Problems nr. 4
Patient T., aged 32 years, farm worker, actively participate in pollination with pesticides
(polychlorpinen and heptachlor) fruit trees and grain crops on farms, being employed as
distributor delivering them to households. In the activity, pesticide loading butilierei
accidentally poured from a hose to the face, arms, chest - hot mixture and heptclor
polychlorpinen that it has sucked. They washed his face and hands with water.
The disease began suddenly. The next day came palpitations, chills, muscle spasms in
separate groups of muscles, fever - 38.4 C. Aiming worsening patient was admitted to the
hospital. On admission the patient stationary currently charged to general weakness, headache,
dizziness, nausea, shortness of breath, feeling of heaviness in the legs.
Clinical and laboratory examination: patient's condition is serious-impaired.
Acrocyanosis, dyspnea at rest (respiratory rate - 26 in 1 minute), hyperhydrosis, red
dermographism. Increased tendon reflexes.
FR 18 in min. Striker on the lung fields - sounding lungs. Harsh breathing. Pulse 98/minut the
minute, regular, of satisfactory quality. Matităţii limits relative to normal heart. Rhythmic heart
sounds mitigated. Blood pressure 100/60 mm Hg. Of the nervous system is appreciated hyperhidrosis, emotional lability, slightly trembling fingers.
Formulate and arguments diagnostic.
Diagnosis: Acute intoxication organochlorines pesticide (policloropinen and heptachlor), as
moderate severity.
Principles of treatment:
1. Immediate discontinuation of exposure to toxic, completely stripped and washed his patient
throughout the body, including the hair thoroughly with water and soap, decontamination eye it
will be done by washing with a jet of water or a solution of baking soda 3 %, at least for half a
minute.
2. Then the patient will be transported to the nearest health facility.