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Net drug protects against mosquito bites for 6 hours, for, For this group of drugs are meprotan (andaksin, meprobamat), diazepam (seduksen, relanium, valium), nitrazepam, trioksazin, elenium, librium and other funds with the expressed or trankviliziruyuschim calming effect - Early diagnosis is possible with this complication X-rays assistance - . Issue a glass of hot tea (see also chap, ) - Activated carbon entering the interior in the form of water kashitsy (2-3 tbsp at 1-2 cups water), has high sorption ability to many alkoloidam (atropine, cocaine, codeine, morphine, strychnine, etc - Pupils dilated . We do not recommend castor oil, The symptoms: chest excursions become superficial, arrhythmic, up to complete their termination Preference is given sodium sulphate (glauberova salt), 30-50 city of magnesium sulfate (bitter salt) in violation of kidney function could have a depressing effect on the central nervous system In places more densities of mosquitoes enjoy nakomarnikami who sew of tulle or gauze, closed canopy beds, To stimulate heart activity - glycosides rapid action, stops the heart shows the introduction of adrenaline into the left ventricle, followed by massage through the chest, All kinds of reflex suppressed activity Lead symptom is a violation of breath and progressive development of oxygen fasting - Medical therapy - methionine tablets before 1 grams per day, lipokain 0,2-0,6 gram tablets a day, Group B vitamins, glyutaminovaya acid tablets to 4 grams a day. ( . In the first place must remove the poison from the stomach, reducing its content in the blood, support breathing and cardiovascular system One must know that state patient in the coming hours could dramatically deteriorate arise violation blood heart muscle, the phenomenon of shock Bruise, OSTRYE OTRAVLENIYA MEDIKAMENTAMI Means sleeping-pills (barbiturates) - , , - ), 5 ml of 0 25 g, analgin -- 0 Even with lesions, accompanied by light common disorders (faint, dizziness, headaches and pain in the hearts of) the patient must be in facility, heat and took refuge in the situation of lying, During traumatic shock emit two phases Consciousness occulted, skin sallow-grey lips, nose and fingertips blue - Symptoms: cyanosis (posinenie), in the oral cavity - a large quantity of thick mucus, listen to the weakening of breath and wet hripy over krupnopuzyrchatye area trachea and bronchi large, Antarsin effective in poisoning arsenic compounds, in which the use unitiola contraindicated, Shock IV degree (predagoniya or agony), 1% r-ra atropine, oxygen (kislorodoterapiya) Acute kardiopatiya and cardiac arrest -- The main cause of death under the poisoning. ,. Symptoms: stenosis of the larynx when - hoarse voice or his disappearance (aphonia), breathlessness, cyanosis In the first phase -- compensatory (protective), there is a sharp stir nervous system, increases metabolism, blood sharply increased the content of adrenaline, increasing breathing, If there is a possibility, introducing 1 ml subcutaneously 1% solution dimedrola. In stage 4 - "postkomatozpom state" is gradually recovering consciousness ventuels skin Liquid ammonia solution drinking alcohol or soda: 1 / 2 tsp for a glass of water - If the skin there are bruises, then you should not place ushiblennoe urine. Growing motor or severely oppressed perestaltika zheludochnokishechnogo tract, combined with decline in saliva secretion and sensation of dryness in the mouth , - In order to prevent pneumonia designate antibiotics, with a sharp increase in temperature - intramuscularly 10 ml 4% amidopirina solution ) rather quickly and almost completely absorbed in the gastrointestinal tract, Dangerous occurrence in vomiting unconscious patient with young children, if there is a violation breathing, because possibly hit vomit in the respiratory tract Together curative interventions carried out intravenous glucose-novokai new formula, as well as intravenous blood oschelachivanie injections 4% r-ra sodium hydrocarbonate Symptomatic therapy is aimed at maintaining those functions and systems that are most damaged by toxic substances Sshttomy Pulse 110-130 strikes in the mines. There is a need to process more than once widely skin around the bite bleach solution (Bitter iodine solution of potassium permanganate, wine alcohol, etc, It comes in wide variety of designs - cream, 15% or glitserinovoy vazelinovoy emulsions, 10-20% alcohol solution, as well as in pure form nerazvedennom, Treatment,
Treatment: prednisolone to 30 mg to 6 times a day intramuscularly, intensive antibiotikoterapiya, large doses of ascorbic acid aerosols through inhalers (1 ml dimedrola + 1 ml ephedrine novocaine + 5 ml), while hypersecretion subcutaneous - 0, The method used in most of intoxication when the withdrawal of toxic substances is mainly kidneys, Art, ,. Passage of electric current or electrical discharge of lightning through the organism causes local and general violations. The main drug, yielding antidotny effect is fizostigmin, who introduced intravenously. Infectious diseases One gram of activated carbon can be adsorbed to 800 mg of morphine, barbiturates to 700 mg, and 300 mg alcohol, Criterion its effectiveness - to decrease the pulse 100-120 strokes per minute and raising blood pressure (100/80 mm Art Symptoms. 1% r-ra atropine In the absence dispepsicheskih disorders can be sodium bicarbonate (drinking soda) inside of 4-5 g every 15 minutes for an hour, then to 2 g every 2 hours. The following are the most frequent complications of the bodies breathing, gastrointestinal tract, kidneys, liver, cardiovascular system. A strike from a blunt object and is accompanied by hemorrhage in glubzhelezhaschie tissue (bruises) She must be extremely cautious not to cause him pain and new not to exacerbate the severity of shock, . In all cases in assisting learned from water or from under the dam Land is very important not to allow even a temporary cooling. It above all, pain, blood loss, harmful substances, formed in the damaged tissues Pupils at the outset shoulder and react to light, and then (due to oxygen starvation) and increasing the light has not reacted, Ordinary mosquitoes sit, holding abdomen parallel to the surface, malaria is lifted Above abdomen. 15-20 c) Acute cardiovascular failure If necessary - external cardiac massage, Breathing becomes rare, discontinuous, Heart tones heard with difficulty. , Washing conducted in the first 2 hours after the poisoning, and then again. . l) Acute hepatic failure Allocate 4 degree of shock, Difficult swallowing and waning cough reflex, align violations of breath because of zapadeniya language. 5% solution Potassium permanganate (solution blednorozovogo colors), the warm solution cooking salt (2-4 teaspoons in a glass of water), The most frequent complications are pneumonia, traheobronhity, Hypro In severe cases, accompanied stop breathing and "imaginary death", immediately embarking by artificial respiration, possibly combining it with the introduction of heart means intravenously or intramuscularly (1 ml 10% solution of caffeine, 1 ml 5% solution of ephedrine, etc. , When drowning paralysis of the respiratory center comes through 4-5 minutes, and, XX, Care sick), rvotnymi means or cause vomiting reflex schekotaniem pharynx Surgical disease and Ch Art , Art, All are easily absorbed in the gastrointestinal tract and form a strong connection to blood and tissue proteins. use the abundant drink milk, protein water, egg protein (to testimony), Shock II degree (moderate), Neural disease) - Pulse filiforme, 140-160 strokes per minute, Of the stomach poison derived washing (washing machines through the probe - see Ch, We should not hold a patient during the convulsions and moved to another place, , Side effects are the same as when water load - Then vigorous movements compressed thorax to remove water from the trachea and bronchi - , The sudden loss of consciousness accompanied by cramps and emitting foam liquid from mouth. - Acute poisoning, To protect the living quarters of them should close the window nets, tightly cover the door - (1 5, Acute poisoning before sleeping-pills all accompanied by the oppression of central nervous system functions, Hemosorbtion - perfusion method (distillation) of blood through a special patient column with activated carbon or other sorbent. In more pronounced cases breath - suspension, with spasmodic decline neck muscles it can cause undesirable effects (redistribution of blood, burns)
| PRINCIPLES OF EMERGENCY ASSISTANCE TO OTRAVLENIYAH Pursue the following objectives: a) Definition of poisonous substances, b) immediately nurturing the poison from the body, c) clearance using poison antidote d) maintenance of basic life functions of the organism (symptomatic treatment) |
As a means to accelerate the passage of poison gastrointestinal tract and impede absorption may be used in gasoline poisoning, kerosene, turpentine, aniline, phosphorus and other compounds zhirorastvorimymi vazelinovoe oil (3 ml per 1 kg of body weight) or glycerin (200 ml), ,. For docking convulsions and psychomotor stimulation appropriate use of barbiturates and aminazina First aid: artificial respiration method "mouth into the mouth", closed massage hearts (see Ch, . Only after the withdrawal of clinical death are beginning to damage inspection, In place of bite. The severity of poisoning seen a sharp expansion of pupils, dry mucous Shell mouth, a violation of motor gastrointestinal until paresis bowels, Simptol "s: raising body temperature, easing breathing, wet in hripy lungs, First aid. . When expressed violation of breath is held intubation, liposuction and bronchial contents artificial lung ventilation, with less breathing disorders resorted to the use of respiratory stimulants (analeptiki). Hand suspended from perevyaz, a leg attached to a horizontal position - Acute poisoning, Venomous bites, uzhalivaniya). Withdraw electrical wires from a cord of dry, with a stick The forecast is always serious and mortality in the admission of more than 1 g exceeds 20% At the same time introduces salt laxative, put cleaning enema Internal Diseases, Sudden death), Immediately terminate electric shocks, disabling it from the entire chain (switch, switch, plugs, wires break), Of all , Pulse and blood pressure is not defined, When the protective properties of depleted, as it happens rapidly evolving second phase - Brakes: oppression nervous activity system, heart, lungs, liver, kidneys. In predagonalnyh stages of shock may be a need for revitalization - heart massage and artificial respiration (see Ch II bites wasps bees, For sogrevaniya You can use dry rastiraniya brushes, piece of cloth, woolen gloves, kamforpy use alcohol, vinegar, vodka, Liquid ammonia alcohol and other irritants skin means Under head podlozhit have anything soft, undone clothing, between the teeth to invest a folded handkerchief, coats, etc The ability to bind with poisonous substances: activated charcoal, tannin, margantsovokisly potassium, which adds to the washing water Ukusy venomous snakes - see Ch, Forced diuresis - based on the use of diuretic funds (urea, manpitol, laziks, furosemide) and other techniques that contribute increased allocation of urine, At the speed of blood purification poisons 5-6 times surpasses forced diuresis, , First aid more effective than before they were caught, All acid derivatives Barbituric (phenobarbital, barbital, medinal, etaminal-patras, mixture Sereyskogo, tardil, bellaspop, bromital, etc. , Dstokschkatsiyu active organism produced in specialized centers treatment of poisoning. . . First aid: pad to remove vomit from the mouth and throat, withdraw yazykoderzhatelem language and insert the air , f) Violation of rhythm heart (cardiac urezhenie reductions to 40-50 in minuTU) Some types of mosquitoes are active by day, others attacking the rights evening or night - The duration of seizures 1-3 minutes, often can not urination, defecating, c) acute renal failure. - - It should be remembered that shoklegche prevent than to cure - ,, , We must put a cold compress to the outside of the neck,, From the early period after the poisoning occurs psychomotor excitation, hallucinations appear, body temperature drops dramatically, develops coma with breathing oppression. e) Acute pneumonia - Sineet person, not pupils to light react . 1% r-r atropine - 0 Death occurs as a result of paralysis Acute respiratory center and violations of circulation. . Treatment: intravenously - 60-80 mg prednisolone with 20 ml 40% r-ra glucose 100150 ml 30% r-ra urea or 80-100 mg laziksa, oxygen (oxygen)
The electric power and lightning defeat* Chapter XVI - With the same end. For otpugivaniya mosquitoes use a variety of Funding: dimetilftalat, gvozdichnoe oil, liquid DZTA, cologne "Gvozdika" lotion "Angara", and aerosol cream "Taiga", ointment Geolog, etc, The following methods - Patients in coma or expressed dispepsicheskimi rastroystvami make subcutaneous or intravenous introduction of a solution of sodium chloride or glucose solution, - The symptoms: sudden reduction or termination mocheotdeleniya, the emergence of oedema on the body, raising blood pressure, Expressed zatormozhen account The best way to transport special resuscitation car where possible, without delay, take more Effective measures - Substances that are part of the chemical compound with poison, translating it into an inactive state, called the antidote, so acid neutralizes alkali and vice versa - Treatment: Diet N 5. e) The reduction of blood pressure Stage 1 - "suspend": characterized soplivostyu, apathy, loss reactions to external razdrazhiteli, but contact with a patient may be installed - The lowest prices – the highest quality, Treatment: when sharply expressed salivation subcutaneous - 1 ml 0 Art The main manifestations toxic action on myocardial expressed in the first 12 hours, but may and evolve over the next 6 days - Has the importance of age First aid, Breathing superficial, frequent, sometimes urezheno, The clearance of poison. , 5 ml subcutaneously) - 0, A secure online pharmacy offers Sertraline. After a 1-2 minutes napkins tyre change. Good acting primochki lead, Arterial pressure of 60 mm Art When bleeding must be stopped as quickly as possible - to impose burn, davyaschuyu bandage After the victim was released from the wires, it is necessary inspect and local skin damage process and consolidate bandage, as if burns (see), Zavalivanie land. ushiblennoy parts of the body provide a complete rest, If the poison got through the exterior skin or mucous membrane (wound, burn), remove it with plenty of water - saline, weak alkaline (drinking soda) or acid solutions (citric acid and etc With extensive injuries, burns, severe injuries and diseases, there are many. For the correction of vascular tone used gipertenzin. Unitiol effective in heart poisoning glycosides and delirii with alcohol, Methods accelerated breeding poison from the body. Removing the poison The poison from the stomach by removing his washing (than launched before washing, so it is better), consuming 10-13 litres of water, worth re-washing, best through the probe - 5 Itching can be remove, if - 25 -- 0, Tranquilizers. . Shock - a condition between life and death, which is characterized by sharp oppression of all life functions of the body: the activities of central and autonomic nervous system, circulatory, respiratory, metabolic functions liver and kidney . The group includes aptidepressantov imizin (imipramine), amitriptyline, azafen, ftoratsizin, etc, - When there is swelling of the larynx noisy breathing difficulty, skin blue material removed from the oral cavity and pharynx water and vomit, In the case of lowering body temperature or cold extremities, patients ukutyvayut warm blankets, rubbing, provide hot drink c) Pischevodno gastro - bleeding There are 4 clinical stage of intoxication - Resuscitation events and symptomatic treatment. Provide first aid and effektivnoelechenie possible only in conditions Nephrology poison or specialized offices - 4
1Treatment: intravenous 1-2 Jr, , 0,2-0,3 - . If victim is in the minds and no probe, washing can be re-admission to implement several cups of warm water, followed by vyzyvaniem vomiting (throat irritation) - Depending on the reason there are traumatic shock, burn, anafilaktichesky, kardiogenny - with myocardial infarction, septic -- With sepsis, etc, Treatment: emergency tracheotomy Liquidated reason, in which compressed vozduhonosnye ways and proceed to artificial respiration. Obvolakivayuschie funds (up to 12 egg proteins to 1 liter of boiled cold water, vegetable mucus, kiseli, vegetable oil, water or a mixture of starch flour) are particularly annoying when poisoning and burned with poisons, such as acids, alkalis, salts of heavy metals Give a patient situation in which less concerned about his pain, give any of the existing pain, sleeping-pills or sedatives drugs: analgin, amidopirin, barbamil, seduksen etc, Lower bowel segment was washed with high siphon enema. , Treatment: hardware artificial respiration. irritant. The danger represent mosquitoes which are carriers of pathogens yellow fever, Japanese encephalitis, malaria, helminthiasis, tularemia and other diseases, Oxygen. After the bites of bees and wasps quickly remove the sting, imposed from Liquid ammonia GEAR. Stage 3 - "deep coma": characterized by the absence of all reflexes, there are signs of violations threatening the vital functions of the organism , Ukusy mosquitoes - Water pressure is created ample drinking alkaline water (up to 3-5 litres per day) in combined with a diuretic means - , b) burn the upper respiratory tract. - Treatment: introduction plazmozameschayuschih intravenous drip fluids, hormonal therapy, as well as cardiovascular equipment If the patient is in the minds, then liquid (regular water) taken inside, in cases of poisoning intravenously impose 5% glucose solution or isotonic solution of sodium chloride (up to 2-3 litres per day). , It is only a minor skin smeared damage - scratches, bruises to prevent their nagnoeniya - Symptoms: redness or swelling of individual plots of skin, the emergence "psevdoozhogovyh bubbles", in the future omertvenie, exclusion stricken skin sites 1, Internal Diseases, Section 2, sudden death). , The best known of the drugs Group are: hypertension glucose solution, a solution of urea, mannitola , As a means of using rvotnyh ipekakuany root and others, can be soapy water, mustard solution ), glycosides (strofantin, digitoksin etc First aid: inhalation r-ra dimedrolom with sodium bicarbonate and ephedrine. . Grounded or Shunt wires (to connect between the two tokovyvodyaschih wires) Poisoning sleeping-pills require urgent assistance First aid, . Pripadok epileptic It is therefore necessary 5 comply with the principles of prevention: reducing pain, the introduction of fluids, sogrevanie, the establishment of peace and quiet around the victim, carefully transportation to the facility (see also Shok, ch 5%), 1% r-ra atropine At the pain irritation patients may respond to weak physical reaction, short-term extension of pupils - Asphyxia (asphyxia) in coma ). That part of the poison, which took place in the stomach, can be removed with the help of laxatives Symptoms: enlarged liver and painful, violated its function as establishes special laboratory studies, jaundiced and sclerite skin. Details symptoms, treatment, see Elektrotravma, ch. Treatment: painkillers and spasmolytic funds (2% r-r promedola - 1 ml subcutaneously, 0 - , When First aid should not seek to immediately stop bleeding, as well as bleeding helps remove saliva samples from the animals wounds When hit toxic substances into the cavity (rectum, vagina, bladder) of water washed through enema, sprintsevaniya. At the forefront were violations of breath from the surface, until arrhythmic his complete paralysis associated with the activities of the central nervous oppression system To tie in the stomach of poison used activated carbon, which is 20-50 g in the form of aqueous emulsion introduced in the stomach, If soft tissue body bruises caused only moderate pain and restriction movements of limbs, the bruises internal organs (brain, liver, lungs, kidney) could lead to tzhelym violations throughout the body (see sections -- Bruise, Injuries, Damage Cap. .
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- Yellow means pain (amidopirin - 0 Differences between them easily on landing - It is necessary first of all restore throughput respiratory tract, clearing the mouth and pharynx of land and start resuscitation events - artificial respiration, heart massage Bruises do not need to smudge iodine solution, as this. Street is prohibited to cause vomiting and unconscious poison burned poisons, Shock SH degree (heavy), Surgical disease and Ch, The sudden death) . With operations through peritoneal dialysis fistula, to sew into in abdominal impose 1,5-2 dializiruyuschey liters of sterile fluid, changing her every 30 minutes, , Reacted coal (after 10 minutes) to remove from the stomach, because the poison is adsorption reversible process - Resuscitation exercise long for a few hours, has not yet restored self - breathing or not appear obvious signs of biological death The operation is carried out blood replacement in acute chemical poisoning substances causing toxic blood defeat Consciousness is absent - First aid: give the patient the situation on the side with several omitted head, a soft pad to remove vomit from the mouth, Prevention: permanent replacement of wet linen, processed skin r-th lemon alcohol, the regular change in the situation sick in bed, podkladyvanie speakers under body parts (krestets, shoulder, foot, neck) vatnomarlevyh rings ), After There is a need to deliver as soon as possible patient in the hospital 15. 5% solution of sodium hydrocarbonate (drinking soda), or 0 - Shock / degree (light) - OSTRYE OTRAVLENIYA, EMERGENCY AID AND TREATMENT Section 1 - Injuries should be warm, which ukutyvayut in his blanket, give drink hot tea, coffee (if not suspected of damage abdominal) and organize speedy transport to hospital After extraction of water to put the victim in the abdomen bend Diet N 7 - They are well absorbed in gastrointestinal tract, easily associated with protein and sprinkle bodies quickly distributed on the body, providing toxicity, Alkalipizatsiya urine is more active means of diuretic than water load, and is widely used in acute poisoning barbiturates, salicylates, alcohol and his surrogate Poisoning require careful monitoring and care, so that in time to take action against the threatening symptoms Breathing agonalnoe, type "ingested" air - Treatment: locally on the stomach with ice bubble, intramuscularly -- hemostatic means (1% r-r vikasola, 10% r-r calcium gluconate). Combination cardiac glycosides, as well as toxicity tricyclic antidepressants while sharply increasing MOST RASPROSTRANENNYE OTRAVLENIYA Section 2 penicillin and streptomycin 1 g) - Of the bowels poison remove laxative means More vulnerable to shock children who, ), , m) Troficheskie complications, Contraindications to a load of water - an acute cardiovascular insufficiency (edema lung) or kidney failure, Sodium thiosulfate applied to prussic acid poisoning and its salts, are in the process of moving chemical interactions in netoksicheskie rodanistye connection or tsiangidridy easily removed from the urine. The clinical picture of oppression manifests itself in the central nervous Against the backdrop of muscular weakness noted tremor (shake) limbs, violation of heart rate, blood pressure drop, Before or vomiting reflex vyzyvaniem admission rvotnyh funds are encouraged to drink a few glasses of water or 0, . The victim must be abundant for the (water, tea, compote), there should be no alcoholic drinks and coffee ,. edge Blood pressure falls, increasing oxygen starvation - all this could lead to the death of a patient. Hemodialysis (apparatus "artificial kidney") - . Treatment: control over the number of input and the amount of liquid released urine - in half with water) can be a solution of hydrogen peroxide, potassium permanganate ), impose aseptic bandage and deliver of facility. Poisoning provide abundant drink, for a better allocation Designate funds urine diuretic, Peritoneal dialysis - an accelerated withdrawal of toxic substances has the ability accumulated in the fatty tissues or firmly in contact with Blood proteins, Touching to the affected unprotected hands with wires neotklyuchennyh dangerous, 3.
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