3 "NOs" in organophosphate poisoning
Due to their very common usage in ICU, there may be a reflex tendency to use following 3 medications. But its better to avoid them as they may increase the toxicity of the organophosphate exposure.
- Avoid succinylcholine for intubation *
- Avoid loop diuretics for increased pulmonary secretions/congestion
- Avoid morphine for analgesia
* see related previous pearl here
