INTERNAL MEDICINE

DUTURA POISONING

Medicolegal use: To stupefy travelers in railway station, bus

terminal, in train or bus.

DUTURA POISONING

Clinical feature: Dizziness Delirium Drowsiness Dilated pupil Dimness of vision Dryness of mouth Dysarthria Dysphagia

DUTURA POISONING

Clinical feature: Dry skin, hyperpyrexia Nausea, vomiting Distended bladder, retention of urine Staggering gait, pill rolling movement Stupor, convulsion, coma

DUTURA POISONING

Investigation: CBC RFT Serum electrolytes

DUTURA POISONING

Management: Immediate hospitalisation Clearance of airway Stomach wash with weak sol of KMnO4 Inj diazepam 10 mg i/m stat Inj physostigmine or pilocarpine 1-4 mg in adult

DUTURA POISONING

Management: Supportive and symptomatic treatment- Cold sponging for hyperpyrexia Maintenance of nutrition by nasogastric feeding Fluid and electrolytes balance