Patient aged 27 years is brought to the emergency department. She is sweating profusely, vomiting and having difficulty in breathing. She cannot walk without assistance, and her pulse rate is 34. She is delirious and unable to explain her condition. The relative who brought her in said that the women had threatened suicide 2 hours earlier.

The pupils were constricted. How will you proceed to treat. Can we use Pralidoxime in this case? Can we use any other oximes with such a patient?