Based on the symptoms the patient is presenting with and the knowledge that he had been gardening before becoming sick, it is likely the patient came into contact with insecticide and is being affected by the active ingredient Carbaryl. Carbaryl is an acetylcholinesterase inhibitor and muscarinic receptor agonist, so it inhibits the enzyme acetylcholinesterase from breaking down the neurotransmitter acetylcholine. This hyper activates the nicotinic and muscarinic synapses and in turn activates the sympathetic and parasympathetic nervous system. The sympathetic nervous system is what caused the initial tachycardia and hypertension. Bradycardia and hypotension along with the other main symptoms are caused by over activation of the muscarinic
receptors in particular affecting the parasympathetic nervous system. The M2 receptors decrease heart rate and arterial force while M3 receptors increase secretions and cause smooth muscle contractions (excess salivation, diaphoresis, diarrhea, and abdominal cramping). The course of treatment for this patient would be the anti-cholinergic drug and muscarinic receptor antagonist, Atropine. Atropine stops acetylcholine from signaling the muscarinic receptors and therefore reduces secretions, dilates the bronchi, stops the smooth muscle contractions, speeds up the heart rate, and brings up arterial pressure. By adding the antagonist, you effectively increase the dosage of agonist needed for a toxic response and buy the patient more time to detox, basically balancing each other out. Intravenous administration is recommended for Atropine and produces the highest bioavailability. Bioavailability is the amount of drug administered compared the the amount that actually reaches the patients blood supply. IV has the highest bioavailability because it involves directly injecting the drug into the patient’s blood.
Dr Arthur Ellice-Flint, on behalf of Dr Andrew Zacest, provided a medical report dated 21 July 2016. Dr Ellice-Flint found that it was likely that the worker's stroke was a result of high blood pressure, and that
...ach problems after eating and dizziness as well. If he was attempting to kill himself, why would he then complain about his sickness? He was a smart enough man to know that they would be happening.
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
Respiratory alkalosis is a disruption in acid and base balance caused by hyperventilation. Respiratory alkalosis occurs when you breathe too fast or too deep and carbon dioxide levels drop too low. It causes the pH of the blood to rise and become too alkaline. Panic attacks and anxiety are the most common causes of hyperventilation, but they’re not the only source. Others include: heart attack, asthma, fever, COPD, and pregnancy.
Acute toxicity may be attributable to the anticholinergic effects of amantadine. Drug overdose has resulted in cardiac, respiratory, renal or central nervous system toxicity
Age: Mrs. Hudson is a 37-years old Haitian American woman who lives with her husband of 10 years and two children, ages 8 (son) and 2 (daughter).Mrs. Hudson worked as primary care doctor . Mr. Hudson is a firefighter. She has come to therapy to discuss recent problems; she has been having when leaving her home. Mrs. Hudson describes a pattern of behavior that began four months ago while shopping with her children. She began to experience the following symptoms: heart racing, shortness of breath, sweating palm, and tightness in the chest.
Some individuals experience anaphylaxis, a life-threatening severe allergic reaction that causes breathing difficulty and a sudden decrease in blood pressure.
Agriculture is the most fundamental resource of society. Without it, humans could not live, especially in the ways we do now where people reside in cities. This means that those cities could not exist without large scale agriculture to sustain them. Since agriculture is such a necessity, people have developed methods to gain more from their land. One of the many solutions besides machinery they have developed to produce higher crop yields is through the use of pesticides. However, those pesticides which have resulted in high crop yields have come at price, and that is human health itself. This seems rather contradictory. Pesticides were designed to help people and society by increased the success of producing high crop yields, and they still do that, but at the same time, those same pesticides have caused unforeseen health risks, primarily to those have had to handle them. The average person would not consider pesticides as being a cause for depression, or in worst case scenario, suicide, but studies have found significant links. Even though California is just one place in the world, it has large agricultural areas which were, and still are, represented in many scientific studies that have found those unforeseen risks from pesticide use. Since pesticides are poisons, producers and safety activities urge several safety precautions to attempt to reduce the effect on human users. However, these precautions sometimes do not prevent long term damages in the people that live and work in such close proximity, which are the agricultural workers. Since the risk are known, policies have been put into place, but despite that, the use of pesticides remains high. Like many of the anthropological readings from this course, there are also added ...
Pesticides are frequently used in this community. Almost all farmers use pesticides every day to help keep malicious, hungry animals away from their crops, most of which have been linked to illnesses further down the road by consumers, or even pregnant mothers in some cases, involving those responsible for applying the chemicals. All in all, it is no secret that these chemicals are nothing to toy with. As a matter of fact, they themselves have the potential to severely affect the health or kill unsuspecting, or perhaps impair workers.
The advancement in chemical technology with these improved pesticides has created improvements in the public health as well. From this, perhaps, we have become careless in our use and control of them. While there are many positive points, there are also extreme risks involved in using th...
As consumers, we often wonder where our food products come from. Many products in fact, are produced by the agro-commodity food giant, Cargill, which is recognized around the world for its products and services. Cargill, the largest privately owned transnational corporation in The United States is known for dominating different divisions of the agribusiness field while seamlessly globalizing into new sectors of business such as trade for their own growth and development on a fast-tracked basis. While there are social and economic costs for countries and citizens due to Cargill’s efforts, the corporation overall has a positive impact on the lives of inhabitants around the globe as it continues to nourish the world.
Anticholinergics are often the drug of choice when sympathomimetics are contraindicated or ineffective. This class of drugs affects the vagus nerve. They antagonize acetylcholine action & thereby help to relax bronchial smooth muscle and promote bronchodilation- often in form of rescue-inhalers (Karch, p. 934).
The physical symptoms can range from muscle tension, increased heart rate, rapid and difficult breathing that leads to chest pains, sweating and dizziness. These same symptoms can be found after running a difficult race which is why it is tremendously important to assess the patient’s circumstances when assessing the physical symptoms. The more distinctive physical effects are things such as ulcers, fatigue, loss of appetite, a change in the patient’s blood pressure and increased muscle tension. The psychological symptoms include agitation, difficulty concentrating, lack of sleep, and the most pertinent: overwhelming sensitivity to problems, whether real or perceived, that leads to excessive worrying and possibly even panic attacks. It is clear that anxiety can severely effect a patient’s ability to be a productive member of society and enjoy life.
Later in 1693 Sir Isaac Newton experienced another very serious nervous disorder. Sir Isaac Newton’s illness may have been caused by stress or chronic mercury poisoning from doing research in alchemy.
The patient has high temperature-sign of fever, a very fast pulse rate (tachycardia), and chest wheezing when listened to using a stethoscope (Harries, Maher, & Graham, 2004, p.