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CARBAMATES
| Aldicarb | | (Temik) |
| Carbosulfan | | (Advantage) |
| Carbofuron | | (Brifur, Curaterr, Furadan, Sunfuran) |
| Cartap | | (Padan) |
| Carbaryl | | (Sevin) |
| Dithiocarbamate | | (Antroacol) |
| Furathiocarb | | (Deltanet) |
| Methomyl | | (Lannate, Nudrin) |
| Pirimicarb | | (Pirimor) |
| Thiofanox | | (Decamox) |
| Triazamate | | (Aztec) |
Pharmacological Action or Site of Toxicity
Anticholinesterase
(Reversible)Routes of Absorption
Ingestion
Inhalation
Dermal
WHO Hazard Classification
Class 1-IIISymptoms
Blurred Vision, disturbances of accommodation, Retrobulbar pain, constriction of pupils, Salivation, Profuse sweating,
Lassitude, Muscle in-coordination, Nausea, Vomiting, Diarrhea, Epigastric pain, Tightness in chest.
Treatment
SPEED IS IMPERATIVE
Persons giving first aid should avoid contact with contaminated clothing and
vomitus.
- Maintain adequate respiratory and cardiac functions. Keep airway open,
aspirate, use oxygen, insert endotraceal tube. artificial respiration and
tracheotomy in severe cases.
- FOR EXTREME SYMPTOMS OF POISONING INJECT ATROPINE I.V.
(1-3 mg) EVERY 5-10 MINUTES UNTIL SIGNS OF ATROPINIZATION OCCURS.
Signs of atropinization includes dry flushed skin, pupillary size of
at least 4 mm, & heart rate of 120/min. Do not give atropine to a cyanotic
patient. Give artificial respiration first then administer atropine I.M. or S.C. Atropine prophylaxis is not recommended.
In case of "Padan" I.V. Injection of 100-200 mg L-cystine or I.M injection of
20-60 mg of BAL are recommended by the manufacturer.
- For skin contact, wash with soap and water.
Use rubber gloves while washing contact areas.
- For ingestion, lavage with activated charcoal slurry (100 gm charcoal in
150 ml water).
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AVOID MORPHINE, THEOPHYLLINE, AMINOPHYLLINE, OR BARBITURATES
- 2-PAM or TOXOGONIN IS CONTRA-INDICATED therefore do not use it.
Lab Tests
Red cell cholinesterase test.
Levels 30-50% of normal indicate exposure, although
symptoms may not appear until the level falls to 20% or less. Values may return to
normal within 12 to 72 hrs. depending on severity of poisoning.
1-naphthol, normally found in traces, is excreted in urine in much higher concentration following Carbaryl (Sevin) ingestion.
Serum cholinesterase test to be done.
BACK
| Pakistan Agricultural
Pesticides Association
909-910, Park Avenue, P.E.C.H.S.,
Shahrah-e-Faisal,
Karachi-75400
Tel:454 1562 Fax:454 6131
|