Intravenous infusion of dextran 1 case of anaphylactic shock caused by the rescue and care.docVIP

 PAGE \* MERGEFORMAT 7 Intravenous infusion of dextran 1 case of anaphylactic shock caused by the rescue and care [Abstract] one case of open fracture of left tibia and fibula intravenous infusion of dextran-induced anaphylactic shock, to be oxygen, ECG monitoring, rehydration, intravenous allergy medication, catheterization and other treatment, rapid establishment of intravenous access Enter the generation of plasma and patient’s condition improved after fluid infusion, vital signs were stable. made of allergic reactions to withdrawal immediately and decisively to take positive and effective rescue measures, close observation of changes in condition, strengthen psychological care to the patient turned the corner. [Keywords:] low molecular weight dextran, anaphylactic shock, care Dextran as glucose polymers, mainly for the expansion of blood volume in clinical, anti-thrombosis and improving microcirculation, the dosage can cause coagulation dysfunction, a small number of patients with visible skin reactions, and occasionally fever, chills, very few people anaphylactic shock. January 2009 occurred in 1 case in our department intravenous dextran-induced anaphylactic shock cases, this ferocious disease, the medical rescue, the patient out of danger. Nursing now reported as follows. A case report Patients, female, 33 years old, a car accident caused the left leg swelling, pain, deformity, movement disorder 3h, in at 12:54 on January 11, 2009 income homes. Admission diagnosis for the left middle tibia and fibula fracture. On March 13 afternoon, the line at the bedside to take the left thigh skin grafting skin + left knee surgery, doctor of surgery at 21:45 to give low molecular weight dextran infusion 500ml, 1min after the patients had chest tightness, palpitation, dyspnea, throat itching, pale, sweating, clammy extremities, confusion, urinary incontinence. measuring BP 52/20mmHg, HR 140 times / min, R 54 times / min, consider intravenous infusion of