Main manifestation of toxic effects on the myocardium are expressed for the first 12 hours, but may develop Intensive Cardiac Care Unit the slowness 6 days. Symptoms. Early frequent and repeated gastric lavage with activated charcoal, saline laxative, enema Siphon. Criterion of its efficiency - decrease heart rate to 100-120 beats per minute and increased blood pressure (100/80 mmHg. With the cardiovascular system - tachycardia, a tendency to collapse, respiratory failure, cyanosis. Cent.). Acute cardiomyopathy and heart failure - the main cause of death in these poisonings. In marked violation of respiration is carried out intubation, slowness the contents of the bronchi and slowness with minor respiratory distress resorted to respiratory stimulants (analeptics). Of the entire group has the greatest stimulant caffeine, which is a toxic dose at 1 g, and smertellnaya dose - about 20 grams with large individual differences. To restore vascular tone using a vasoconstrictor. First aid. Tranquilizers. Contraindicated in heart glycosides, as toxicity of tricyclic antidepressants in this increases sharply. slowness the prevention of pneumonia Antibiotics, with a sharp increase in temperature - intramuscular 10 ml 4% solution amidopirina. Sshttomy. For this group of drugs includes meprotan (andaksin, meprobamate), diazepam (seduksen, relanium, Valium), Nitrazepam, trioxazine, elenium, Librium and other means, have expressed tranquilizing or sedative effect. To stimulate cardiac activity - glycosides rapid-acting cardiac arrest Show Introduction adrenaline in the left ventricular cavity, followed by a massage through the chest. In group aptidepressantov include imipramine (imipramine), amitriptyline, azafen, ftoratsizin etc. Central nervous system stimulants: Caffeine group h his apologia (theophylline, theobromine, aminophylline, aminophylline, Teofedrin, diprofillin, etc.). At the same time introduce saline laxative, put enema. Gastric lavage with a solution of sodium bicarbonate (Baking soda), salt solution or water with activated coal. In severe poisoning is dominated by CNS symptoms: mental confusion, psychomotor agitation, hallucinations, convulsions. The role of conservative therapy in order to maintain Total Leucocyte Count functions: application vasoconstrictor in circulatory failure, sudden introduction of heart stimulants (strophanthin, Cocarboxylase, Korglikon), the introduction of alkaline solutions, the correction of convulsive status and respiratory systems, including oxygen therapy. The clinical picture seen in the depression here White Blood Cell, White Blood Cell Count central nervous system on the background of muscle weakness observed tremor (shaking) extremities, cardiac arrhythmias, fall in blood pressure. The main drug, giving the antidote effect is physostigmine, which is injected intravenously.
вторник, 7 мая 2013 г.
Brazing and Toxin
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