Actividad 3.

Presenta:
Liliana Lizeth Pacheo Gonzalez

Lorena Mora Pacheco

Docente:
María Fernanda Moreno Vargas
NRC: 9494

Administración en Seguridad y Salud en el Trabajo

VIII Semestre
Barrancabermeja, Colombia
2021.
 Activity Nº3

Case Study: Pesticide poisoning

A 30-year-old, comatose male with miosis, diaphoresis, and incontinence

You are alerted that a 30-year-old, unconscious male worker passed out. While on duty, the

worker suddenly developed headache, dizziness, weakness, nausea, vomiting, and diarrhea. Few

minutes after you attend the situation, he lost consciousness and experienced urinary and fecal

incontinence. Also, you note that he has fixed pinpoint pupils, generalized paralysis, fasciculations,

and is unresponsive to deep pain. You call for an ambulance and continue evaluating the situation.

He has profuse salivation, diaphoresis, and excess lacrimation. Paramedics give first aid and

transport the patient to the medical facilities. Vital signs include the following: blood pressure

140/90 mm Hg, temperature (36.1°C), pulse 58 beats/minute and regular. In the emergency room

mucoid secretions are suctioned from the trachea at the time of intubation, and mechanical

respiratory support is instituted. After clinical manifestation evaluation and laboratory test, doctors

determine pesticide poisoning.

 From the patient’s workmate, you learn that he started working in the company yesterday. This

morning he changed into work clothes and began mixing pesticides for subsequent tree spraying

in the company green areas. About noon, the patient became nauseated and started sweating

profusely.

1. (1 Point) According to the main groups of pesticides, which one caused the patient's
poisoning? (ANSWER WITH NOT MORE THAN ONE WORD)

Fungicidas

2. (1 Point) Is there a specific biomarker for the surveillance of the population occupationally
exposed to this type of pesticide? If yes, which one? (ANSWER IN NOT MORE THAN
ONE LINE).

Enzimas Colinesterasas.

3. (1 Point) Which specific signs and symptoms help you to decide the specific pesticide
group involve in the poisoning? (ANSWER IN NOT MORE THAN TWO LINES).

R// Clasificación leve: Cefalea, mareos, debilidad, descompensación.

Moderada: Irritación Ocular, dolor abdominal, bradicardia, contracciones musculares.
Severa: Diarrea, convulsiones, pupilas dilatas, bradipnea, muerte.

For the following two questions, please consider this additional information: During your

conversation with the patient’ workmate, you learn that a spill occurred in the pesticide formulation

area yesterday. The patient had been mixing several chemicals and spilled the mixture on the floor.

After cleaning the spill with his shirt, he stored his working clothing in the looker. Then he

showered and wearied his street clothes. He saw no reason to mention the incident to his boss.
4. (1 Point) What is/are the most likely routes of exposure for the patient in the case study?

(ANSWER IN NOT MORE THAN ONE LINE)

Respiratoria y absorción Cutánea.

5. (1 Point) Mention two strategies to prevent this situation from happening in the future
(ANSWER IN NOT MORE THAN TWO LINES)

Etiquetado, rotulado y fichas toxicológicas de las sustancias químicas.

Realizar divulgación y capacitación al personal que realiza manejo, almacenamiento y
trasporte de sustancias químicas
 Webgrafía

Clasificación de Sustancias Químicas - ARL Sura

https://www.arlsura.com

Agencia Internacional para Investigación sobre Cáncer. Listado de sustancias cancerígenas.