his vision is blurred, and his eyes are filled with tears. His coworker notes that Tomas was working in a field that had been sprayed early in the morning with an insecticide. Within hours after starting his work, Tomas complained of tightness in his chest that made breathing difficult, and he called for help before becoming disoriented. Based on what we have discussed about drugs affecting cholinergic nervous system, what could possibly poisoned Tomas? Explain. What are the symptoms shown by Tomas? What are the antidotes for this toxicity? Explain its mechanism of action.

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter7: Drug Sources, Schedules, And Dosages
Section: Chapter Questions
Problem 17RQ
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Case 1: Insecticide Poisoning

In mid-afternoon, a coworker brings Tomas to the emergency department because he is unable to continue picking vegetables. His gait is unsteady and he walks with support from his colleague. Tomas has difficulty speaking and swallowing, his vision is blurred, and his eyes are filled with tears. His coworker notes that Tomas was working in a field that had been sprayed early in the morning with an insecticide. Within hours after starting his work, Tomas complained of tightness in his chest that made breathing difficult, and he called for help before becoming disoriented.

  1. Based on what we have discussed about drugs affecting cholinergic nervous system, what could possibly poisoned Tomas? Explain.
  2. What are the symptoms shown by Tomas?
  3. What are the antidotes for this toxicity? Explain its mechanism of action.
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