1 case of percutaneous hepatic artery chemoembolization induced by contrast agents Nursing care of anaphylactic shock.docVIP

 PAGE \* MERGEFORMAT 5 1 case of percutaneous hepatic artery chemoembolization induced by contrast agents Nursing care of anaphylactic shock Study: Red Guo Lin, Fang left the county, Yang Xi Zhang [Keywords:] Contrast media; allergic shock; care A medical record Male patients, aged 69, of colon cancer liver metastasis 3 months after admission, the 2nd line of intervention. Improve the preoperative examination, no obvious contraindication. On June 30, 2009 Percutaneous local anesthesia arterial chemoembolization, hepatic artery DSA: An injection force of 320 mgI / ml, injection rate: 4 ml / s, volume 16 ml, 30 min after angiography in patients with sudden bruising his face, cold extremities, confusion, pulse weakened and vanished , undetectable blood pressure, consider the contrast agent of anaphylactic shock, then quickly suspended from the allergen and surgery, immediately give oxygen and establish intravenous access, external cardiac massage, artificial respiration, epinephrine 1 mg, dexamethasone 10 mg, 20 mg bolus of dopamine and other symptomatic treatment, after 2 h after the rescue, the patient gradually stable vital signs, limb temperature rise, measured urine output was about 400 ml, heart rate 112 times / min, oxygen saturation 98%, blood pressure 153/74 mm Hg, into the respiratory continue treatment. 2 Discussion Ioversol is a high concentration, low viscosity, low osmolality, high hydrophilic properties, and good safety of non-ionic iodine contrast agent, allergic reactions are rare but not absolutely safe. Iodine contrast agents, as haptens, and serum protein binding enter the body become antigen, leading to You IgE antibody-mediated type I hypersensitivity to common skin manifestations [1]. when serious cardiovascular, respiratory and gastrointestinal symptoms, generally occur within 30 min. It is reported that: There is a tendency to allergic patients more susceptible to allergies than others [2]. because the iodine molecule com