Organochlorine

A 2-year old child was immediately rushed to the Emergency Room after an accidental ingestion of one (1) teaspoon of lindane which was mistaken for cotrimoxazole. The incident happened two hours after the patient had his breakfast consisting of milk and cake. During transport, the child developed tremors and an episode of vomiting consisting of previously-eaten food and gastric juices amounting to half a glass. At the ER, 30 minutes post-ingestion, vital signs were BP: 90/60; CR: 140; RR: 28; T: 37.5ºC. He was found to be irritable and restless. He did not appear to be dehydrated. Glasgow Coma Scale (GCS) score was 15. Chest findings are unremarkable. Within 20 minutes of arrival at the ER, he had an episode of tonic-clonic seizures. There was no cyanosis or respiratory depression.   1. What is the immediate management? A. Terminate the seizure with Diazepam B. Give Atropine sulfate IV C. Intubate patient D. Give glucose IV