OP compound poisoning

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box February 03/ 2 / 2022 65 year / male came to casualty with a/h/o Consumption( proferofes) OP compound around 40 ml on 3/2/21 at Chityala Patient was brought to casualty at 4.30 p. m. C/o 2 episodes of vomiting No h/o invoulantary micturition / loose stools N/k/c/o DM,HTN,CAD,Asthma O/E: Pt c/c/c Temp- 98.6 f BP- 120/80 mmhg PR- 78 bpm Rr- 18 cpm Spo2- 97% at RA

Cvs- S1 S2 +,no murmurs Cns- no fnd Rs - BAE + P/A : soft , non tender Pupils : bilateral NSRL investigation:

diagnosis : OP COMPOUND poisoning Treatment given: gastric lavage done Inj. AROPINE 2cc in 10 ml NS/IV/ STAT Ivf 0.9% NS, DNS @Urine output + 100 Inj. PAN 40 mg / IV / OD Inj. PAM 1 GM /IV / TID inj. Zofer 4mg/IV / TID 1000ml DNS in 12 hrs