Plasma AchE, serum electrolytes, arterial blood gas (ABGs), serum
troponin level and coagulation studies were not done due to
unavailability of diagnostic kits and rural location of health facility.
Patient was from a poor economic background and did not have any
insurance plan, his attendants could not afford tertiary care for him
and requested us to treat in our setting despite the consequences. His
vitals were stable over time with his PR of 83/min, BP of 122/72 mmHg,
Temp. of 99°F and SaO2 of 98% with 2L
O2/min after 6 hours. He showed improvement in symptoms
with no further signs of intoxication over 12 hours. Atropine dose was
titrated as per his clinical response and signs of atropinization. His
chest cleared of crepitations, and ECG showed normal sinus rhythm.
Boluses of 1L of RL and 1L of 5% dextrose water (D/W) were attached
over a period of 12 hours. His complete blood count (CBC), liver
function tests (LFTs), renal function tests (RFTs), all were within
normal limits.