Gas poisoning treatment?
summary
Besides food poisoning, there will also be gas poisoning. In the case of gas poisoning, if not handled in time, it is also prone to life-threatening. The characteristics of toxic gas poisoning, the body tissues and organs by the role of toxic gas, the normal physiological function disorder, called poisoning, the phenomenon called poisoning symptoms. Gas poisoning treatment? Let's talk about it
Gas poisoning treatment?
On site first aid: remove the patient from the scene immediately, put him in a fresh place, take off the contaminated clothes, shoes and socks, lie down and keep warm. Or quickly put on a gas mask to prevent the continuous inhalation of harmful gases. Establish venous access, respiratory and cardiac arrest, immediately on-site cardiopulmonary resuscitation.
Respiratory tract management: remove respiratory secretions immediately, treat gas poisoning and keep airway unobstructed. If the respiratory depression is obvious, the respiratory center stimulants such as Nikethamide and lobeline are given intravenously. If the larynx is swollen or the upper respiratory tract is severely burned, tracheal intubation or tracheotomy should be carried out immediately for mechanical ventilation. According to the physical and chemical properties of the gas, 2% - 4% sodium bicarbonate solution or 3% boric acid solution should be used for atomization inhalation to neutralize the irritation of the respiratory tract. In case of severe cough and shortness of breath, 2 mg of 0.5% isoproterenol and dexamethasone plus 3 ml of normal saline can be inhaled. When necessary, antispasmodic, expectorant drugs and antibiotics should be used.
Oxygen therapy: oxygen therapy should be given in case of irritating gas poisoning. The oxygen flow rate inhaled by nasal catheter is 5-6 L / min. defoamer (dimethylsilicone) can be inhaled in case of pulmonary edema to remove airway blisters and accelerate the diffusion and absorption of oxygen. When ARDS occurs, the treatment of gas poisoning should take pressurized oxygen or positive end expiratory pressure breathing.
matters needing attention
For the damage of brain cells or brain edema caused by hypoxia or the direct effect of harmful gases, 20% mannitol 125-250 ml can be used for rapid intravenous drip, once every 8-12 hours, or adenosine triphosphate, coenzyme A, cytochrome c, glucose and insulin can be used for intravenous drip; Naloxone can antagonize the growth of mice by antagonism β The inhibitory effect of endorphin on central nervous system promotes the recovery of consciousness.
