PHC treatment of organophosphorus pesticide poisoning experience of nursing observation.doc

 PAGE \* MERGEFORMAT 8 PHC treatment of organophosphorus pesticide poisoning experience of nursing observation Of: according to Ho Mei, Huang Lina, Huang Bixing [Keywords:] Penehyclidine organophosphorus poisoning atropine Organophosphorus pesticide poisoning is the primary hospital’s Intensive common, if not timely rescue, and often life-threatening, since October 2004 ~ February 2008 our department with a long hydrochloride (HCl ether Kui Wu Shu B with the cholinesterase Resurrection agent on 110 cases of organic phosphorus pesticide poisoning and effective care and treatment of patients achieved good effect, now nursing reported as follows. Materials and Methods 1. General Information October 2004 to February 2008 were treated in our department in patients with organophosphate poisoning 110 cases, including 48 male and female 62 cases, aged 21 to 52 years, mean 30.50 + -4.61 years. Poisoning Category: methamidophos 50 cases, 25 cases of dichlorvos, omethoate 15 cases, 20 cases of dimethoate, are in oral poisoning, oral volume of 8 ~ 150 ml of pesticide range, of which 23 cases of mild poisoning, 54 patients with moderate poisoning, and severe in 33 cases by Rescue 106 patients cured after treatment, 4 patients sent to hospital because of heart had stopped breathing and died. 2. Methods According to the degree of organophosphorus pesticide poisoning, the first dose of intramuscular Changtuoning: mild poisoning 1 ~ 2 mg, moderate poisoning 2 ~ 4 mg, severe poisoning, 4 ~ 6 mg, both agents with chlorine phosphorus cholinesterase Resurrection or pralidoxime given [1]. moderate every 6 ~ 10 h in patients with repeated intramuscular injection of PHC 1 mg, in patients with severe intramuscular injection every 4 to 6 hours long hydrochloride 2 mg, repeated administration depends on when the indications the existence of muscarinic symptoms such as sweating, increased saliva, and / or cholinesterase activity less than 50%, such as dry mouth, no