过敏性休克的急救

2017-11-15 纳洛酮 基层医师公社

关键时刻,抢救“神药”肾上腺素的急救作用立现!与此同时,护士也迅速用生理盐水为患者建立了静脉输液通道,地塞米松10mg静脉注射!13:40,血压:59/28 mmHg!肾上腺素0.5mg静脉注射!0.9%氯化钠注射液500ml建立双静脉补液通道,快速补液,患者仍旧昏迷不醒,医护人员严密监护着患者,患者的血压逐渐回升,口唇渐渐变得红润,身上的荨麻疹、红斑也慢慢平复、消失

抢救过敏性休克,要的就是当机立断!案例2017年10月11日,13:30,医院急诊大厅匆匆跑来两个年轻人:“快!有人过敏了!”值班护士赶紧拉着平车出去接诊,只见一个20多岁的年轻人被人抬出车外。患者神志不清、面色紫绀、大汗淋漓,病势危急!她们一边把患者安置到抢救床上平卧、吸氧,一边呼叫医生!连接监护仪,一测血压:52/30mmHg,过敏性休克!“肾上腺素0.5mg肌肉注射!”,医生下达口头医嘱。护士长拿出抢救车里的备药,很快,肾上腺素就用到了患者身上!肌注的时候,护士长看到该患者背部、腰部出现大片密集的荨麻疹……再次验证过敏性休克。关键时刻,抢救“神药”肾上腺素的急救作用立现!与此同时,护士也迅速用生理盐水为患者建立了静脉输液通道,地塞米松10mg静脉注射!13:40,血压:59/28 mmHg!肾上腺素0.5mg静脉注射!0.9%氯化钠注射液500ml建立双静脉补液通道,快速补液,患者仍旧昏迷不醒,医护人员严密监护着患者,患者的血压逐渐回升,口唇渐渐变得红润,身上的荨麻疹、红斑也慢慢平复、消失,13:45,BP76/38 mmHg ,90次/分,R17次/分,血氧饱和度99%。患者属

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    2018-03-25 121e0aa4m76(暂无昵称)

    学习啦!不错

    0

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    2017-11-27 曾超军

    非常好

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1635213, encodeId=5ddb1635213ad, content=<a href='/topic/show?id=bbdd9403ee6' target=_blank style='color:#2F92EE;'>#过敏性休克#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94037, encryptionId=bbdd9403ee6, topicName=过敏性休克)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=761f22431715, createdName=124986d2m16暂无昵称, createdTime=Tue Jun 19 05:11:00 CST 2018, time=2018-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046901, encodeId=666d2046901f6, content=<a href='/topic/show?id=6f5294036b1' target=_blank style='color:#2F92EE;'>#过敏性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94036, encryptionId=6f5294036b1, topicName=过敏性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a8e213, createdName=hongbochen, createdTime=Sat Mar 17 03:11:00 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299629, encodeId=0df529962973, content=学习啦!不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/27/c39119e05e1089a2bc05399dbd078e4e.jpg, createdBy=449a2288959, createdName=121e0aa4m76(暂无昵称), createdTime=Sun Mar 25 21:39:15 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=264614, encodeId=2dc4264614ad, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/24/c9349b9bcd901b026bd750f7335f78f1.jpg, createdBy=13b02179645, createdName=曾超军, createdTime=Mon Nov 27 00:25:30 CST 2017, time=2017-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261587, encodeId=591b26158e5f, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Thu Nov 16 00:06:07 CST 2017, time=2017-11-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261368, encodeId=2b4c26136851, content=好好好好好好好好就, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 15 05:27:34 CST 2017, time=2017-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261366, encodeId=805c26136658, content=及时.迅速.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Wed Nov 15 02:25:19 CST 2017, time=2017-11-15, status=1, ipAttribution=)]
    2017-11-16 jihuaijun1112

    学习学习学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1635213, encodeId=5ddb1635213ad, content=<a href='/topic/show?id=bbdd9403ee6' target=_blank style='color:#2F92EE;'>#过敏性休克#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94037, encryptionId=bbdd9403ee6, topicName=过敏性休克)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=761f22431715, createdName=124986d2m16暂无昵称, createdTime=Tue Jun 19 05:11:00 CST 2018, time=2018-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046901, encodeId=666d2046901f6, content=<a href='/topic/show?id=6f5294036b1' target=_blank style='color:#2F92EE;'>#过敏性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94036, encryptionId=6f5294036b1, topicName=过敏性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a8e213, createdName=hongbochen, createdTime=Sat Mar 17 03:11:00 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299629, encodeId=0df529962973, content=学习啦!不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/27/c39119e05e1089a2bc05399dbd078e4e.jpg, createdBy=449a2288959, createdName=121e0aa4m76(暂无昵称), createdTime=Sun Mar 25 21:39:15 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=264614, encodeId=2dc4264614ad, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/24/c9349b9bcd901b026bd750f7335f78f1.jpg, createdBy=13b02179645, createdName=曾超军, createdTime=Mon Nov 27 00:25:30 CST 2017, time=2017-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261587, encodeId=591b26158e5f, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Thu Nov 16 00:06:07 CST 2017, time=2017-11-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261368, encodeId=2b4c26136851, content=好好好好好好好好就, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 15 05:27:34 CST 2017, time=2017-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261366, encodeId=805c26136658, content=及时.迅速.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Wed Nov 15 02:25:19 CST 2017, time=2017-11-15, status=1, ipAttribution=)]
    2017-11-15 yjs木玉

    好好好好好好好好就

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1635213, encodeId=5ddb1635213ad, content=<a href='/topic/show?id=bbdd9403ee6' target=_blank style='color:#2F92EE;'>#过敏性休克#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94037, encryptionId=bbdd9403ee6, topicName=过敏性休克)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=761f22431715, createdName=124986d2m16暂无昵称, createdTime=Tue Jun 19 05:11:00 CST 2018, time=2018-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2046901, encodeId=666d2046901f6, content=<a href='/topic/show?id=6f5294036b1' target=_blank style='color:#2F92EE;'>#过敏性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94036, encryptionId=6f5294036b1, topicName=过敏性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a8e213, createdName=hongbochen, createdTime=Sat Mar 17 03:11:00 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299629, encodeId=0df529962973, content=学习啦!不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/03/27/c39119e05e1089a2bc05399dbd078e4e.jpg, createdBy=449a2288959, createdName=121e0aa4m76(暂无昵称), createdTime=Sun Mar 25 21:39:15 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=264614, encodeId=2dc4264614ad, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/24/c9349b9bcd901b026bd750f7335f78f1.jpg, createdBy=13b02179645, createdName=曾超军, createdTime=Mon Nov 27 00:25:30 CST 2017, time=2017-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261587, encodeId=591b26158e5f, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Thu Nov 16 00:06:07 CST 2017, time=2017-11-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261368, encodeId=2b4c26136851, content=好好好好好好好好就, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Wed Nov 15 05:27:34 CST 2017, time=2017-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261366, encodeId=805c26136658, content=及时.迅速.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Wed Nov 15 02:25:19 CST 2017, time=2017-11-15, status=1, ipAttribution=)]
    2017-11-15 swfzhanggui

    及时.迅速.谢谢分享

    0

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