Therapeutic Effect of Adding Magnesium Sulfate in Treatment of Organophosphorus Poisoning
DOI:
https://doi.org/10.3889/oamjms.2018.350Keywords:
Magnesium sulfate, Poisoning, OrganophosphorusAbstract
BACKGROUND: In recent years, the prevalence of poisoning has increased dramatically due to population growth and access to drugs and toxins. Today poisoning is one of the important reasons for visiting hospitals.
AIM: The present study aimed to investigate the effect of magnesium sulfate on organophosphorous toxicity.
METHODS: Patients who had inclusion criteria in the study were randomly assigned to one of two groups (control group or case group) by an emergency medicine specialist. Patients' data including age, sex, ECG, vital signs, arterial oxygen saturation were recorded for patients. Patients in the case group (40 subjects) received 2 mg magnesium sulfate 50%, while the control group (40 subjects) received 100 cc normal saline (as placebo) as an intravenous infusion
RESULTS: The distribution of gender in the two groups of patients was the same. Also, the mean age, Stature and weight of patients were similar in both groups. In the group receiving magnesium sulfate, diastolic blood pressure was lower when compared with another group, at 0 and 2 hours after intervention. Moreover, the mean of systolic blood pressure in both groups was determined to be the same at all hours. Furthermore, the heart rate in the group receiving sulfate was lower as compared to the control group for 8 hours, 16 and 24 hours after intervention.
CONCLUSION: The use of magnesium sulfate in organophosphate poisoning reduces therapeutic costs an average hospital length of stay and mortality compared to those who did not receive magnesium sulfate.
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Copyright (c) 2018 Fatemeh Jamshidi, Arash Yazdanbakhsh, Mohammad Jamalian, Peyman Khademhosseini, Koroosh Ahmadi, Alireza Sistani, Abolfazl Jokar
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