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Wysłany: Pią 17:46, 25 Mar 2011 Temat postu: 3 cases of penicillin allergy medicines caused by |
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3 cases of penicillin allergy medicines caused by the observation and rescue
Treatment of 5d, the disease cured. Example 3: Female, 1 years old, fever, runny nose, cough, to the individual clinics, to 5% glucose 250mi Ammonia card 2g infusion of penicillin more than 30rain after the children crying, pale,asics australia, pulse 140 beats / min, shortness of breath , trunk and limbs skin rash, pressure of not fade, irritability, fast hold our hospital, heart rate, weak pulse, caused by a diagnosis of penicillin allergy amino card immediately adrenal 0.3ml intramuscular injection, oxygen, Nicole brake m 0.125rag intramuscular injection, 5 glucose 50ml 5mg intravenous dexamethasone, the resulting loss of consciousness, convulsions, shock, give external cardiac massage, mouth to mouth artificial respiration, disease progression, time to rescue miss death. 2.1 2 discussions before penicillin allergy history to understand whether, seen from the above cases, different physical, the reaction is different, under normal circumstances, the use of penicillin-type drugs, not only required for the skin allergy test, and test the new solution needed preparation, immediately after the injection of diluted liquid is best, should not place too long, because of their easy solution titer decreased rapidly at room temperature, prolonged storage process can produce high molecular polymer, and protein binding sake of antigen sensitization substances can cause allergic reactions. 2.2 Fasting infusion of penicillin vagus nerve stimulation, causing nausea, vomiting, palpitation, fatigue, exhaustion, should instruct patient to eat, in order to reduce the incidence of adverse reactions. Nurses in practice should be strictly implemented three of the seven investigations, theory and practice in clinical, to enhance the three basic training. Penicillin was not toxic, but should not use too large so as not to accumulate too fast intravenous infusion of too many appliances off strict, strict disinfection and close observation of the response after treatment, in the heat of the reaction phase identification, medication should not be fasting, so as to avoid stimulate the gastrointestinal tract, the skin test solution with freshly prepared, the nurse should communicate with patients in a timely manner, found that the situation in time, the rescue should be familiar with the location of Allergy, articles, rescue drug concentration effective to save the patient's life, because the delayed type hypersensitivity is negative and difficult to attach great importance to the nurses should be fully in the treatment of observation. (Trench Series: Cui Libo) Jilin Medical Information Vol 19 2002 2 3 Granule Cerebral shock therapy and brain rehabilitation after traumatic brain injury syndrome in 100 patients Lichun E Cheng Su Li Cheng Suying Wang Shuguang Hospital, Jiaohe City branch of the new station In our hospital tl1999 1 month to May 2001 produced by Hill Pharmaceutical Co., Ltd. Xian Te Chen Ning Granules of the brain after traumatic brain injury syndrome 5O patients, compared with the use of Piracetam compared the results were satisfactory, are as follows. 1 Division of Clinical Information Granule brain shock 5O patients treated group, 42 males and 8 females, average age 31 years, 5O patients piracetam group, male 4O, female 1O cases, the average age of 3O-year-old, two were confirmed by random sampling, the extent of brain damage and clinical symptoms are similar. Choice of cases: ① history of head trauma, disturbance of consciousness immediately after injury, the performance of consciousness and retrograde amnesia. Recovery of consciousness after the often headache, dizziness, nausea, vomiting and insomnia, dreams, memory loss and other symptoms, lasts more than 3 months. ② no positive signs of neurological examination, laboratory examination no positive findings. ③ lumbar puncture: cerebrospinal fluid pressure and examination were normal. Clinical assessment: Clinical Evaluation of this article with following criteria: ① After treatment after traumatic brain injury symptoms disappeared and no recurrence is recovered, ② After treatment after traumatic brain injury symptoms disappeared, but the case of emotional fatigue, a bit of climate change who are markedly with discomfort, ③ treated the symptoms of traumatic brain injury, compared with the previous reduced, but still the clinical symptoms, so patients feel pain, and continued for more than 2 months are invalid. Methods and medication dosage: Brain Chen Ning Granules 10g / time, 3 times / day. Piracetam 0.8g / time, 3 times / day. Results: The cure rate plus markedly effective rate, brain Granule shock efficacy compared with piracetam in 2 years time, Chen Ning Granules with the brain 5O cases, light 3O cases effective in 29 cases, severe cases 2O effective in 18 cases, the total effective rate of 94, treatment with piracetam 5O cases, 26 cases of light effective in 23 cases, 24 cases of heavy effective 1O cases, the total efficiency of 66%, after statistical processing, the brain and brain Chen Ning Granules Rehabilitation significant difference, P <0.01. Granule cure brain shock in 47 cases, 33 cases of brain rehabilitation cure, cure cases of the two drugs compared to 15 days for a course of treatment, 30 days to cure, cure for brain Granule 43 cases of shock, of the total 47 cases 91 were cured, and the brain re- Hong cured 15 cases, accounting for 45% of 33 cases cured. 2 discussions after traumatic brain injury syndrome is due to brain injury caused by nerve cell dysfunction syndrome, often a result of dizziness, nausea, vomiting, insomnia, and affect the normal work and study. Experimental results show: Chen Ning Granules have brain |
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