Emergency observation of patients in emergency care disease mutation.docVIP

 PAGE \* MERGEFORMAT 6 Emergency observation of patients in emergency care disease mutation [Keywords:] emergency first aid and nursing observation of disease mutations Observed in our hospital emergency rooms for outpatient hospital-wide temporary infusion of all specialties and disease observation, the average daily infusion of more than 150 passengers. As the emergency observation of patients and more diseases and more complex condition, medication wide, and thus the incidence of disease mutations are relatively high. Now I work in emergency care nursing experience to handle patients with mutations in the report are as follows. A clinical data 1.1 General Information 2006 ~ 2008 patients in our department 18 cases of sudden changes in condition, in which five cases of anaphylactic shock, halo pin 6 cases, 2 cases of asphyxia, febrile seizures in 5 cases. 1.2 Clinical manifestations and treatment of (1) 5 cases of anaphylactic shock patients with skin test done before treatment were negative. 3 cases occur within 2min after the administration allergy symptoms, manifested as protruding pale, cold sweat, pulse thin and delicate, the blood pressure, respectively 80/60mmHg. 10min after administration of two cases in the chest, difficulty breathing, facial cyanosis, loss of consciousness, pulse thin and delicate, the blood pressure of 0. First aid measures: an immediate withdrawal, take shock supine, warmth, was prescribed subcutaneous injection of 0.1% adrenaline hydrochloride, 0.1 ml; to the anti-allergy, such as dexamethasone 10mg of 5% glucose 500ml intravenous drip, close observation of the patient’s condition the patient body temperature, pulse, blood pressure, urine output ready condition dynamic observation records, until the danger period. (2) 6 cases of all patients in halo-pin, starvation mode seat infusion. Of which four cases occurred during the repeated puncture, 2 cases of patients for the initial infusion. Clinical manifestations are dizzin