碘造影剂过敏反应的防备与急抢救理(国外英文资料).docVIP

碘造影剂过敏反应的预防与急救护理 Prevention and emergency care of iodine-contrast agent ? In the course of application of iodine, an allergy can occur in individual cases. It usually occurs within minutes to half an hour after injection of iodine, and occasionally a few hours to a few days later a delayed reaction occurs. The light person affects the physical and mental health of the patient, the heavy person endangers the life of the patient. Therefore, the prevention and treatment of allergic reaction of iodine contrast agent is the focus of nursing staff. Prevention of anaphylaxis 1.1 to strengthen the psychological nursing Iodine allergy test before the patient on imaging examination, matters needing attention, the purpose of the operation process and possible adverse reactions, the patient of tension and fear, actively cooperate with inspection. To strictly implement the operation procedure of iodine allergy test 1.2.1 note taboo First ask for details of patients with and without iodine and other drugs, food allergies, have allergy to iodine ban the allergy test, allergic constitution, has a history of drug allergy, hyperthyroidism, severe liver and kidney function is not complete, emphysema, patients with active tuberculosis should be running-in iodine allergy test. 1.2.2 iodine allergy test Using intravenous commonly 30% iodine contrast agent 1 ml, then observe 20 min, such as patients with urticaria, facial flush, runny nose, sneezing, tears, nausea and vomiting, lung condition anxious, abdominal pain, dizziness, conjunctival congestion for positive reaction. Due to the limited reliability of the allergy test, the experimentalist may also have a delayed allergic reaction, so the application of the contrast agent must be observed. 1.3 drugs and goods ready to rescue Commonly used drugs with dexamethasone, diphenhydramine, adrenaline, cortisol, promethazine hydrochloride, dopamine, alamine and Kshmi, ammonia, etc. Also be ready to rescue car, suction machine, oxygen, open mo