产房抢救设备及流程管理.ppt

routine treatment:?open vein, indwell vein tube if it is possible,obtain the vena cava blood at the same time?monitor vital sign , record the intake and output volume , indwell catheter?perfect relevant testing (blood routine, IC screening, blood coagulation test by tube method, blood matching， liver and kidney function, electrolyte, oxygen saturation blood analysis when is necessary). alleviate the pulmonary hypertension, relieve bronchial spasm, resist anti-hypoxia?give oxygen -- positive pressure aerobic, when it is necessary, give tracheal intubation?IV 30-90mg papaverine (total ≤ 300mg/); or aminophylline 250mg+5% glucose 100mL,ivgtt.Or IV atropine1-2mg, 15-30 minutes, repeat 3~4 times. antiallergic intravenous injection of Dexamethasone 20mg, continue ivgtt with the 20mg, ivgtt hydrocortisone 200~300mg . Life support, multiple organ failure prevention and treatment Rehydration: ? the crystal liquid (normal saline or Ringers solution) 2000mL/ in first hours, complete intravenous infusion of 1000mL in the first 15~20min .?colloid solution , such as ivgtt 500ml low molecular dextran or plasma substitute , (input proportion of crystals and colloid is 3:1 ) Hypertension drugs: dopamine 40mg+ intravenous drip of 5% glucose 100mL.5Ug/kg/min, make adjustment according to the blood pressure Blood transfusion (RBC) indications: hemoglobin 70g/L, or hematocrit 25% ivgtt 0.2~0.4mg cedilanid , ivgtt 40mg furosemide, repeat it if necessary. Correct acidosis ivgtt 5% sodium bicarbonate 60~80mL (repeat adminstrating small dose by several times according to blood gas analysis) Anti-infection treatment use broad-spectrum antibiotics correct DIC: 1 finish ivgtt of Heparin 25~50mg+0.9% 100mL normal saline within 1 hours (patitent is hypercoagulable status in the early period of the disease )before repeating it , monitor blood coagulation function anti-fibrinolysis treatment in the fibrinolysis period 2 Supply blood coagulation factor:? the fresh b