全英文讲课—一氧化碳中毒.pptxVIP

Chapter 12 Carbon Monoxide Poisoning;Teaching objectives;Concept;Concept;Daily life ;Industrial poisoning ; Etiology;Mechanism of poisoning;Mechanism of poisoning;Disease assessment;Disease assessment;Disease assessment;Disease assessmentClinical manifestation ;Delayed Encephalopathy ;The Principles Of Treatment;The Principles Of Treatment;Oxygen Treatment;Hyperbaric Oxygen Treatment;The Principles Of Treatment;Symptomatic relief and supportive treatment: Frequent twitching Coma patients with respiratory disorders High fever Prevent secondary infection Keep water, electrolyte metabolism balance Prevent delayed encephalopathy ;;Nursing measures;Observation of oxygen inhalation: patrol the unit timely check whether the Oxygen tube is folded or fallen off ;Observe the patient ;Discharge guidance: Observe delayed encephalopathy after poisoning, periodic review;Discharge guidance: safety knowledge Strengthen the propaganda of carbon monoxide poisoning such as： check the gas pipeline regularly to prevent leakage Keep ventilation while using the fire When taking a mission under a hig concentration of carbon monoxide environment, please wear gas masks ; Male, 65years old, coma for half-hour , he was found coma by his son in the morning, no vomiting, there is a coal stove nearby, he live alone last night, everything is normal, only conventional antihypertensive drugs, without the use of other drugs, no abnormal bottle. Previous high blood pressure history for 5 years, with no liver, kidney and diabetes history, no history of drug allergy. Examination: T36.8 C, P98 / min, R24 / min, Bp160/90mmHg, coma, had no respond, no skin and mucous membrane bleeding, superficial lymph untouched, sclera yellow dye, isocoria, diameter 3mm, the light reflection sensitive. Cherry red lips, neck soft, no resistance, thyroid (-), heart size and rate are normal, a