Treatment
(1)Maintain airway,keep breathing and Circulation easy(catheterize PRN).ICU/HDU may need to be consulted.If HDU is full,monitor in Short-stay ward.
(2)General supportive measures:e.g.iv-fluids,oxygen therapy gentlely etc.
(3)Decontamination:remove all the clothes,patient may need to be bathed with copious amounts of soap and water.
(4)Prevention of absorption by using activated charcoal.
(5)Atropine infusion:i.e.1.2mgⅣstat,then dissolve 24 vials(0.6mg per vial)of atropine in 500mL of normal saline and infuse at a rate of 60 drops per minute(125mL/(6 vials·h)).Continue infusion until transbronchial secretions are dry.
Notice that mydriasis is not the end of therapy and do not withhold atropine because of the tachycardia!(https://www.daowen.com)
(6)Aerosol inhalation of ipratropium or atropine can be used to improve respiratory symptoms.
Abbreviations
PRN(pro re nata as required):根据特殊情况需要
ICU(intensive care uint):重症加护病房
HDU(high dependency uint):高依赖病房
译文