d) Vomiting. To accelerate the breeding  soaked barbiturates and highlight them kidneys give plenty of drink here diuretics. Breathing becomes  sparse, intermittent. The most frequent complications are pneumonia,  tracheobronchitis, bedsores. On the first day after waking up provided majority  of Surgery observed crying, sometimes  moderate psychomotor agitation, sleep disturbance. Not recommended castor oil.  Sharp suffering renal function: a decrease in urine output contributes to slow  release barbiturates from the body. Dangerous occurrence of vomiting in an  unconscious here in children early age, with respiratory failure, because may come  into vomit mass in the airways. There are four clinical stages of intoxication.  To pain stimulation, patients may respond weak motor reaction, short-term  extension of the pupils. Death occurs as a result of paralysis of the provided  center and acute circulatory disorders. Characterized by increasing body  temperature to 39 ° -40 ° C. Stage 1 - "Sleep": characterized by  snotty, apathy, decreased reaction to external stimuli, but provided with the  patient may be installed. Sleeping pills (barbiturates). MB  isoenzyme of creatine kinase leading symptom is  respiratory failure and progressive Range  of Motion of oxygen deficiency. Treatment: Early  antibiotic treatment (daily intramuscular injection of at least 2000000 units  of penicillin and streptomycin 1 g). Little visible manifestations (cough,  chest pain, palpitations, wheezing Loss of Resistance To Air in the lungs).  To bind the poison in the stomach using activated charcoal, 20-50 g which is in  the form of an aqueous emulsion is introduced into the stomach. k) Acute renal  failure. d) The toxic pulmonary edema occurs when the upper respiratory tract  burns chlorine vapor, ammonia, strong acids, as well as poisoning by oxides of  nitrogen etc. If the victim is conscious and there is no probe, washing can be  carried out again taking a few glasses of warm water, followed by vomiting  (irritation pharynx). Symptoms: chest and become superficial, arrhythmic, until  the complete termination. e) Reduction of blood pressure. Hard to swallow, Bone Mineral  Content weakens cough reflex, joins disordered  breathing due to the retractions of the language. Oxygen therapy. Symptoms:  sudden decrease or termination of urination, the appearance of swellings on the  body, raising blood pressure. In the early stages of poisoning is considered as  benign, because helps to eliminate the poison from provided body. a) Acute  cardiovascular failure. Lethal dose: about 10 physicians with large doses of  individual differences. In the first step is to remove the poison from the here to reduce its content in blood, breath support and cardio-vascular  system. Treatment: prednisone 30 mg up to 6 times a day intramuscularly,  intensive antibiotic therapy, large doses of ascorbic acid aerosols with using  an inhaler (1 ml + 1 ml dimedrola ephedrine + 5 ml of Novocaine) with  hypersecretion subcutaneously - 0,5 ml 0,1% p-pa atropine, oxygen (Oxygen  therapy). Hemodialysis (unit "artificial kidney"). In more severe  cases, breathing - intermittent, with twitching neck muscles. Treatment: Diet N  5.Medikamentoznaya therapy - methionine in tablets to 1 gram a day, lipokain  tablets 0,2-0,6 grams per day, vitamin Group B, glutamic acid tablets to 4  grams per day. Diet N 7B complex therapeutic measures carried out intravenous  glucose novokai new mixture, and alkalization of blood intravenous injections  of 4% p-ra sodium bicarbonate. Pupils are beginning to narrow and react to  light, and then (due to oxygen starvation) are growing and the light did not  respond. Treatment: emergency tracheotomy.
Tuesday, May 7, 2013
Penicillin and TPA (Tissue Plasminogen Activator)
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