Follow up sheet for patient with OPC poisoningPatient Name:Registration No:Date of Admission: Time of Admission:Diagnosis:Name of the OPC compound:

Date Time PulseBlood

pressure(mmHg)

Lung auscultation findings

Axilla Pupil TempRR

(per min)Bowel sound

Confusion and GCS

Atropine doseTotal amount of Atropine required for

atropinisaton(mg)

Date Atropine maintenance rate (mg/hr)

Date Time Atropine toxicityCentral effect (Tick) Peripheral effect (Tick)

Hyperpyrexia Restlessness Dry mouthAnxiety Excitement MydriasisHallucination Delirium Blurred visionMania Coma Hot dry skinCerebral depression

Tachycardia