无解毒剂.doc

鈣鹽（Calcium Salts） ※無解毒劑 防護設備 Life support  注意事項 □Oral/ Parenteral □Dilution □Fluid resuscitation General supportive care □Eye評估眼球是否完整 No □用眼用鐵蓋將眼眶整個保護起來□Consult眼科醫師 Yes □1.Consult眼科醫師□2.滴上表面麻醉劑,測pH值, 並記錄□3.貼上眼用引流袋□4.Continuous irrigation N/S 500 cc□5.測pH值, 並記錄□6.再沖洗N/S 500 cc□7.測pH值, 並記錄, 直至醫師來 □Dermal □1.Consult外科(整形)醫師□2.移除被污染衣物□3.以大量清水(N/S)沖洗 (※若為石灰乾粉類應先以刷子清除)□4.以無菌N/S紗布覆蓋□5.注意保溫□6.注射Tetanus toxoid Lab/Monitoring Serum calcium level Serum albumin level Electrolytes Renal function EKG Cardiac monitoring Central venous pressure measurement Pulmonary artery catheterization Wedge pressure measurement Urine output  中 毒 症 狀 治 療 HEENT Transient eye irritation Conjunctivitis CV Hypotension Bradycardia Arrhythmias Cardiac arrest Neuro Irritability Lethargy Stupor Coma G-I Mild GIdistress Gastrointestinal hemorrhage Genitourinary Renal impairment Nephrocalcinosis Acid-Base Alkalosis (milk-alkali syndrome Acidosis (CaCl2 ,IV) Fluid-Electrolyte Milk-alkali syndrome Hypercalcemia Acidosis Hypochloremia Hypokalemia Dermal Skin irritation Skin burns Cellulitis-type lesion Calcium Salts 1