Poisoning and Overdose
Questions
217.After being fired from his job, a 35-year-old man attempts suicide by
drinking from a bottle labeled “insecticide.” Three hours later, emergency
medical services (EMS) brings him in to the emergency department (ED)
and you notice that he is extremely diaphoretic, drooling, and vomiting. He
is awake, but confused. His vital signs include a blood pressure (BP) of
170/90 mm Hg, heart rate (HR) of 100 beats per minute, respiratory rate
(RR) of 22 breaths per minute, temperature of 98.6°F, and oxygen saturation
of 95% on room air. Physical examination demonstrates pinpoint pupils and
crackles on lung examination. What is the treatment to reverse this patient’s
poisoning?
a. Naloxone
b. N-acetylcysteine (NAC)
c. Atropine and pralidoxime (2-PAM)
d. Flumazenil
e. Physostigmine
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