Abstract
85 adult patients aged between 23 to 60 years of age were admitted at emergency wards were studied. These patients were known diabetic since 2 to 5 years, The clinical manifestation were 6(7.0%) had anxiety, 7(8.23%) had giddiness, 5(5.88%) had emotional liability 7(8.23%) had slurred speech 4(4.70%) had ataxia, 9(10.5%) had drowsiness, 5(5.88%) had confusion 6(7.0%) had headache, 8(9.41%) had coma, 6(7.0%) had absence of reflexes, 12(14.1%) had dyspnea, 10(11.7%) had hypotension. The random blood sugar level in 48(56.4%) had 60-200 mg% and 37(43.5%) had > 200 mg% This pragmatic approach to patients of oregano phosphorus patients who were diabetic and under anti diabetic treatment will be quite useful to physician and medico- legal expert to treat efficiently to avoid morbidity and mortality in Diabetic patients because diabetic mellitus is a silent killer and challenge to the clinicians globally.
Highlights
Organo phosphorus (OP) Compounds have been widely used in agriculture for crop protection and pest control since few decades.(1) Some of these compounds has been used in the medical treatment of myasthenia gravis
85 patients aged between 23 to 60 years were admitted at emergence ward of Osmania government hospital which was attached to Bhaskera medical college, Yennukapally, Moinabad
Before starting specific treatment with antidote atropine, oximes and I V fluids, Blood was drawn for random blood sugar levels, and calculated by glucose oxidase GOD-POD end point caloric metric method
Summary
Organo phosphorus (OP) Compounds have been widely used in agriculture for crop protection and pest control since few decades.(1) Some of these compounds has been used in the medical treatment of myasthenia gravis These are DFP diisopropyl posphorofluridate), TEPP Tetrathyl pyrophosphotetramide).(2)(3) Some of OP esters are used to treat glaucoma (Ecothiopate). In addition to this veterinary medicine OP compounds such as tabun, sarin, soman and VX are used as nerve gases in chemical warfare. Acute poisonings with OP compound is quite common in India, generally with intention of suicidal ingestion. Because it is widely available for different uses. In survival patients suffer with health hazards.(5) attempt was made
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