What are the treatments for carbon monoxide poisoning

Carbon monoxide poisoning is quite dangerous. Once someone is found to be poisoned, the patient must be moved to a good position in time to keep breathing smooth. In severe cases, hyperbaric oxygen treatment should be adopted as soon as possible. Timely medical treatment is the key.

1. Immediately transfer the patient to a well-ventilated place, lay him/her flat, loosen his/her clothes, clear the secretions from his/her mouth and nose, keep his/her airway open, and keep warm.

2. Correct hypoxia quickly. Patients with mild to moderate poisoning can use high-flow oxygen inhalation (5-10L/min) through a mask or nasal cannula. Patients with severe poisoning should use hyperbaric oxygen therapy as soon as possible to increase the oxygen partial pressure and blood oxygen content, correct tissue cell hypoxia, promote the dissociation of carboxyhemoglobin, accelerate carbon monoxide permeability, prevent and treat cerebral edema, promote the awakening of comatose patients, and accelerate the recovery of nervous system function.

3. Prevent and treat cerebral edema. 200-400 mg of hydrocortisone or 10-30 mg of dexamethasone or 250 ml of 20% mannitol can be used for intravenous drip. At the same time, fresh photon blood can be transfused, which will help improve tissue hypoxia. 40mg of adenosine triphosphate, 200u of coenzyme A, 30mg of cytochrome C, vitamin B complex, vitamin C, etc. can be used to promote the recovery of brain cell function.

4. Symptomatic treatment. Respiratory stimulants can be used in case of respiratory failure. Physical cooling can be used for those with high fever. Wear an ice cap on the head and place ice bags on the body surface to keep the body temperature at around 32°C. If chills occur during the cooling process or the cooling effect is not good, hibernation drugs can be used. For patients with frequent convulsions, diazepam 10-20 mg intravenous injection is the first choice.