Datura Poisoning
Protocols
Datura Poisoning:
Clinical Features:
- Dry skin and mucosa
- flushing
- mydriasis
- sinus tachycardia
- hyperpyrexia
- decreased bowel activity
- urinary retention
- neurological disorders with ataxia
- impaired short-term memory
- disorientation
- confusion
- hallucinations (visual and auditory)
investigation:
- ECG
- Liver fuction test
- CBC
- serum creatinine
Rx:
- Hospitalization
- NPO – TFO
- O2 inhallation 4-6 L/ min & sos
- Continuous Catheterization
- Stomach Wash within 1 hour
1. Inf. 5% DNS (1L) + N/S (1L) +5% DA (1L)
- IV @ 30 d/min
2. Inj. Ceftron(1gm)(Ceftriaxone)
- 1vial I/V ...........BD
3. Inj.Sergel (40mg)(Esomeprazole)
- 1 vial I/V ......... BD
If symptoms:
Inj. Neostig (Neostigmanine)(0.5mg/ml)
- 1-2 amp s/c stat
If restlessness:
Inj. Sedil(Diazepam)(10mg/2ml)
1 amp I/M stat
If BP increase:
Inj. Lasix(Furosemide)(20mg/2ml)
- 1 amp I/V stat
If fever:
Supp. Napa (500mg)(paracetamol)
- 1 stick P/R .....sos
During Discharge:
1. Cap.Denver(200mg)(Cefixime)
1+0+1.............7 days
2. Tab.Acifix(20mg)(Rabeprazole)
1+0+1.............10 days
3. Tab.Zovia gold/Silver(multivitamin)
1+0+1.............1 month
4. Tab.Esita(10mg)(Escitalopram)
1+0+0.............1 month
Advice:
- Follow up after 7 days
- Need psychiatric consultation