Medical care and rescue of barium carbonate

1 barium carbonate can remove poisons, vomiting, gastric lavage, catharsis to remove toxin, prevent the toxin absorption is the primary rescue measures. This group of patients with 35 cases with nausea after eating poison, 25 cases of vomiting, 10 cases with diarrhea, 2 cases of pressure at home to take your tongue vomiting method, 5 cases with 5% sodium carbonate oral vomiting or gastric lavage, then oral sodium sulfate catharsis, 20 g the rest symptoms lighter, not for gastric lavage or vomiting. Closely observe the patient's consciousness, complexion, respiration, pulse and blood pressure changes, such as collect vomit after the patient at the same time makes poison appraisal.

2 k supplement agent because of barium ion can activate the cell membrane, make from extracellular potassium ions into the cell and results in the decrease of potassium, and potassium in the course of illness will be developed progressive decrease, so in order to prevent hypokalemia, give timely treatment of potassium chloride is very important. This group of 49 cases with potassium chloride and VitC, VitB 6 static drops, for temperature more than 38 ℃, the relative JiaoChongZhe poisoning symptoms ( 9) Be potassium chloride 5 ~ 6 g/d static drop, 1 ~ 2 d treatment of symptoms, body temperature returned to normal.

3 application of sodium thiosulfate can be the role of sodium thiosulfate is with the body absorb the barium carbonate formation of insoluble barium sulfate, and reduces the toxicity of the barium carbonate, but must pay attention to the sodium thiosulfate slow static note or static drops, and fully diuretic, lest produce insoluble barium sulfate particles composed in the renal tubules. This group of nine patients with severe sodium thiosulfate 0. 64 g add 0. 9% sodium chloride 20 ml static note, Q4H & times; 3 times.

4 closely observed due to the nine cases of hypokalemia, among them 4 cases appeared in the process of potassium supplement potassium decreased, the potassium chloride static drop too much can cause peripheral circulatory failure, heart rate slow down to cardiac arrest, so you must frequently measure blood pressure, pulse, completes the electrocardiogram (ecg) monitor and review the content of serum potassium, sodium, chloride, prevent hypokalemia or arrhythmia caused by high potassium. Groups of 4 cases of patients with abnormal ecg were converted to normal after potassium supplement, the rest did not appear abnormal. For 4 cases of pregnant women patients, paying special attention to rehydration quantity not too much, speed should not be too fast, but have abdominal pain without exacerbating and presence of contractions, see red, etc.