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the treatment of strong acid and strong alkalosis, what to do with strong acid and strong alkalosis

the treatment of strong acid and strong alkalosis, what to do with strong acid and strong alkalosis

Knowledge of diagnosis and treatment of strong acid and alkalosis

Treatment department: Emergency department treatment costs: different hospitals have different charging standards, the city's top three hospitals are about 2000-5000 yuan Cure rate: Treatment cycle: Treatment method: Drug treatment General treatment of strong acid and alkalosis

One, treatment

1. Treatment of strong acidosis

In strong acid poisoning, it is generally contraindicated to induce vomiting and gastric lavage, so as not to aggravate the damage of the esophagus and stomach wall and cause gastric perforation. Immediately choose 2.5% magnesium oxide solution or magnesia milk (75% magnesium hydroxide suspension), supernatant of lime water (containing 0.17 calcium hydroxide), extremely dilute soapy water, aluminum hydroxide gel, raw egg white , Milk, etc. Avoid sodium bicarbonate and sodium carbonate (because it can produce a lot of gas and cause gastric perforation). Then give vegetable oil to protect the mucous membrane of the digestive tract. Use antibiotics to prevent wound infections. Intravenous infusion and adding 1/6 mol sodium lactate and other solutions to correct dehydration and acidosis. When tetany occurs due to oxalic acid poisoning, 10% calcium gluconate is slowly injected intravenously; when methemoglobinemia occurs due to nitric acid poisoning, appropriate amount of methylene blue is used. Those with obvious pain can use analgesics such as morphine or melanidine. If necessary, do tracheostomy and gastrostomy. When the esophagus is burned, a silk thread should be swallowed, one end is fixed outside the nose, and the other end is swallowed into the stomach to reduce adhesions. In order to prevent scarring and stricture of the digestive tract, adrenal cortex hormones can be used after taking strong acid for 2 to 3 days, and esophagus dilation should be considered as soon as possible.

Inhalation poisoning with 2% ~ 5% sodium bicarbonate solution nebulized inhalation. Skin damage can be washed with plenty of water, or with 4% sodium bicarbonate solution, then washed with normal saline, and treated as burns.

2. Treatment of strong alkalosis

For children with oral alkalosis, do not induce vomiting or use a catheter for gastric lavage. Immediately take a weak acid solution such as edible vinegar, 1% to 3% acetic acid, 1% dilute hydrochloric acid, orange juice or lemon juice (use for carbonate poisoning) Dilute with clean water, avoid using acids, so as not to cause gastrointestinal gasification and cause perforation); then give olive oil or other vegetable oils, raw egg white water or milk. Appropriate infusion to correct dehydration, alkalosis and shock. When there is tetany, a slow intravenous injection of 10% calcium gluconate solution. The damaged area of ​​the oral mucosa can be washed with plenty of water to dilute the alkaline substance as soon as possible. Skin burns can be washed with clean water. For burns of degree Ⅱ and Ⅲ, use 2% acetic acid wet compress after washing. When the eyes are spilled, quickly rinse with plenty of water (acidic liquids should not be used to neutralize the alkaline agent), and treat eye burns according to eye burns. Others are treatments for symptomatic treatment and prevention of gastrointestinal strictures.

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