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Depresorji in stimulansi centralnega živčnega sistemaProsen, Gregor, 1979- ; Zadel Topić, SabinaTemelj začetne oskrbe pri vseh zastrupljencih je učinkovito in sistematično podporno zdravljenje po pristopu ABCDE. Aplikacija specifičnih antidotov, ki jih je relativno malo, in dekontaminacija ... nimata najpomembnejše vloge. Dva izmen štirih klasičnih toksidromov sta opiatni in simpatikomimetični toksindrom. Zastrupitev z opiati se kaže s triasom; poglabljajočo izgubo zavesti do kome, počasnim ali celo odsotnim dihanjem in močno zoženimi zenicami. Pri hudih zastrupitvah z opiati je ključna podpora dihanja, po oskrbi dihalne poti in podpori ventilacije pa lahko apliciramo nalokson (antidot). Simpatikomimetični toksidrom se kaže s pretirano aktivacijo simpatičnega živčevja; tahikardijo, hipertenzijo, morebitnimi aritmijami, agresivnostjo, zmedenostjo, hipertermijo. Pri takem bolniku uporabimo benzodiazepine, hlajenje ter ostalo podporno terapijo. Kakor pri vseh intervencijah v nujni medicinski pomoči (NMP), moramo biti tudi pri obravnavi zastrupitve bolnika s prepovedanimi substancami zelo previdni in poskrbeti za lastno varnost.Source: Zbornik predavanj (Str. 27-36)Type of material - conference contribution ; adult, seriousPublish date - 2012Language - slovenianCOBISS.SI-ID - 512210232
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Prosen, Gregor, 1979- | 37131 |
Zadel Topić, Sabina | ![]() |
Source: Personal bibliographies
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