How to deal with an infusion reaction What is the process of managing an infusion reaction

Stop the infusion immediately and treat the symptoms**!!

Legal analysis: If the patient has an infusion reaction: 1. Quickly cut off the infusion of the infusion drug and stop the infusion of the original drug, and immediately stop the infusion of all drugs.

2. Give oxygen to lie down, drink warm water, and pay attention to keeping warm. 3. In case of severe infusion reaction, it is necessary to inject 25-50 mg of promethazine hydrochloride intravenously, and immediately give 10-15 mg of dexamethasone injection or intravenous infusion of anti-allergic **. 4. Observe the patient's condition at this time, and give monitoring methods such as heart, blood pressure, body temperature, pulse, and blood oxygen saturation to observe whether the patient's symptoms have recovered.

5. If the patient's symptoms continue to not recover, dopamine and epinephrine can be given intravenous pump or intravenous infusion. Endotracheal intubation and ventilator assistance may be used if necessary**. 6. Fluids should also be replenished, and mixing sugar, brine and electrolytes is the best choice.

Legal basis: Article 1218 of the Civil Code of the People's Republic of China: Where a patient suffers damage in the course of diagnosis and treatment, and the medical institution and its medical staff are at fault, the medical institution shall be liable for compensation.

Question 1: What are the common infusion reactions, and what are the common causes of high fever, chills, and allergies.

Problem 2: Common types of infusion reactions (1) Large infusion: If small cracks occur in glass collision or loose bottle caps during storage, handling and use of large infusions, it will cause air leakage and cause microbial contamination of large infusions.

So be sure to check carefully before use. If it is found that the mouth of the infusion bottle is loose, there are microcracks in the bottle wall and the clarity is unqualified, it shall not be used. (2) Add drugs:

The quality of the added drugs is unqualified, and it is also easy to cause infusion reactions. Must use qualified medications. If the dosage of the drug is too large and the concentration is too high, it is also easy to cause infusion reactions.

Drug concentrations should be reduced. The added drug and the infusion undergo physical changes or decomposition, polymerization, etc., resulting in a decrease in efficacy and infusion reactions. Drug compatibility contraindications should be avoided.

After the drug is discontinued, the patient's body temperature returns to normal. Improper selection of large-volume injection, Chinese herbal medicine injection should be mixed with glucose injection and diluted and then intravenously instilled, not mixed with normal saline. The reason is that after the combination of Chinese herbal medicine injection and normal saline, a large number of insoluble particles can often be produced due to salting-out effect, thereby increasing the incidence of infusion reactions.

3) Pyrogen accumulation: When intravenous administration, when the endotoxin of pyrogen bacteria enters the body reaches a certain amount, the patient will have a pyrogen reaction. When administering intravenous infusion, the variety of compatible drugs should be minimized.

4) Particle accumulation: improper preparation sequence can also increase the number of particles, or even exceed the standard. The dispensing is polluted by the air, there are many dust particles, and the dispensing needle is too large, which causes the infusion rubber stopper rubber to enter the infusion, resulting in an increase in infusion particles.

The dispensing sequence should be changed, and purification facilities should be set up in the dispensing room, and small needles should be used to dispense liquid, which can reduce the particles in the infusion. (1) Disease: Patients with inflammation, febrile disease, weak constitution, immune disorder, etc., can increase the response rate.

After excluding drug and operation factors, it is judged to be caused by the development and change of the disease. (2) Patient age: elderly patients and young children have low or unsound immune function, enhanced sensitivity to bacterial endotoxins, and a high proportion of infusion reactions.

3) Individual differences: Different patients have different tolerance thresholds for bacterial endotoxins, so special attention should be paid to infusion of patients with sensitive constitutions.

Question 3: What are the common reactions of infusion reactions and how to deal with them Gastrointestinal reactions and allergic reactions are more common.