If people drink too much, they will have many reactions to being drunk, the most common of which is vomiting. However, after vomiting, people will feel very uncomfortable in their gastrointestinal tract, and they will always have symptoms of acid reflux. In this case, you must pay special attention and go to bed to rest. Only in this way can your body gradually recover, and you must also pay attention to keeping yourself warm. 1. Patients with mild symptoms generally do not need treatment, just lie still and keep warm. 2. Those who are restless should use sedatives with caution and avoid anesthetics; those who are overly excited can use chlorpromazine 12.5~25mg or paraben 6~8ml enema. 3. For more seriously ill patients: (1) Induce vomiting quickly (do not use dehydrated morphine): Within a short period of time after poisoning, repeatedly wash the stomach with 1% sodium bicarbonate, or 0.5% activated carbon suspension or water, and then inject strong tea or coffee into the stomach tube. (2) Immediate rehydration: Add regular insulin to 100 ml of 50% glucose solution and drip intravenously. At the same time, use 100 mg each of vitamin B1, vitamin B6 and niacin by intramuscular injection to accelerate the oxidation of alcohol in the body. 4. For patients in coma or drowsiness: 0.5 g of sodium benzoate caffeine or 0.1-0.2 g of pentylenetetrazol solution, injected intramuscularly or intravenously once every 2 hours, or 20 mg of Ritalin or 8 mg of valsartan, injected intramuscularly. 5. For patients with respiratory failure: 0.375 g of chloramine or 9 mg of lobeline, injected intramuscularly, while inhaling oxygen containing 5% carbon dioxide. Perform endotracheal intubation and artificial respiration if necessary. 6. Naloxone: It is an opioid receptor antagonist that specifically antagonizes various effects mediated by endogenous morphine-like substances (β-endorphin), relieves central inhibition of alcohol poisoning, and shortens the coma time. 0.4~0.8mg can be added to 10~20ml of normal saline and injected intravenously; if the patient is in a coma, 1. Add 2 mg to 30 ml of normal saline and inject intravenously. If the patient does not wake up within 30 minutes after medication, repeat once. Alternatively, add 2 mg to 500 ml of 5% glucose water and drip intravenously at a rate of 0.4 mg/h until the patient is conscious. 7. For patients with cerebral edema, dehydrating agents should be given and fluid intake should be restricted. 8. Maintain the balance of water, electrolytes, acid and alkali, and supplement magnesium when blood magnesium is low. 9. If necessary, dialysis treatment can be performed to quickly reduce blood alcohol concentration. Poisoning treatment 1. Naloxone 0.4-0.8 mg added to 20 ml of glucose solution for intravenous push or 1.2-2 mg added to glucose solution for continuous intravenous drip 2. 100 ml of 50% glucose solution is intravenously dripped to accelerate the oxidation metabolism of ethanol in the body 3. Intravenous infusion of cimetidine and other stomach protection drugs 4. Use furosemide to accelerate alcohol excretion. 5. Cimetidine and naloxone cannot be used in the same group. Naloxone is best administered intravenously (reference): naloxone 0.4-0.8MG + 5% GS 20ML intravenous push, about once every hour until the patient wakes up, 10% GS 500-1000ML + a large amount of vitamin C + insulin 10-20U intravenous drip. AND IM VITAMIN B1.6 AND NIACIN 100MG! |
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