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Disease POISONING- General Principles of Management
   
Treatment First assess the General condition – Pulse, Respiration, Blood pressure, Pupils and Level of consciousness.  If unconscious, Such throat and maintain adequate airway. Head low position.  Ryle’s tube wash: insert a large bore Ryle’s tube or preferably stomach  tube, and give a thorough stomach wash.  Activated Charcoal – after giving stomach wash.  Give specific antidote if available.  General Care: Inj. CALMPOSE 2 cc I.V. slow, if convulsionsCatheterization if retention.

Endotracheal intubation and artificial respiration if respiratory failure.

POISON & ANTIDOTE

OTHER MEASURES
Ethanol (Alcohol)I.V. 25% glucose 4 ampInj.  Polybion or M.V. I in 10% dextrose dripInj.  Mannitol 300ml slow I.V.
Methyl AlcoholInj.  Sodabicard 150 ml I.V. then 100ml  I.V. every  2 hrsEthyl Alcohol 50g.Inj.  Folinic acid 30mg I.V. Hemodialysis S.O.S.
BarbituratesRepeated Gastric lavage. Forced alkaline Diuresis.-         4x500ml DNS = 10cc KCI I.V. -         150ml Sodabicarb 7.5% I.V. -         Mannitol 20% x 350 x I.V. Inj.  Lasix S.O.S. Hemodialysis S.O.S.  
Tricyclic antidepressants like ImipramineGastric lauageActivated Charcoal Inj. Sodabicarb 150ml I.V. if acidosis. Inj.  Physostigmine sallicylate 2mg I.V. repeat after 15mins & then 1 hrly.- Dialysis does not help.
Slicylates Gastric Lavage & activated Charcoal. Antacids – Gelusil 60ml x 4 hrlyIcecold milk by nasal dripHemodialysis S.O.S. Other Inj.  Sodabicarb 100ml I.V. stat, the as per blood PH & Electrolytes.Inj.  Calcium gliuonate 10cc I.V. if tetany Inj.  Paraldehyde 10ml IM if convulsions. Inj.  Vit K 10mg IM OD if bleeding

CALMPOSE 
   

 

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