What is intermediate syndrome in organophosphorus compound poisoning, the cause and the treatment ?

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PIN POINT PUPIL, RESPIRATORY DISTRESS, CONVULSIONS, IRRITABILITY TREATMENT INJ ATROPINE TILL PUPILS DILATED ,INJ PAM , INJ EPTOIN, MAINTAIN ELECTROLYTES, OXYGEN, IN SERIOUS CONDITION TRACHEOSTOMY AND VENTILATOR NEEDED RULES TUBE GASTRIC LEVAGE IS MOST IMPORTANT
Pin point pupil, respiratory depression, hypertheremia loss of conciousness Gastric levage Inj Atropine every 15-30 mnt interval till patient is fully atropinised Inj ceftrioxone according to age treatment of complications
1.prolong and severe inhibition of acetylcholinesterase 2.delayed metabolism of organophosphates 3.inadequate or late oxime therapy treatment supportive therapy early agressive gastrointestinal decontamination followed by appropriate therapy of atropine ventilatory support repeated dose of fresh frozen plasma

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