Type II paralysis in organophosphorous poisoning treatment is?

Type II paralysis in organophosphorous
poisoning treatment is ?
a) Atropine
b) Oximes
c) Symptomatic treatment
d) No treatment
Correct Answer - C
Ans. is ‘c’ i.e., Symptomatic treatment
Paralysis due to organophosphate (OP) poisoning can be three
types ?

  1. Type I (cholinergic phase)
    Treatment of choice is atropine with or without oximes.
  2. Type II
    It is also called as intermediate syndrome.
    It develops 1-4 days after resolution of acute cholinergic symptoms.
    It is manifested as paralysis and respiratory distress.
    It involves proximal muscles with relative sparing of distal muscle
    groups.
    The pathogenesis presumed to be dysfunction of neuromuscular
    junction caused by downregulation of presynaptic and postsynaptic
    nicotinic receptors due to release of excessive Ach and Ca’
    respectively.
    Atropine is ineffective, symptomatic treatment is given.
  3. Type III