Section Contents

Management Strategies

Case Contents

Table of Contents

How to Use the Course

Mass Casualty Events

Cholinesterase Inhibitors

Pathological Conditions

Cholinergic Toxidrome

Nicotinic Receptors

Muscarinic Receptors

Nicotinic/Muscarinic Mixture

Signs and Symptoms

Laboratory Tests

Differential Diagnosis

Pediatric Cases

Exposure History

RBC & Serum Tests

Inhibitors & Byproducts

Management Strategies

Secondary Exposure

Supportive Care

First-Line Medications

Medications: Atropine

Medications: Pralidoxime

Medications: Diazepam

Antidote Stocking

Deprecated Treatments

Medico-Legal Issues

Intermediate Syndrome

Delayed Neuropathy

Chronic Neurotoxicity

Literature Cited

Related Documents

MMG: Nerve Agents

ToxFAQs™: Nerve Agents

Environmental Medicine

Continuing Education

Online Registration

Patient Education

Community Education

ATSDR Resources

ATSDR en Español

Case Studies (CSEM)

Exposure Pathways

HazDat Database

Health Assessments

Health Statements

Interaction Profiles

Interactive Learning

Managing Incidents

Medical Guidelines

Minimal Risk Levels

ToxFAQs™ CABS

Toxicological Profiles

Toxicology Curriculum

External Resources

Agency for Toxic Substances and Disease Registry
Case Studies in Environmental Medicine (CSEM)

Cholinesterase Inhibitors
Including Insecticides and Chemical Warfare Nerve Agents
Part 4: The Cholinergic Toxidrome
Section 11: Management of the Cholinergic Toxidrome

Three Management Strategies

This section discusses the three primary management strategies for patients with acute cholinesterase inhibitor poisoning.

Management Strategy Number	Topic
1	Prevention of Secondary Exposure
2	Supportive Care
3	Medications

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Revised 2007-10-16.