maintain adequate ventilation and oxygenation of the patient.
this material is a cholinesterase inhibotor.
treat symptomatically.
in case of severe acute poisoning, use antidote immediately after establishing an open airway and respiration.
atropine, only by injection, is the preferable antidote.
oximes, such as 2-PAM/protopam, may be therapeutic if used early; however,use only in conjunction with atropine.
attemp seizure control with diazepam 5-10 mg (adults) intravenous over 2-3 minutes.
repeat every 5-10 minutes as needed.
monitor for hypotension, respiratory depression, and need for intubation.
consider second agent if seizures persist after 30 mg.
if seizures persist or recur administer phenobarbital 600-1200 mg intravenous diluted in 60 ml 0.9% saline given at 25-50 mg/minute.
evaluate for hypoxia, dysrhythmia, electrolyte disturbance, hypoglycemia (treat adults with dextrose 100 mg intravenous).
if exposed, plasma and red blood cell cholinesterase tests may indicate significance of exposure.
exposure may increase " myocardial irritability".
do not asminister sympathomimetic drugs such as epinephrine unless absolutely necessary.
treatment of exposure should be directed at the control of symptoms and the clinical condition of the patient.
maintain adequate ventilation and oxygenation of the patient.this material is a cholinesterase inhibotor.treat symptomatically.in case of severe acute poisoning, use antidote immediately after establishing an open airway and respiration.atropine, only by injection, is the preferable antidote.oximes, such as 2-PAM/protopam, may be therapeutic if used early; however,use only in conjunction with atropine.attemp seizure control with diazepam 5-10 mg (adults) intravenous over 2-3 minutes.repeat every 5-10 minutes as needed.monitor for hypotension, respiratory depression, and need for intubation.consider second agent if seizures persist after 30 mg.if seizures persist or recur administer phenobarbital 600-1200 mg intravenous diluted in 60 ml 0.9% saline given at 25-50 mg/minute.evaluate for hypoxia, dysrhythmia, electrolyte disturbance, hypoglycemia (treat adults with dextrose 100 mg intravenous).if exposed, plasma and red blood cell cholinesterase tests may indicate significance of exposure.exposure may increase " myocardial irritability".do not asminister sympathomimetic drugs such as epinephrine unless absolutely necessary.treatment of exposure should be directed at the control of symptoms and the clinical condition of the patient.
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