Medical aid: Take the patient to the doctor/Primary Health Centre immediately along with the original container, leaflet and label. In case of breathing difficulty, give mouth to mouth or mouth to nose breathing. Victim’s head should be turned to one side in the lying down position. In case the person is unconscious make sure the breathing passages is kept clear without any obstruction. Do not administer milk, alcohol and fatty substances. Acute organophosphate (OP) poisoning produces cholinergic symptoms resulting from the inhibition of cholinesterase, and the overstimulation of muscarinic and nicotinic receptors in the synapses. In case of (a) skin contact – Remove all contaminated clothings and immediately wash with lot of water and soap (b) Eye contamination – Wash the eyes with plenty of cool and clean water (c) Inhalation – Carry the person to the open fresh air, loosen the clothings around neck and chest, and (d) Ingestion – If the victim is fully conscious, induce vomiting by tickling back of the throat. Antidote effect of sodium fluoride against. Remove the person from the contaminated environment. Clinical signs and symptoms of organophosphate poisoning depend on the accumulation of. Severe – Diarrhoea, pinpoint and non-reactive pupils, respiratory difficulty, pulmonary edema, cyanosis, loss of sphincter control, convulsions, coma and heart block. Moderate – Nausea, salivation, lacrimation, abdominal cramp, vomiting, sweating, slow pulse, muscular tremors, miosis. Mild – anorexia, headache, dizziness, weakness, anxiety, tremors of tongue and eyelids, miosis, impairment of visual acuity. FIRST AID MEASURES AND ANTIDOTES RECOMMENDED
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