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( PARAQUAT POISIONING )

Suspected
Paraquat Poinsoning
Basic
life
support

Gastric
larvage
( NG )

Immediat
ed life

Threateni
ng
N
condition
Assess severity by
amount , systemic
Urine paraquat
Administer oral
adsorbent
Activated
charcoal
or
Fuller earth
fuller' Earth
arrive
within 4
Hr
N

Consider
hemoperfusi
on
If
available

Supporti
ve care
Mild
severi
ty

Arrive
within
12 hr
HhhHRHr
N

Refer
Rayoung
Hospital
F/U renal function , liver
enzymes , CXR , oxygenation
Avoid oxygen unless severe
hypoxemia

1.

2.

3.

4.

- ( )


20 -30


20 -30
40 50


1 4

BP P
7 - 14

Pleural effusion
Lung fibrosis


2 -3 Respriratory fail

40 50



.

BP Coma
Convulsion

Cadiogenic shock Multi organ failure
1- 4

.
Urine
sport test

(
)
1.

2.
20
/ .
.
metoclopramide dimen

Metoclopramide
Dopamine antagonists
Dopamine

3.
Activayed charcoal
100
2 / .

15 % Fuller s Earth
150 2 .5
1
15 / .

4. ( 30 ml 4
3 )
5.

/

6.


/
Dimen > 20
mg / Kg

Charcoal 100g
or 2mg/ Kg
Fuller earth 1 L
or 15mg/ Kg

Iv fluid
Analgesia

urine
paraquat

negative
Repeat at 6 hr
negative

positive

D /C
positive

Supportive
management
Analgesia
Support renal
function
Plliative care for poor
prognosis


1.
2. Intake - Output
3. . paracetamal opiate
4. NPO

1.
2.
3.
4.palliative care

1.


2.
15
24
3.

A Practical Guide to Diagnosis ,First


Aid And Hosipital Treatment .

SYNGENTA