NREMT Paramedic Practice

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Which of the following signs is NOT included in the DUMBBELLS acronym for organophosphate poisoning?

Diarrhea
Emesis
Hypertension
Salivation

The correct answer is: Hypertension

The DUMBBELLS acronym is a mnemonic used to help remember the symptoms associated with organophosphate poisoning. Each letter in the acronym stands for a specific sign or symptom: - D for Diarrhea - U for Urination - M for Miosis (constricted pupils) - B for Bronchorrhea (excessive bronchial secretions) - B for Bradycardia (slow heart rate) - E for Emesis (vomiting) - L for Lacrimation (tearing) - S for Salivation (excessive saliva) In this context, hypertension does not belong in the acronym as it is not a characteristic sign of organophosphate poisoning. Instead, organophosphate exposure tends to lead to bradycardia and hypotension due to its effects on the autonomic nervous system. Understanding the symptoms within the DUMBBELLS framework is crucial for recognizing and managing organophosphate poisoning effectively.