottle
• Monosodium glutamate – 500 ml
Control of convulsions
The patient is given Diazepam (0.2-0.4
mg/kg) slow I.V. upto a maximum of 10
mg at a time. If I.V. administration
isn’t possible, Diazepam is to be
administered per rectally.
qAllergy
Anti-histaminics : Promethazine
Chlorpromazine
qDermatitis
Al acetate/MgSO4/Na2 CO3/KMnO4
qCough :
• Antitussives or Expectorants
qRespiratory Infections :
• Antibiotics
qDiarrhoea
• Without antibiotics:
Pectin+Bismuth+Kaolin
• With antibiotics: All fluoroquinolones
qAbdominal distension
Nasogastric or Intestinal intubation
Management of hypothermia