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abercrombie mxico, to 4 ~ 6h1
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Again, gastric lavage can be observed with or without stomach bleeding. % Mannitol 2) mL of 50% magnesium sulfate 60mL catharsis available after gastric lavage in order to speed up the poison excreted in the intestine. Large dose of poison by gastric tube gastric lavage losers, the need surgical gastrostomy, as soon as possible to create a gastric lavage channel. Endangered by application of sufficient quantities of antidotes, when her condition improved after gastric lavage. 2.2 Application specific antidote Jing while gastric lavage, rapid establishment of intravenous access, severe poisoning to build two: one drop of pralidoxime and other cholinesterase agents and other rescue medications; an immediate intravenous injection of anticholinergic drugs A atropine. This group A0 pralidoxime and atropine combination therapy. The complex can be supplemented by anticholinergics agents against organophosphorus pesticides with the poisonous weeds of alkali-like role of nicotine-like effects and toxic effects against central nervous system. Early poisoning a short time to give sufficient quantities of complex agent is the key to the treatment of light, by poisoning, severe, the pralidoxime first dose of 0.5g, 1.5g, 2. og, intravenous infusion, in patients with c both vitality, muscle trembling, an interval of 0.5 to 1. Oh repeat until the symptoms disappear, and Q is also dynamic stability more than the normal 50% to 60%. Respiratory muscle paralysis, an interval of 1h application of 1.0g, was repeated three times after the interval 2h administration, until the emergence of spontaneous breathing, 1d amount up to 10.0go complex can be indications of the agent in sufficient quantities for: conscious clear, convulsions, muscle trembling. Phosphoryl cholinesterase in 72h aging, so the re-agent applications does not exceed the 3do ? in the application of complex agent, combined with anticholinergic drug atropine, agents Tony IJ early, adequate, repeated, the correct administration, and quickly reached atropinization (ie, the pupil before the expansion of dry mouth, dry skin, facial flushing, lung wet rales disappeared and 'rate of speed). Mild poisoning, atropine 2.0 to 4. The Omg intramuscularly, 1 hour after halved atropinization, to 4 ~ 6h1; moderate poisoning atropine 4.0 to 10. Omg intravenously, every half hour, atropine after halved every 2 ~ 4h1; severe poisoning to atropine 10.0 ~ 2o. 0mg intravenously, every 10 to 15rain1 invalid, could increase the dose to 30.0 ~ 50mg per 5 ~ 10min1 times, atropine reduced by half, every 30rain 2h1 times. Reduce or extend the delivery time in stable condition after maintenance therapy of 5-7d, dimethoate, omethoate poisoning medication 7 ~ 10d. Omethoate poisoning in this group of patients, in addition to three cases, two cases of dimethoate poisoning, a condition Anti-jump, other types of pesticide poisoning were not, the patient showed; occurred within 7 days after poisoning,abercrombie and fitch, in addition to the pale,abercrombie mexico, sweating, vomiting, abdominal pain, chest tightness,abercrombie, M receptor exhilaration, but also the exhilaration of the twitch nerve receptors. Some people think its one of the mechanisms of premature withdrawal or reduction of excessive atropine, literature analysis reports, rebound mortality rate as high as 56.3 percent to 77.6 percent. I caught on condition rebound to take timely additional atropine dose again quickly up to atropinization, and an appropriate extension of the maintenance medication time, no deaths. Atropine, dose adjustment according to the disease, neither reduction of excessive resulting in illness rebound, do not use excessive the Erzhi atropine poisoning (the performance of pupil dilation, blurred, irritability, convulsions, high fever , urinary retention, and even coma). Atropine poisoning, should be discontinued atropine, close observation and symptomatic treatment. Atropine first dose should be limited to less than 50mg. 2.3 Integrated Treatment 2.3.1 to maintain respiratory function, oxygen, maintain airway patency. Tracheal secretions are more deep coma or respiratory arrest should be Early endotracheal intubation or tracheostomy incision, in order to improve the ventilation function. 2.3.2 The application of adrenal cortical hormone. Adrenal corticosteroids stabilize the lysosomal membrane, myocardial depression and reduced cytokine production. Protection of myocardial contractility. In addition, the splanchnic vascular can enhance blood flow, protect the vital organs of blood supply, oxygen, and reduce toxic liver disease, toxic encephalopathy, toxic cardiomyopathy, and cerebral edema. Should be early, short-term applications, generally with 2 ~ 3d, commonly used dexamethasone 4o ~ 50mg or hydrocortisone 300 to 500mg diluted in 10% glucose infusion, day 1. 2.3.3 to prevent and treat renal failure. A0 due to kidney damage, can be quickly restored after the primary I helmet improved. Severe A0 patients with early application of dehydration, diuretics, given small doses of dopamine and furosemide poisoning early joint. Can dilate renal blood vessels, better play to the diuretic effect, thereby improving renal function. Maintain water and electrolyte balance, correcting acidosis, and avoid the use of renal poisons,abercrombie mxico,
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