CBRNE - Nerve Agents, V-series - Ve, Vg, Vm, Vx Follow-up

Updated: Feb 06, 2015
  • Author: Daniel C Keyes, MD, MPH; Chief Editor: Duane C Caneva, MD, MSc  more...
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Follow-up

Further Outpatient Care

Patients who are discharged from the hospital generally do not require further care. Nerve agents have not been associated with organophosphate-induced delayed neuropathy. Advise patients with miosis not to drive at night until this symptom resolves.

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Further Inpatient Care

Admit patients with liquid exposures for observation after completion of proper decontamination. Onset of symptoms with these exposures has been observed to be delayed as long as 18 hours. This differs from vapor exposures, in which the symptoms have an almost immediate onset. In a patient with a vapor exposure and only minimal symptoms, the patient usually can be discharged home.

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Complications

Patients with status epilepticus may suffer from anoxic brain injury.

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Prognosis

If patients recover from the acute effects of exposure, chronic effects should not occur. Subtle behavioral and cognitive changes have been noted to persist for days to weeks after the initial exposure. Patients may have permanent sequelae if they suffered from anoxia during the acute phase of poisoning.

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Patient Education

For patient education information, see the First Aid and Injuries Center, as well as Chemical Warfare and Personal Protective Equipment.

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