While transporting a 45-year-old male patient from a rural area, you notice that he is exhibiting excessive salivation, lacrimation, urination, defecation, gastrointestinal upset, and miosis. His coworkers report that he was exposed to a pesticide in the field. What is the most appropriate medication to administer?
The patient's symptoms indicate cholinergic toxicity due to organophosphate pesticide exposure. Atropine is an anticholinergic agent that blocks muscarinic receptors, reducing secretions and reversing bradycardia. It is the first-line treatment in organophosphate poisoning. Naloxone is an opioid antagonist used for opioid overdoses and is not effective in this situation. Calcium gluconate is used for calcium channel blocker overdose and hydrofluoric acid exposure, which are not relevant here. Flumazenil is a benzodiazepine antagonist used for benzodiazepine overdoses and may cause seizures in patients with cholinergic toxicity.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is cholinergic toxicity?
Open an interactive chat with Bash
How does atropine treat cholinergic toxicity?
Open an interactive chat with Bash
Why are other medications like naloxone, calcium gluconate, or flumazenil not appropriate here?
Open an interactive chat with Bash
BCEN CFRN
Medical Emergencies
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .