罕见急危宿疾人挽救流程图20160713(国外英文资料).docVIP

常见急危重病人抢救流程国外英文资料) 1, shock rescue flowchart 1 Two, the anaphylactic reaction flowchart 2 Symptoms of shock: restlessness, pale skin, cold limbs, rapid pulse, Blood pressure: systolic pressure 90mmHg and/or pulse differential 30mmHg Functional shock rescue flowchart 3 4 12 11 6 7 5 one 2 See box 1 ~ 2 Stay in bed, head low. Open airway and keep the flow open, the tracheal intubation is necessary L to establish a large vein channel, l oxygen, and keep the oxygen saturation above 95% Monitor cardio, blood pressure, pulse, and breath l catheterizing (especially urine) Sedative: diazepam 5 ~ 10mg or lorazepam 1 ~ 2mg muscle injection or intravenous injection Initial capacity recovery (hemodynamic instability), dual channel infusion: Rapid infusion of 1, 500 ~ 2000ml of liquid crystal (such as ringer or saline) and colloidal fluid (low molecular dextrose or hydroxystarch) 100 ~ 200ml / 5 ~ 10min The hypotension of the lower blood pressure after a proper recovery is given to vasopressin: Systolic pressure 70 ~ 100mmHg dopamine 0.1 ~ 0.5mg/min intravenous drip Systolic pressure 70mmHg norepinephrine 0.5 to 30? G/min Correct acidosis: severe acidosis is considered to be considered as a 125ml intravenous drip of sodium bicarbonate Assess the shock situation: Heart rate: more rapid skin performance: pale, gray, sweaty and bruising Body temperature: higher or lower than normal l metabolism: early respiratory alkalosis, late metabolic acidosis Kidney: lower blood pressure (postural) hypotension and pulse Breath: early growth, late respiratory failure lung, pink foamy sputum Etiology diagnosis and treatment 9 8 Anaphylactic shock (see allergy response procedure) Neurogenic shock Septic shock Low blood volume shock Cardiac shock 10 Correct arrhythmia and electrolyte disturbance If the low blood volume is combined: the liquid (e.g. low molecular dextronic anhydride) 100 ~ 200ml / 5 ~ 10min to see if there is any improvement in the shock sign For example, if blood pre