Evidence-based practice of successful treatment of patient with acute paraquat poisoning
10.3969/j.issn.1008-9691.2024.01.023
- VernacularTitle:急性百草枯中毒患者成功救治的循证实践
- Author:
Hong'en WU
1
;
Xinyu YAO
;
Xiaojie CHEN
Author Information
1. 衡水市第四人民医院,河北衡水 053000
- Keywords:
Paraquat poisoning;
Hemoperfusion;
Evidence-based practice
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2024;31(1):103-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective To apply the idea of evidence-based medicine to treat patients with paraquat poisoning,exploring diagnosis,treatment plan and nursing measures for paraquat poisoning.Methods A patient with paraquat poisoning diagnosed and treated in the department of emergency of the Fourth People's Hospital of Hengshui from February 4,2022 was selected as the study object.Based on the evidence-based practice strategy,the literature on the treatment of paraquat poisoning patients at home and abroad was searched,the clinical evidence was searched,the diagnosis and treatment plan was formulated and implemented,and the prognosis of patients was observed.Results The patient,a 54-year-old female,was hospitalized in a local hospital 1.5 hours after being poisoned by oral administration of about 100 mL of paraquat pesticide on an empty stomach.She underwent emergency gastric lavage and liquid rehydration to promote excretion and was admitted to our hospital 4 hours after taking the poison for further diagnosis and treatment.After admission,the patient was treated and nursed with the support of evidence-based practice.Finally,the patient was successfully cured and discharged.Conclusion In the treatment and nursing process of patients with paraquat poisoning,timely identification,rapid reduction of poison absorption,early promotion of poison excretion,immediate implementation of organ function support and protection,along with strict monitoring,can curb the progress of disease and improve the success rate of treatment.
