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There are times in life when you don't notice what can cause you to be poisoned, especially for some drugs. So what we are going to talk about today is when we are using atropine drugs for **, because we use them improperly and cause some people to be poisoned, so how should we help them detoxify at this time.
To understand the degree of intoxication, the first thing we need to understand is atropine drug poisoning, which is mostly caused by oral or injected overdose of drugs. These drugs can have very serious effects on children and people who are allergic to atropine. But what we need to understand is that for this person who is poisoned by atropic drugs, his speed and the degree of his intoxication will be different.
At this time, we should take a different approach according to his personal constitution, and we should carry out positive and rational **.
To take a cyclical ** should first take a periodic **, because for those who are mild or generally poisoned, they only need to carry out a periodic ** at this time. And when the symptoms have recovered, they can be discharged, so these patients will generally have dilated pupils at the beginning, and there will also be some rapid heartbeat, increased body temperature and difficulty swallowing. At this time, we must let them accept the systematic **, that is, the acceptance of the staged **, only in this way that they can be discharged from the hospital after the symptoms of moderate poisoning at this stage have completely subsided.
Special drugs** The second is that for some patients with a large number of very serious degrees, they can be given some drugs, so for example, it is a cholinergic drug. Then this drug mainly acts on the nerves and can fight some nerve abnormalities caused by atropine poisoning, so it is mainly taken subcutaneously, so that they can make their pupils narrow to a normal state in a short time. At the same time, it can also reduce the wetness of their oral mucosa and other symptoms, so this practice is only for some patients who are very poisoned, because if they do not take the corresponding **, it is likely to endanger their lives.
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Milk. Because milk has a certain detoxification effect and reduces the degree of poisoning, milk should be used for detoxification.
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You can use diazepam drugs, you can also use blockers to control the heart rate, if it is more serious, you should go to the hospital to have a doctor to do a professional **.
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At this time, don't use some things blindly, you must go to the hospital in time, and you must get a doctor's diagnosis for detoxification, and you can also use gastric lavage.
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Answer]: a, b
This question mainly examines the mastery of the rescue method of Jian Jiyin's poisonous Chinese medicine poisoning. Aconitum and toad poisoning can be rescued with atropine. When strychnine is poisoned and spasms occur, phenobarbital sodium can be injected intravenously to relieve the barricade. Realgar and cinnabar poisoning can be rescued with mercaptopropanol.
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Answer]: e1Atoqing diggings block muscarinic receptors.
2.Carbon monoxide prevents the absorption of oxygen, the harvest, the return of branches, and the transportation and utilization.
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Atropine is a toxic alkaloid, sometimes medically it can be used to help people who are sick and repentant to relieve pain, if children do not eat it, then it will lead to poisoning, and the following will introduce to you how to **.
Empirical Steps:
First: After the child is poisoned with atropine, it is generally necessary to give the child gastric lavage and enema in time, so that the toxin can be excreted from the child's body as soon as possible.
Second: After gastric lavage and enema, pay attention to your child's diet. Because of the ** period of pediatric atropine poisoning, gastric lavage and enema, the damage to the stomach and intestines at that time was very great, so we should pay attention not to eat too hard things, and try to choose the liquid food of Weizhiqinsheng.
Third: After the child has done gastric lavage enema, the child's body will also be very weak, so pay attention to the child's hygiene to avoid the child's digestive tract infection.
Notes:
Atropine poisoning is very harmful, so after the child is poisoned, gastric lavage and enema should be done in time, and it is necessary to pay attention not to eat too hard food to maintain the child's hygiene and sleep.
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Pharmacology 4-Organophosphate Acute Poisoning Rescue Principles: Removal of Poisons, Symptomatic Treatment, Special Antidotes.
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The mechanism of action of pilocarpine is the selective direct activation of M receptors, which can be said to be the opposite of the effect of atropine, which can alleviate the excess of atropine.
The mechanism of action of physostigmine is to inhibit cholinesterase, which indirectly plays the role of activating M receptors, and organic ester poisoning is also because cholinesterase is inhibited, which is equivalent to organic ester poisoning, atropine rescue overdose, and the use of organic esters**, which is not suitable.
I haven't learned diazepam yet.
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The detoxification mechanism of atropine is mainly as follows: blocking muscarinic receptors to rapidly reduce or eliminate M-like symptoms; Excite the central nervous system, improve respiratory function, raise body temperature, relieve cerebral vasospasm, etc., and help coma patients wake up; Prevents xanthine dehydrogenase from being converted into xanthine oxidase, reduces the generation of oxygen free radicals, and therefore has the effect of anti-lipid peroxidation and stabilizing the cell membrane; In large doses, catecholamines can be antagonized, so they can dilate arterioles, cause facial flushing, hand and foot warmth, etc., but it has no blocking effect on the nicotinic receptors of the motor endplate, so it cannot relieve muscle tremor.
Early rapid atropine and continuous drug use are the basic principles of rational application of atropine, and mastering the dose and time of the first dose and repeated administration are the key to rational drug use.
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Answer]: A simple atropine poisoning can be used as a counteragent with neostigmine or pilocarpine. Neostigmine has a cholinergic effect, which can slow down the heart rate and increase gland secretion.
The second Jinzhou ride), Xiang take 15 20min medication once until the dry mouth disappears. Pilocarpine is a post-gangliondric cholinergic drug, which can increase gland secretion, and is used for severe atropine trace poisoning with 5 10mg times and 15 30min once until the oral cavity is moist. If it is a small grassroots clinic that occasionally rescues patients with organophosphate poisoning, atropine overdose and symptoms of poisoning.
It is possible to habitually choose neostigmine for confrontation.
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Answer]: A atropine is a choline receptor blocker, such as a large amount of atropine can lead to central toxicity, such as motor disorders, restlessness, agitation, hallucinations, delirium, coma, etc. The antidote is mainly physostigmine, which is a cholinesterase inhibitor that can quickly combat the symptoms of atropine poisoning, such as delirium and coma.
Therefore, a is selected for this question.
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