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基层医生的抢救尝试(Rescue attempt of primary doctors)
基层医生的抢救尝试(Rescue attempt of primary doctors)
First, if abnormal patients were found
(1) stop the drug immediately, keep the venous passage, make the patient lie supine, perform the rescue in situ, and report the doctor immediately.
(two) observe vital signs, measure blood pressure, pulse, respiration and body temperature, and follow the doctors advice according to the situation.
(three) 10 mg of dexamethasone and intravenous injection were given according to doctors advice.
(four) if the drug allergy, immediately subcutaneous injection or deep intramuscular injection of 0.1% hydrochloric acid adrenaline 0.5~1.0 ml, such as symptoms do not ease, can be every half an hour or subcutaneous or intravenous injection of 0.5 ml, until the risk of separation.
(five) given continuous low flow oxygen, respiratory inhibition should immediately give mouth to mouth resuscitation and intramuscular injection of lobeline Nikethamide or other respiratory stimulant, laryngeal edema influence breathing tracheotomy.
(six) according to the doctor immediately to 200 mg of hydrocortisone or dexamethasone, and according to the condition of given vasoactive drugs, dopamine alamin etc..
(seven) if it is an infusion reaction, it should be taken care of according to the prevention and cure of the infusion reaction, such as fever reaction, it should be slowed down and notify the doctor.
(eight) cycling overload should pay attention to the speed should not be too fast, there are symptoms, so that patients sit upright, legs drooping, pressurized oxygen, oxygen through the 20~30% alcohol inhalation.
(nine) if the phlebitis is found, the extremities should be raised and braked, and 95% or 50% Magnesium Sulfate should be applied.
(ten) such as air embolism, should place the patient supine and Trendelenburg position on the left side received oxygen inhalation.
(eleven) observe the patients temperature, pulse, respiration, blood pressure, urine volume and other clinical changes closely, and keep a good
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