Table.
Cases | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 |
---|---|---|---|---|---|---|---|
Agent | Regent 50 SC | Regent 50 SC | Regent 50 SC | Regent 50 SC | Regent 50 SC | Regent 50 SC | Regent 50 SC |
Other poisons taken | dimethoate fenthion imidacloprid | none | none | none | unknown OP | none | none |
Alcohol ingested at the time of poisoning | no | no | yes | yes | yes | no | yes |
Estimated amount ingested | unknown | 100 ml | 50 ml | unknown | unknown | unknown | 50 ml |
Time before admission (minutes) | 1100 | 100 | 225 | 190 | 180 | 150 | 45 |
Peripheral hospital management | forced emesis | none - direct admission | forced emesis | forced emesis, diazepam 10mg | none - direct admission | forced emesis | none - direct admission |
Initial symptoms /signs | none | dizziness, N&V, profuse sweating, retching | none | N & V | none | N&V, heart burn | none |
Pulse/BP on admission | 74 regular 110/70 | 76 regular 110/80 | 100 regular 170/90 | 88 regular 120/80 | 70 regular 130/80 | 76 regular 130/80 | 88 regular 120/80 |
GCS on admission | 15/15 | 12/15 | 15/15 | 15/15 | 15/15 | 15/15 | 15/15 |
Time from ingestion to first blood sample (Minutes) | N/A | 200 | 170 | 210 | 210 | 180 | 75 |
Peak measured total fipronil concentration (μg/L) | N/A | 1600 | 1040 | 3744 | 7 | 20 | 82 |
CNS complications | none | single generalized seizure, subsequently agitated. | none | two generalized seizures at peripheral hospital. | none | none | none |
Activated charcoal | none | MDAC | SDAC | none | MDAC | none | MDAC |
Medications given | none | diazepam 25mg IV metoclopramide 10mg x 2 | none | diazepam 10mg PO metoclopramide 10mg | amoxicillin 500mg q6h, pralidoxime 1g q6h | none | 50% dextrose |
Outcome | Discharged well | Discharged well | Discharged well | Discharged well | Discharged well | Discharged well | Discharged well |
Abbreviations: MDAC, multiple dose of activated charcoal; N/A, not applicable; N&V, nausea and vomiting; SDAC, single dose of activated charcoal.