Four-historic tests
The night nurse received an emergency patient last night, who was very old, was left unattended during the day and lost consciousness, had a high fever, and had his family hospitalized overnight, with severe brain infarction and lung infections. Today's medical advice has been given to fight the infection in mondo. Before i went to the patient's bed to ask for a “three history”, i got a negative answer, informing the family that the patient needed antibiotics to treat the lung infection, and later i'll do a head-to-head mendo. A family member was busy saying, "he drank yesterday." i'm gonna call dr. Piper and then i'm gonna shut down the head and switch to archicin。
Looking back on the matter, it was a cold sweat, thanks to a reminder from the family, that otherwise a double-sulphur gallon reaction to the application of the head spores would be another bad event, and it was not clear what the consequences would be if the patient had such a poor base。
We never asked the patient about the history of drinking before we had a scavenging test, and even the application of a scavenging drug did not specifically remind the patient that it could not drink alcohol, which is common sense and should be understood by the public. However, there were two consecutive negative incidents in my room a few months ago during which the patient had been drinking alcohol during the application of the head spas, which caused a double-sulphur reaction, and since then, the application of the head sulfur drug has been included in the teaching process。
What is a double-sulphorl reaction, what drugs can cause a double-sulphorl reaction and what measures can be taken when it occurs
Double-sulphurlum reaction is also referred to as double-sulphur resuscitation or alcohol-free sulfur reaction. When patients use certain drugs, they take ethanol via various means, and they cause an adverse reaction, such as drinking alcohol, eating ethanol-containing drugs (e. G. Ten drops of water, aromatic aerobic fluid, medicinal preparations, etc.), food (e. G., drunk shrimp, beer duck, yolk pie, heart chocolate, ethanol-containing beverage, etc.), alcohol bathing, application of ethanol skin disinfectant, etc。
The mechanism for the double-thorium reaction
Double-sulphurium is used in combination with ethanol to inhibit the acetylene dehydrase in the liver and to prevent ethanol from continuing to decomposition after the oxidation of the body to the acetaldehyde, resulting in a build-up of the body with a series of reactions. Its main manifestations are: light reactions such as gloom, dizziness and panic; moderate reactions such as headaches, dizziness, panic, nausea, vomiting; edema to the throat, breathing difficulties, chest pains and even shock, cognitive disorders, incontinence, etc. Their severity is proportional to the dose of drugs and alcohol consumption, with older persons, children, cardiovascular diseases and ethanol sensitivity。
The treatment of the double sulfur reaction
Lighter: for the time being, no special treatment may be used to allow the patient to rest in peace and to observe changes in the condition。
Heavy: patients should immediately be flattened and vomiters should be sidelined, their mouths and nasal endocrines should be cleaned in a timely manner and their respiratory tracts kept open. An assessment of the patient's dementia, pupils, vital signs, electrocardiological supervision, oxygen 4-6 l/min, and an inhaled tube if the patient suffers from a mental disorder, severe respiratory difficulties, reduced haematological saturation, high-flow oxygen in the mask is still not able to alleviate respiratory difficulties, increased haematological saturation, and oxygen is given to the piped tube, together with care for the tube. Quick opening of the veins, preparation of rescue equipment and medicines, ready for rescue. The ekg, blood protocol, myocardial enzyme, electrolytics, etc. Are examined accordingly in order to identify other diseases and avoid delays in treatment。
Drugs that cause a source of double sulphur samples
1 antibacterial
(i) antibiotics of the head of the fungus
The heads of the aqualone, the aqualone, the schubathan, the apritamine, the mumido, the mimino, the salsa, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulphate, the sulfur, the sulfur, the sulfur, the sulfur, the sulfur, the icine, the salbutin, the icium and the acetium。
(2) antibacterials of the mice
Tetranitrazine, sodium dithiophosphate, nitrazine and onitrazine, etc。
(3) other anti-microbial drugs
Substances such as furan ketone, furan bene, chlorocin, ketol, ashoxin, amethrin, sulfamide methium, amphibians and queenakrin。
2 blood sugar medicine
There are glepen, glezit, gleze and insulin。
What should the nurse do
Strengthen the teaching
With regard to how long it takes to use a drug to avoid a double-sulphorl reaction, the authors differ, with the longest saying that anyone who has a history of drinking should avoid the use of drugs that trigger double-sulphorl。
There is also a lack of consistency in the documentation of drinking time after the application of the relevant drug, with a generic drug instruction for 5 d, a drug manual stating that drinking should be avoided during the drug use and within one week after the drug stoppage, and a proposal by scholars to stop alcohol 14d。
