Kerala State Drug Formulary.pdf

Guidelines
4. Kerosene oil
Vomiting, cough, breathless,
smell of kerosene, coma,
cyanotic,chest X-ray,
mottled appearance
No emetic or lavage. Oxygen,
crystalline penicillin
in case of aspiration;
salbutamol and steroid in
case of wheezing
5. Iron
432
5 stages Emetic / lavage, chelation as
stage 1. Within hours, vomiting early as possible
abdominal.pain, Gl bleed. desferrioxamine
IM. or IV. Continue till
urine is clear.
Stage 2.of apparent recovery Vin rose colour if serum
For few hrs
Iron is high.
stage 3. After 12 h. shock
encephalopathy, acidosis
Stage 4. 2-4 days, hepatic failure
Stage 5. 2-4 weeks gastric scarring
and intestinal obstruction.
6. Organophosphorous
Sweating,salivation,small pupil, Emetics/lavage,clean up
Lacrimation, bradycardia contaminated skin.
hypotension, twitching, seizure, symptomatic and coma,
pulmonary oedema,
supportive. Atropine
ventricular-arrhythmia. 0.05mg/ kg IV at 5-10 min
Choline esterase activity in interval as needed
RBC/serum