急诊（Emergency treatment）.docVIP

急诊（Emergency treatment） Emergency treatment: 1. high fever 10%~25% by 2~3 on each side of nasal drops 2ml im st! Bupleurum chinense 2~4ml, Im, st! Aspirin, aspirin, acetaminophen (acetaminophen) and indomethacin (Xiao Yantong) are available for oral administration Hibernation therapy: chlorpromazine, 25mg, Im, st! Promethazine, 25mg, Im, st! Diclofenac sodium half a / a anal plug 2. upper gastrointestinal bleeding A. actively added blood volume (1) dextran, -40, 500ml, intravenous drip (2) adequate blood input, open access B hemostatic drugs (1) cirrhosis, esophageal and gastric varices bleeding 5% glucose 500ml Intravenous drip 0.2~0.4U/ Pituitrin 6~8U 10% glucose 10ml Intravenous bolus infusion followed by continuous intravenous infusion at 25~50ug/ HR Octreotide (Sandostatin) 0.1ml (2) peptic ulcer bleeding Prescription 1: physiological saline 20ml Push it every 12 hours Ranitidine 0.15 Prescription two: physiological saline 20ml Static push QD Omeprazole (Losec) 40mg Prescription three: norepinephrine 8mg Intragastric administration or intragastric administration of the stomach Iced brine 150ml Prescription four: physiological saline 20ml Oral 4~6 hours / times Thrombin 2000u Note: simultaneous application of common hemostatic agents, such as phenol ethylamine (Zhi Xuemin), amino caproic acid, tranexamic acid (hemostatic aromatic acid), can be used simultaneously. 3. anaphylactic shock prescription 1: epinephrine 1mg subcutaneous injection st! Very severe physiological saline 10ml Static push st! Epinephrine 1mg Prescription two: physiological saline 10ml Static push st! Dexamethasone 5~10mg Physiological saline, 250ml Intravenous drip st! Hydrocortisone 200~400mg (1) expansion; Low molecular dextran 500ml intravenous drip st! (2) to maintain airway patency, give oxygen if necessary endotracheal intubation or tracheostomy (3) the application of antihistamines such as promethazine, diphenhydramine, etc. 4. intracranial hypertension (1) dehydration treatment Presc