A lady was brought from village, unconscious, about 12 hours after ingesting some kind of unknown poison. Her hea rate was 103/min, blood pressure in 90/50 mm Hg and respiratory rate is 19/min. Her breath smelled like kerosene. All of the following should be done in her management, except:
Gastric lavage should be done
Atropine should be administered till signs of recovery
Vasopressors should be administered intravenously
Immediate airway management
Ans: C. Vasopressors should be administered intravenously(Ref Reddy 34/e p487, 33/e p; Parikh 6/e p10.41-10.45).Signs & symptoms suggestive of organophosphorus poisoning.Antidote of choice - Atropine.Reves bradycardia & hypotension.Vasopressors contraindicated - Due to cholinergic effect combated by atropine.