A 52-year-old male presents to the emergency department with muscle weakness, salivation, lacrimation, and difficulty breathing. He is a farmer and was spraying insecticides in the field prior to symptom onset. It is suspected that he has been exposed to an organophosphate compound. Which of the following is the most appropriate initial treatment?
The treatment for organophosphate poisoning involves the administration of atropine, an anticholinergic agent, to counteract the overstimulation of the cholinergic (muscarinic) system. Pralidoxime is sometimes used in conjunction with atropine to reactivate cholinesterase. Oxygen is vital for patients in respiratory distress, but it does not counteract the effect of organophosphates. Activated charcoal is used for ingested poisons, not typically for dermal or inhalational exposure like organophosphates.
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BCEN CEN
Environment and Toxicology Emergencies, and Communicable Diseases
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