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Forensic Medicine General 297808a8

A lady was brought from village, unconscious, about 12 hours after ingesting some kind of unknown poison. Her hea rate was 103/min, blood pressure in 90/50 mm Hg and respiratory rate is 19/min. Her breath smelled like kerosene. All of the following should be done in her management, except:

A
Gastric lavage should be done
B
Atropine should be administered till signs of recovery
C
Vasopressors should be administered intravenously
D
Immediate airway management
High-Yield Explanation
Ans: C. Vasopressors should be administered intravenously(Ref Reddy 34/e p487, 33/e p; Parikh 6/e p10.41-10.45).Signs & symptoms suggestive of organophosphorus poisoning.Antidote of choice - Atropine.Reves bradycardia & hypotension.Vasopressors contraindicated - Due to cholinergic effect combated by atropine.

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