A child brought with suspected ingestion, presents with dry mouth, dilated pupil, difficulty in swallowing, delirium, dry and warm skin. Which among the following is the MOST likely ingested substance?
Anti-cholinergic
Sympathomimetic
Cholinergic
Alpha-blocker
This child is showing features of anticholinergic poisoning. The peripheral anticholinergic signs and symptoms are: Mydriasis Hypeension and tachycardia Dry and flushed skin with dry mucous membranes Urinary retention and decreased bowel sounds Central anticholinergic signs and symptoms: Loss of sho term memory and confusion, disorientation, psychomotor agitation Visual/auditory hallucinations Incoordination and ataxia Picking or grasping movements and extrapyramidal reactions Seizures Coma with respiratory failure Ref: Irwin and Rippe's Intensive Care Medicine edited by Richard S. Irwin, page 1500