II. Symptoms and Signs (Mnemonic: DUMBELLS or SLUDGe)

  1. Diarrhea (and Diaphoresis) and abdominal cramping
  2. Urination
  3. Miosis (pinpoint pupils)
  4. Bradycardia (muscarinic) or Tachycardia (nicotinic)
  5. Emesis (Nausea and Vomiting)
  6. Lacrimation
  7. Lethargy
  8. Salivation

III. Symptoms and signs: Other (not covered by mnemonic)

  1. Anxiety or agitation
  2. Seizures
  3. Coma
  4. Muscle fasciculations
  5. Flaccid paralysis (including respiratory muscles)

IV. Diagnostics

V. Management

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