You are treating a farm worker who has been found unconscious after becoming soaked in a pesticide that he was using on his fields. The exposure occurred earlier in the day. The patient presents with excessive salivation, tearing, constricted pupils, hypotension, and bradycardia. After initial supportive treatments have been rendered, which of the following would the paramedic MOST likely
administer?
a. Atropine sulfate, 1 mg initially, repeated every 3–5 minutes. Up to 100 mg may be administered to this patient.
b. Pasadena Cyanide Kit should be administered as directed
c. Epinephrine 1 mg, every 3–5 minutes IVP
d. Naloxone 1–2 mg repeated every 5 minutes until cessation of bradycardia
a
Rationale: a. Correct.
b. The Pasadena Cyanide Kit should be administered in suspected cyanide overdose. This overdose is most likely organophosphate poisoning.
c. Epinephrine is administered in situations involving cardiac arrest and anaphylaxis.
d. Naloxone is used in suspected narcotic overdose.
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