ตารางที่2 อาการและอาการแสดงจากภาวะ organophosphate poisoning
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Muscarinic |
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Bronchial tree |
Tightness in chest, wheezing suggestive of bronchoconstriction, dyspnea, increased bronchial secretion, cough, pulmonary edema, cyanosis |
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Gastrointestinal system |
Nausea, vomiting, abdominal tighness and cramps, diarrhea, tenesmus, fecal incontinence |
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Sweat glands |
Increased sweating |
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Salivation glands |
Increased salivation |
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Lacrimal glands |
Increased lacrimation |
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Cardiovascular system |
Bradycardia, fall in blood pressure |
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Pupils |
Miosis, occasionally unequal |
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Ciliary body |
Blurring of vision |
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Bladder |
Frequency, urinary incontinence |
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Nicotinic |
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Striated muscle |
Muscular twitching, fasciculation, cramp, weakness including muscles of respiration |
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Sympathetic ganglia |
Pallor, tachycardia, elevation of blood pressure |
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Central nervous system |
Giddiness, tension, anxiety, restlessness, emotional lability, excessive dreaming, insomnia, nightmare, headache, tremor, apathy, withdrawal and depression, drowsiness, difficulty in concentrating, confusion, slurred speech, ataxia, generalized weakness, coma with absence of reflexes, Cheyne-Stokes respiration, convulsion, depression of respiratory and circulatory centers with dyspnea, cyanosis, and fall in blood pressure
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organophosphate