Description
Most pesticides are organophosphates. Symptoms involve excessive secretions and muscle weakness. If untreated a large exposure can be rapidly fatal due to respiratory failure.
Symptoms
A SLUDGE syndrome (Salivation, Lacrimation, Urination, Diarrhea, Gastrointestinal upset, Emesis/vomiting), weakness, confusion, poor respiratory effort.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The diagnosis is made based on the patient's symptoms and a large exposure to pesticides.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Electrocardiogram (EKG), Urinalysis (UA), X-ray
Other Specific Tests: RBC cholinesterase in chronic cases, but not acute.
Specialists:
Medical Toxicology
Workup:
A history and physical exam will be performed. The diagnosis is made based on the patient's symptoms and a large exposure to pesticides.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Electrocardiogram (EKG), Urinalysis (UA), X-ray
Other Specific Tests: RBC cholinesterase in chronic cases, but not acute.
Specialists:
Medical Toxicology
Treatment
Therapy depends on the severity of illness. If serious, treatment may include: intravenous fluids, mechanical ventilation, atropine and pralidoxime (2-PAM).