Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
How To Cure Muscle Spasm And Problem In Breathing After Inhaling Of Pesticides?
Gregor, who works at a pesticide factory, comes to the clinic complaining of muscle spasms that interfere wit his movement and breathing. A blood test shows that he has been contaminated with organophosphate pesticide, which is an acetylcholinesterase inhibitor. How would you explain to Gregor what this means?
Mon, 20 Jun 2016
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-Chronic OP(Organo-Phosphorous)-poisoning, as Gregor is working in pesticide factory.Central paraylsis affecting respiratory skeletal muscles.
Intermediate type-II paralysis- effects seem to be more in his case.
Evaluation of dermal contamination /or ingested contatmination to plan rightful treatment, would need Consults with ER expert in dealing with OP poisoning cases.
Explanation-Gregor seem to have contamination exposure for 1-4 days and seems to be a lowdose -long period contamination in his case.
This would persists for 4-18 days if not aggresively treated.
Consults with Physician-Specialist doctor/ and few investigations like -RBC and plasma cholinesterase/ Chest -X-ray for pumonary edema, would fix diagnosis/Watch on 6-hr-post-admission lactate blood levels is needed.
and blood and urine would fix cause of your ID.
Remedy-
Decontamination with removal / and disposal of his clothes is a must before starting any treatment.
Treatment is mainly based on-Atropine with Low dose Pralidoxime(1-2gm ) continuous slow infusion with / Intubation and Oxygenation/ with Dizepam to control seizures/ with Magnesium infusions to control CNS convulsions and seizures.
Decision of need and planing of above treatment is left to attending Physician, who would treat Gregor, depending on his condition and its assesement with various test -lab and clinical.
This would give him relief from the bronchospasm after inhaling pesticides.
Hope this would help you to plan further of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-Chronic OP(Organo-Phosphorous)-poisoning, as Gregor is working in pesticide factory.Central paraylsis affecting respiratory skeletal muscles.
Intermediate type-II paralysis- effects seem to be more in his case.
Evaluation of dermal contamination /or ingested contatmination to plan rightful treatment, would need Consults with ER expert in dealing with OP poisoning cases.
Explanation-Gregor seem to have contamination exposure for 1-4 days and seems to be a lowdose -long period contamination in his case.
This would persists for 4-18 days if not aggresively treated.
Consults with Physician-Specialist doctor/ and few investigations like -RBC and plasma cholinesterase/ Chest -X-ray for pumonary edema, would fix diagnosis/Watch on 6-hr-post-admission lactate blood levels is needed.
and blood and urine would fix cause of your ID.
Remedy-
Decontamination with removal / and disposal of his clothes is a must before starting any treatment.
Treatment is mainly based on-Atropine with Low dose Pralidoxime(1-2gm ) continuous slow infusion with / Intubation and Oxygenation/ with Dizepam to control seizures/ with Magnesium infusions to control CNS convulsions and seizures.
Decision of need and planing of above treatment is left to attending Physician, who would treat Gregor, depending on his condition and its assesement with various test -lab and clinical.
This would give him relief from the bronchospasm after inhaling pesticides.
Hope this would help you to plan further of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Acetylcholine
Loading Online Doctors....