Cholinergic 中毒症狀

原來北榮intern在run毒物科必須要記cholinergic症狀, 共15項 :

Muscarinic (口訣 : DUMBELS)

• Diarrhea
• Urination
• Miosis
• Bradycardia, bronchorrhea, bronchospasm
• Emesis
• Lacrimation
• Salivation, sweating

Nicotinic (口訣 : Monday, Tuesday, Wednesday, Thursday, Friday)

• Mydriasis
• Tachycardia
• Weakness
• Hypertension, hyperglycemia
• Fasciculation

CNS symptoms

• Confusion
• Convulsion
• Coma

所以organophosphate中毒的病人不一定都bradycardia或miosis, 毒物科老師說很多都會先有nicotinic症狀, 但大部份送到ER之後就以muscarinic症狀為主, 除非他家在ER附近....:P可能很多人都會了, 與大家分享

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