Central nervous system stimulant poisoning
Introduction
Introduction to central nervous system stimulant poisoning Coramine and lobeline are widely used in pediatric health searches, which can cause poisoning due to excessive dose or multiple injections of large doses. Lobelia, stalk and its seeds all contain scallions, and excessive oral administration can also cause poisoning. Lycopene poisoning often has diarrhea, abdominal pain and burning sensation in the urinary tract. Poisoned patients may have nausea, vomiting, headache, dizziness, paresthesia, sweating, coughing, deepening of breathing, speeding up, and even breathing difficulties, tachycardia, and arrhythmia. Therefore, taking these drugs while preventing excessive, strictly observe The method of use and dosage of this class of drugs. basic knowledge The proportion of illness: 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: convulsions and convulsions, coma, respiratory failure
Cause
Causes of central nervous system stimulant poisoning
Excessive dose or multiple injections of large doses in succession cause poisoning. Corramin, sylvestre poisoning, also known as nikethamide, and sorbine, also known as lobeline, is a commonly used respiratory stimulant, which can cause lacamine due to excessive dose or multiple injections of large doses. Lycopene poisoning. Lobelia, stalk and its seeds all contain scallions, which can cause poisoning.
Prevention
Central nervous system stimulant poisoning prevention
1. Strengthen the promotion of poisons: popularize the prevention and first aid knowledge about poisoning.
2. Strengthen the management of poisons: strictly abide by the protection and management system of poisons, strengthen the storage of poisons, and prevent the leakage of poisons.
3, to prevent inadvertent consumption of poison or overdose: drugs and chemical containers must be labeled, hospital medication should be strictly checked against the system, so as not to accidentally or overdose.
4, to prevent the excessive use of this class of drugs, strictly abide by the use of this class of drugs and the dosage.
Complication
Central nervous system stimulant poisoning complications Complications, convulsions, convulsions, coma, respiratory failure
There may be complications such as muscle tremor and convulsions, insanity, convulsions, coma, blood pressure and hypothermia. In severe poisoning, due to convulsions or excessive excitement in the respiratory center, the state of inhibition is followed by respiratory failure.
Symptom
Symptoms of Central Nervous Stimulating Poisoning Common Symptoms Dyspnea, convulsions, nausea, coma, slow response, respiratory failure, dizziness, convulsions
Poisoning patients may have nausea, vomiting, headache, dizziness, paresthesia, sweating, coughing, deepening of breathing, speeding up, even breathing difficulties, tachycardia, arrhythmia, pupil dilation, slow response to light and disappear, see Muscle tremors and convulsions, insanity, convulsions, coma, blood pressure and hypothermia, etc., mountain stalk poisoning often has diarrhea, abdominal pain and urinary tract burning sensation, severe poisoning, due to convulsions or excessive excitement of the respiratory center, followed by inhibition, and finally To respiratory failure.
Examine
Central nervous system stimulant poisoning test
1. For patients with unexplained poisoning, timely take samples of gastric juice, blood, urine, etc. to assist in diagnosis.
2. Closely observe the patient's vital signs and keep the airway open.
3, timely detection of abnormalities such as oliguria or urinary retention, should be promptly reported to the doctor.
4, closely observe the state of consciousness, such as deepening the disturbance of consciousness, is a sign of deterioration of the condition.
Diagnosis
Diagnosis and identification of central nervous system stimulant poisoning
Sleeping drug poisoning: A significant proportion of the elderly's sleep depends on sleeping pills. General sedatives, such as diazepam, are difficult to work and gradually upgrade to central hypnotics. And the more the amount is used, the hypnotic poisoning sometimes occurs.
Phenobarbital, pentobarbital, and barbiturate poisoning: The patient was initially excited, arrogant, and convulsed, and then turned into inhibition, lethargy, confusion, slurred speech, deep sleep, and deep coma. Late limbs are soft, reflexes disappear, incontinence, dilated pupils, shallow and light breathing, and respiratory failure.
Hydrated chloral poisoning: patients with nausea, abdominal pain, severe liver and kidney dysfunction, oliguria, drowsiness and even coma, slow breathing, cyanotic lips, respiratory muscle paralysis, reflexes, weak pulse, blood pressure drop, arrhythmia and even heartbeat Suspension and so on.
Methaqualone poisoning: The patient has symptoms such as dizziness, gait instability, irritability, convulsions, respiratory depression, pulmonary edema and coma. A small number of patients have bleeding tendency or cerebral edema.
