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Atropine Induced Delirium in Organophosphate (OP) Insecticide Poisoning: A Case Report

机译:阿托品诱导有机磷(OP)杀虫剂中毒的Deli妄:一例报告

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Delirium is a condition associated with disturbances in mental abilities attributing to the reduced awareness of one’s environment. The onset of delirium is usually rapid, which may last for hours or even few days. Organophosphate poisoning (OP poisoning) is one of the leading causes associated with suicidal attempts and major admissions in the intensive care unit. Few literatures have been reported regarding the use of atropine and the concurrent risk of adverse reactions. Manifestations of atropine overdose and misuse includes dryness of the mouth, tachycardia and in addition, psychotic symptoms such as restlessness and excitement, hallucinations, delirium etc. A 14 year-old female patient who manifested with delirium and associated symptoms after atropine administration during the management of OP poisoning. Atropine administrations should be monitored based on the acetyl cholinesterase enzyme estimation and the dose may be titrated to prevent the worsening of the present conditions. Monitoring of the signs and symptoms is the key element to prevent the adverse effects.
机译:妄是一种与精神能力障碍有关的疾病,归因于对环境的意识下降。 ir妄的发作通常很快,可能持续数小时甚至数天。有机磷中毒(OP中毒)是重症监护室自杀企图和重大入院相关的主要原因之一。关于阿托品的使用以及不良反应的并发风险,鲜有文献报道。阿托品过量和滥用的表现包括口干,心动过速以及此外,精神病性症状,如躁动不安和兴奋,幻觉,etc妄等。一名14岁女性患者,在治疗期间服用阿托品后出现del妄及相关症状OP中毒。应基于乙酰胆碱酯酶的估计来监测阿托品的给药,并可能需要调整剂量以防止当前病情恶化。监测体征和症状是预防不良反应的关键因素。

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