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1、急性食物中毒病人的抢救应急预案与程度急诊科护理应急预案及程序急性食物中毒病人的抢救应急预案与程度[应急预案](一)急诊科医护人员要坚守工作岗位,一切抢救物品、药品处于备用应急状态,随时做好抢救准备。(二)护士接到批量食物中毒病人通知后,立即通知各相关科室人员,随时与120现场人员保持联系,根据中毒人员多少,通知护理急救小分队队员各就各位,必要时启动医院大型应急抢救系统。(三)病人到达急诊科后,立即根据病情轻重进行分诊,较重者送抢救室进行抢救,轻者送急诊观察病房。(四)护士立即协助医师作也诊断,遵医嘱为病人实施有效的抢救措施:1.催吐无呕吐者可催吐:机械性刺激或用催吐剂
2、。2.洗胃立即用温开水或0.05%高锰酸钾溶液反复洗胃,直至洗出澄清液为止。收集第一次洗出的胃内容物送检。3.导泻中毒时间较长者,可给硫酸钠15~30g,一次口服。对吐泻严重的病人,可不用洗胃、催吐、导泻。(五)对吐、泻较重,丢失大量水分者,根据失水情况,适当补充水分。凡能饮水者。应尽力鼓励病人多喝糖盐水、淡盐水等,不能饮水者,迅速建立静脉通道。遵医嘱补充水分和电解质。(六)对腹痛、呕吐严重者,遵医嘱给予阿托品0.5mg肌内注射。烦躁不安者给予镇静剂。如有休克,进行抗休克治疗。(七)护士加强巡视,密切观察病情变化,发现异常,立即报告医师进行处理。(八)做好病人登记及抢
3、救护理记录。[程序]分诊→协助医师诊断→催吐→洗胃→收集胃内容物送检→导泻→建立静脉通道→补充水分和电解质→对症处理→观察病情→做好护理记录一、突然发生猝死应急预案及程序Colorimetrictube10mLglass.4,theanalysissteppreparationofthesamplesolution:precisionweighingapproximately0.01g~1.0gsample(accurateto0.0001g)in1...V2--determinationofsamplingvolume.Unitml(mI.);M--qualityo
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6、2,6-IItert-butyloncresol(BHT)Oftert-butylhydroxyanisole(BHA)2,6-di-tert-butyl-p-cresol(BHT)testinginaccordancewithGB/T5009.30vaporphasechromatographyandthin-layerchromatography,thissectionfocusesonColorimetry.Principle1,obtainedbysteamdistillationofthesample.separatetheBHT,methanolabsor
7、ption,o-anisidineandsodiumnitritesolutionorange-red,extractedwithchloroform,comparedwithstandardsizing.2,anhydrouscalciumchloridereagent.Methanol.Chloroform.Methanol(50%).Sodiumnitritesolution(3g/l):keepindarkplace.O-anisidinesolution;weighing125mgo-anisidinein50mLthesecondBrow