ARTICOLI CORRELATI

Poisoning: general treatment measures

Apparatus urinary There is no good reason to stimulate profuse diuresis or to use diuretics, while treating the poisoned patient. Heavy metals are capable of damaging the kidneys , and

The cardiovascular system during poisonings

Poisoning can also cause cardiovascular collapse; in fact, antidepressant drugs can trigger cardiac arrhythmias, consequently altering cardiac output. It is necessary, therefore, to measure blood pressure and heart rate at

Thoracic injuries: what to do?

These kinds of lesions can be of 2 types: pulmonary and chest wall. It is necessary to keep those affected by a chest injury while conscious, sitting or with head

Formaldehyde: what is it?

Formaldehyde is a gas that dissolves in water, resulting in a formalin solution. In the atmosphere, formaldehyde gas is very irritating and causes coughing, tearing, eye burning and pain, bronchial

Meningitis in children

Meningitis is one of the neurological diseases most commonly acquired during childhood. It is the infection of the meninges due to the penetration of pathogens into the subarachnoid space and

Complications in bipolar disorder

From the clinical point of view, it should be mentioned that sometimes bipolar disorder may be accompanied by some pre-existing conditions that may aggravate an already quite serious condition, with more intense symptoms, for which the applied therapy may yield results of lesser effectiveness. But which ones are the most present?

Anaphylactic shock

Anaphylactic shock is the acute allergic reaction to exposure to allergens to which the patient had become sensitized, leading to The rapid release of mediators from mast cells and basophils.

Disseminated intravascular coagulopathy

Coagulopathy is related to different clinical pictures, involving the activation of the process of coagulation resulting in thrombus deposition in the microcircle and consumption of coagulation factors and platelets.

Hymenoptera venom allergy

toddler-1245674_1280

Allergy due to the components of the venom contained in the sting of hymenoptera can cause extensive local reactions or systemic reactions. As for the extensive local reactions edema appears at the injection site of the diameter greater than 10 cm, which can persist for 24 hours. As for the systemic reactions there are 4 degrees:

  • Grade 1: Hives, itching, malaise and anxiety.
  • Grade 2: 1st grade + angioedema, nausea, vomiting, chest tightness, diarrhea, pain abdominals and dizziness.
  • Grade 3: 1st and 2nd degree + two of the following symptoms: dyspnea, stridor, hissing, dysarthria, confusion, dysphagia and feeling of distress.
  • Grade 4°: 1°+2°+3°+ two of these symptoms: collapse, incontinence, loss of consciousness, cyanosis, and drop in blood pressure.

It is necessary to quickly remove the stinger using tweezers. Then evaluate whether ECG and blood gases are needed, but also skin tests for hymenoptera. As for treatment take antihistamines, corticosteroids, cold compresses, immobilization and elevation of the affected limb. In the case of mild forms, observation of vital parameters is recommended until symptoms improve for at least 12 hours. If severe forms observation for at least 24 hours.

Source: Mediserve‘s Medical Emergencies in Pediatrics.

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