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asbryobvrz · Wysłany: Sob 7:58, 05 Mar 2011

9 cases of poisoning rescue chlorpromazine

Prescription drugs and respiratory stimulant boost applications. Exception in this group had a diagnosis of hospital patients have been transferred to hospital blood pressure, pulse, breathing a times, that is, to gastric lavage, catharsis, and other treatment, blood pressure once again been found decline in blood pressure, continuous monitoring vital signs. The other 8 patients to the hospital that are continuing to monitor the vital signs and intravenous fluids, gastric lavage and extended to the whole process in order to detect changes in vital signs of patients, provide a basis for further and means of rescue. 2.3 to prevent further absorption of drugs 2.3.1 gastric lavage were hospitalized after the group of patients were given saline gastric lavage, after the normal specimens from patients with indwelling stomach tube stomach contents of a drug qualitative examination. Not less than the total adult gastric lavage liquid 5000ml, each into the liquid 300 ~ 500ml; lavage fluid volume in children less than 2000ml, each into the liquid 120 ~ 200ml. Observe and record intake and output of gastric juice every Sin, the amount should be greater than or equal to the amount of people. If the wash is less than one out of the amount of juice, be sure to separate tubes and gently turn the stomach gastric lavage after washed with a syringe slowly back out of juice, so as not to wash the residual stomach gastric juice caused acute gastric dilatation, or gastric laceration . 2.3.2 the application of activated carbon after gastric lavage and purgatives, under doctor's orders into the carbon tube and sodium sulfate suspension, absorption is not only against the excretion of toxic poison and it helps .... Absorption of poisons added 2.4 Clear enough blood circulation,[link widoczny dla zalogowanych], the application of sodium bicarbonate to correct acidosis, diuretic furosemide to maintain urine output per hour more than 250ml. 2 of them poison, asked for a longer dialysis patients also, as soon as possible has been absorbed remove toxic drugs. 3 Discussion 3.1 to enhance the management of the pharmaceutical market is the key to reduce the occurrence of such poisoning, the current management is still not up to standard pharmaceutical market, many prescription drugs are not strictly controlled, so a lot of drugs in the market, supermarkets and pharmacies can be purchased bottle of chlorpromazine hydrochloride. Some suicide, it is very easy to find these drugs to increase the probability of occurrence of such poisoning. Prescription drug called on relevant departments to strengthen management efforts to reduce the incidence of such poisoning. 3.2 improve the care of mental patients is to reduce the drug in patients with mental illness simply as some kind of poisoning, psychiatric out-patient health education is not well implemented or not in place, resulting in some patients with drug therapy disorders. The group has four mental patients are not self-control, and no family to take care of patients with medication, the patient medication according to their interests, and result in an overdose caused by poisoning. Recommended psychiatric health education staff do a good job, so that families of patients with emphasis on the importance of taking care of patients, so that each patient's medication can be the spirit of quantitative time, to ensure patient safety,[link widoczny dla zalogowanych], avoid the type of poisoning. 3.3 raise awareness of the guardianship of minors,[link widoczny dla zalogowanych], protecting the safety of children in the group 2 patients was 3 years old child, they are taken by parents and relatives of mental patients homes, children do not naive oral intake of the drug caused poisoning. If the parents taking care of babies, or family members of patients take good care of these drugs, put it out of reach of children to avoid these incidents. 3.4 The emergency nurses to change some old ideas and working methods of the past most of the poisoning were measured 1 to the hospital that blood pressure,[link widoczny dla zalogowanych], pulse, respiration, if the vital signs were stable, give gastric lavage, catharsis, and other treatment, then continuous monitoring of vital signs and transfusion. L by patients in this group because there is no process in the continuous monitoring of gastric lavage of blood pressure, resulting in decreased blood pressure did not discover the lessons. We believe that poisoning hospital patients who should continue to monitor vital signs and establish intravenous access, and continued throughout the gastric lavage cathartic process. 3.5 wash gastric parameters such as salt water is best to use our approach is: to prepare 5000ml of conventional kegs a large number of cold water and hot water, weighed more than 45g of sodium chloride for medical package. If the poisoning patients to clinics need to gastric lavage, rapid deployment duty nurses to wash salt water and other parameters of gastric juice, gastric lavage is not the time delay and to avoid mucosal edema caused by gastric lavage with water. Key words: chlorpromazine; poisoning; rescue Key words: 11472.2 Document code: A Article ID :1008 -9993 (2004) 05-0096 a O1 [
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