Toxin Exposure: Insecticides, Herbicides, Rodenticides
First Things First (assess & treat for the following)
- ABCs
- Airway: controlling secretions, mental status. If airway is compromised, intubate.
- Breathing: if hypoxic, O2 supplementation. If respiratory failure, intubate.
- Circulation: weak pulses, hypotension. Treat with fluids and/or pressors.
- Seizures: treat with benzodiazepines.
- Coma: intubate, IV access, and place on monitor
- Immediate and vigorous decontamination
- Insecticides: respiratory failure, bradycardia
- Organophosphates
- Carbamates
- Organochlorines
- Pyrethrins
- Herbicides: skeletal muscle toxicity could lead to respiratory failure and/or rhabdomyolysis
- Chlorophenoxy herbicides
- Bipyridyl herbicides
- Paraquat
- Diquat
- Urea-substitute herbicides
- Organophosphorus herbicides
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Last updated: May 20, 2010
Citation
"Toxin Exposure: Insecticides, Herbicides, Rodenticides." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534206/all/Toxin_Exposure:_Insecticides__Herbicides__Rodenticides.
Toxin Exposure: Insecticides, Herbicides, Rodenticides. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534206/all/Toxin_Exposure:_Insecticides__Herbicides__Rodenticides. Accessed February 5, 2025.
Toxin Exposure: Insecticides, Herbicides, Rodenticides. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534206/all/Toxin_Exposure:_Insecticides__Herbicides__Rodenticides
Toxin Exposure: Insecticides, Herbicides, Rodenticides [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2025 February 05]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534206/all/Toxin_Exposure:_Insecticides__Herbicides__Rodenticides.
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