Which statement expands the SLUDGE mnemonic used for organophosphate poisoning symptoms?

Which statement expands the SLUDGE mnemonic used for organophosphate poisoning symptoms?

• A. Salivation, Lacrimation, Urination, Diarrhea, Gastric cramping, Emesis
• B. Salivation, Lacrimation, Urination, Diarrhea, Gastric cramps, Emesis
• C. Salivation, Lacrimation, Urination, Diarrhea, Gastric cramps, Emetics
• D. Salivation, Lacrimation, Urination, Diarrhea, Gastric cramping, Emesis

Answer: (A)

The main idea is that SLUDGE is a quick way to remember the muscarinic symptoms of organophosphate (cholinergic) poisoning: Salivation, Lacrimation, Urination, Diarrhea, Gastrointestinal (gastric) cramping, and Emesis (vomiting). The best choice matches this expansion exactly, using Emesis for vomiting and describing GI involvement as gastric (gastric) cramps. Emesis is the correct term for vomiting; Emetics would refer to substances that induce vomiting, not the symptom itself, so that option is not a proper expansion of the mnemonic. The phrase gastric cramping is the standard way to note GI cramps within SLUDGE, making that wording the most appropriate.

The main idea is that SLUDGE is a quick way to remember the muscarinic symptoms of organophosphate (cholinergic) poisoning: Salivation, Lacrimation, Urination, Diarrhea, Gastrointestinal (gastric) cramping, and Emesis (vomiting). The best choice matches this expansion exactly, using Emesis for vomiting and describing GI involvement as gastric (gastric) cramps. Emesis is the correct term for vomiting; Emetics would refer to substances that induce vomiting, not the symptom itself, so that option is not a proper expansion of the mnemonic. The phrase gastric cramping is the standard way to note GI cramps within SLUDGE, making that wording the most appropriate.