Nursing care of acute gas poisoning.docVIP

Nursing care of acute gas poisoning [Abstract] Objective Qingchi gas poisoning is that people in the process, inhaling the mixture of residual gas in digesters caused by poisoning, the lesser performance of dizziness pain, moderate facial flushing, rapid heartbeat, sweating over more severe poisoning, fall into deep coma, body temperature, pulse accelerating, shortness of breath, incontinence [1], the implementation of active and effective rescue was the key to improving survival, now our department in May 2008 on a successful treatment -7 10 cases of poisoning patients to talk about nursing. [Keywords:] Nursing care of gas poisoning 1, clinical data 10 patients admitted to our department gas poisoning patients were male, aged 36-53 years old, were admitted to hospital emergency room patients into the digester and are poisoning, poisoning treatment time is 10-90 minutes, there were 10 patients awareness disorder, 2 patients with different degrees of eye burns, fecal drowning in 8 cases, caused by inhalation of airway injury in 1, respiratory failure in 2 cases, agencies ventilation in 6 cases, emergency treatment after active care, were discharged without care and complications. 2, rescue and care 2.1 Rescue treatment 2.1.1 Immediate oxygen, high concentrations of oxygen mask or nasal catheter. Establishment of intravenous access, remove contaminated clothing, wash skin with plenty of water body, especially the pollution site. Strictly prescribed to 20% mannitol 125ml, intravenous q8h, lowering intracranial pressure, cerebral edema control, and with nimodipine 0.83mg / h intravenous infusion micro-pump to prevent cerebral vasospasm. citicoline, brain cells Xingnaojing nutrition, improve brain function, dexamethasone 10mg IV q8h anti-inflammatory to reduce cerebral edema. Shenmai, magnesium, potassium mixture nutrition myocardium. 2.1.2 maintain airway patency: fecal water drowning who are exposed to fecal residue airway airway