A 30-year-old farmer is brought to the emergency department with symptoms of excessive salivation, sweating, and muscle twitching after spraying pesticides. Suspecting organophosphate poisoning, what is the most appropriate initial treatment?
Administering atropine is the correct response as it acts as an antidote by blocking the acetylcholine receptors that are overstimulated due to the inhibition of acetylcholinesterase by organophosphates. Oxygen supplementation is critical but does not counteract the effects of organophosphates directly. Activated charcoal is used to prevent the absorption of toxins ingested orally; it is unrelated to inhalation or dermal exposure. Providing intravenous fluids supports vital functions but does not directly address the neurotoxic effects of organophosphates.
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BCEN CEN
Environment and Toxicology Emergencies, and Communicable Diseases
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