Tuesday, November 25, 2008
Acute opioid poisoning symptoms
Mild poisoning: dizziness, headache, nausea, vomiting, excitement or depression, hallucinations. Moderate poisoning: a coma, needle-like pupil and a high degree of respiratory depression, such as poisoning cases triple their performance characteristics. [Clinical] 1, mild: dizziness, headache, nausea, vomiting, excitement or depression, hallucinations. 2, moderate: in a coma, needle-like pupil and a high degree of respiratory depression, such as poisoning cases triple their performance characteristics. Shallow breathing to slow after the sigh or wave-like breathing and pulmonary edema often made. The last occurred in shock, a variety of reflex, pyramidal tract positive sign. Could face death because of respiratory failure. [Diagnosis] 1, the history of medicine. 2, clinical performance. 3, laboratory: vomit, urine or stomach contents of the chemical characterization of positive results of the inspection. [Treatment] 1, oxygen: the maintenance of the airway open, with 5% carbon dioxide inhalation of oxygen, respiratory depression, or the line to give intubation ventilator support, ventilation. 2, gastric lavage, catharsis: 1:5000 potassium permanganate, or 0.5 percent medicinal carbon suspension gastric lavage; magnesium sulfate catharsis. If the poisoning more than 6 hours, should be high saline enema. 3, the respiratory center doping: there is respiratory depression, to use food base stem Hill, and nikethamide, and so on. 4, drug detoxification: the first dose of naloxone 0.4-0.8mg intramuscular injection or intravenous injection, if necessary, 10 to 15 minutes after the re. 2mg naloxone also adding 5% glucose solution 500mL quiet, until the resumption of breathing, the total up to 10mg (after application of naloxone can be induced vomiting, should the need to protect the airway). 5, symptomatic treatment: the maintenance of water and rehydration electrolyte balance and acid-base balance, and for the treatment of complications.
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