Paraquat poisoning patients bedside monitoring of blood purification and nursing care.docVIP

 PAGE \* MERGEFORMAT 9 Paraquat poisoning patients bedside monitoring of blood purification and nursing care Keywords: paraquat poisoning bedside monitoring of blood purification Care Paraquat, also known as gram grass disappeared, Diquat, is a pyridine herbicide, mainly absorbed through the skin or respiratory Erzhi poisoning, severe poisoning, particularly prevalent in the oral person. Usually manifested with multiple organ damage and failure, in which damage to the lungs the most common times for cardiac damage, liver and kidney dysfunction [1,2]. 30ml oral adult mortality, which amounts to 58% to 80% [1]. At present there is no effect against paraquat poisoning agent, where the method is mainly a thorough and timely repeated gastric lavage, catharsis, early alternating hemofiltration treatment increases blood perfusion is the key to success. Undergraduate from February 2004 to October 2007, the application hemofiltration plus hemoperfusion 15 cases of paraquat poisoning patients achieved good results. A clinical data 1.1 General Information in this group were 15 cases of oral paraquat poisoning patients. 6 cases were male, aged 22 to 48 years (mean 35 years); 9 female, aged 18 to 56 years (mean 37 years); oral paraquat amount of 15 ~ 80ml. OK hemofiltration, blood perfusion, the recovered 11 cases and 2 deaths, automatically discharged in 2 cases. 1.2 Blood Purification (1), vascular access: 15 patients were all single-needle double-lumen femoral vein indwelling catheter. (2) The blood purification device: the machine adopts a continuous bradycardia-type blood purification device ACH-10 (from Germany); hemofiltration chosen hemofilter APF-10S, blood perfusion using YTS-150 blood filters. (3) replacement fluid: blood filtration bag replacement fluid total saline 3000ml, 5% glucose solution 750ml, 10% calcium gluconate 40ml, 10% kcl12ml, 25% magnesium sulfate 3.2ml. 5% sodium bicarbonate, on the machine 125ml / h (another c