Website:/clinical/090101/08434738.html or ready-made first aid and nursing effect of mass soybean alkalosis Objective To explore the first aid and nursing of soybean alkalosis and its clinical effect. Methods The patients were treated with rescue organization and management, effective vomiting and gastric lavage, intravenous infusion and detoxification, and the changes of illness and group psychological care were closely observed. Results 125 patients were all cured and discharged. Conclusion Perfect first aid system, skilled skills of emergency nurses, orderly division of labor and cooperation and orderly first aid ability are the keys to improve the success rate of rescue and nursing quality. Okadaine poisoning; First aid; Nursing consumption of a certain amount of beans that are not fully cooked or stored for a long time is easy to cause bean alkalosis. In August, 2005, our hospital successfully rescued 125 poisoned patients. Due to effective organization and reasonable and timely measures, all patients have no serious sequelae and all recovered and discharged. The report is as follows. 1 clinical data 1. 1 general data 125 All patients were factory workers, and the number of people who ate together was 196. Poisoning 125 cases (63.8%) after eating uncooked green beans, all of them were emergency patients. There were 47 males and 78 females. The age ranged from 20 to 52 years, with an average of 32 years. The consumption of green beans was 250 ~ 480 g, and the onset time was 1 ~ 12 h after meals, with an average of 5.5h. 1.2 Clinical manifestations Acute gastroenteritis was the main clinical manifestation, and all cases had upper abdominal pain and discomfort, nausea and vomiting. The vomitus is stomach contents and bile, and the number of diarrhea varies from 5 to 22 times, with an average of 5.6 times. The stool is watery, without pus and blood, and there is no heavy feeling after urgency. 9 cases had moderate fever, accompanied by mild chills and chills. 15 patients have dizziness, dizziness, fatigue, bitter taste and dry mouth. 123 cases were conscious, 2 cases were unconscious, all of which showed mild to moderate dehydration, cold limbs, lower than normal blood pressure, increased heart rate, arrhythmia and frequent premature beats in 3 cases. Routine stool examination is normal. After 1.3 treatment and medical history investigation, all patients poisoned by 125 were induced to vomit urgently, and those with poor effect were given gastric lavage and enema; Open venous access, oxygen inhalation, ECG monitoring and giving large doses of vitamin C, vitamin K, dexamethasone, fluid replacement and other symptomatic treatments. Two patients were seriously transferred to hospital, and the rest 123 patients were hospitalized for emergency observation. 125 all patients were cured. 2 rescue nursing experience 2. 1 organization and management of rescue work In the rescue of collective poisoning patients, the orderly organization of rescue work plays an important role in the success of rescue. When the nurses in the emergency center received the emergency call from 120 and determined that collective rescue was needed, they immediately reported to the department director, the head nurse and the leaders on duty in the hospital to start the emergency plan in the emergency department, and all the medical staff in the emergency department arrived at their posts within 5 ~ 15 minutes. Before a large number of patients are admitted to the hospital, the personnel involved in the rescue quickly prepare rescue items, medicines, gastric lavage equipment and other materials so that patients can receive timely and effective treatment after arrival. The nursing department transferred the head nurses from all departments to enrich the nursing team, which was divided into receiving group, observation group and treatment implementation group. According to the urgency of the disease, rescue measures such as vomiting, gastric lavage and vital signs monitoring were implemented. 2.2 Effective removal of gastrointestinal toxicants, reduction of toxin absorption, vomiting and gastric lavage are the keys to rescue [1] For patients with mild and moderate poisoning, the nursing staff instructed to drink warm boiled water to induce vomiting, 300~500ml each time, and pressed the tongue root with fingers or tongue depressor to stimulate the posterior pharyngeal wall to induce vomiting, and repeated it until the stomach contents were all vomited, and explained the importance of inducing vomiting and gastric lavage, and advised them. Gastric lavage was performed on patients with severe poisoning until the eluate was clear and tasteless. Normal saline is generally used for gastric lavage, and the temperature is controlled between 30℃ and 35℃, so as to avoid overheating of gastric lavage and accelerate the absorption of poisons. Too cold will easily lead to chills and high fever. During gastric lavage, the patient lies on his left side with his head tilted to one side. When inserting the gastric tube, the action should be gentle, not rough, so as not to damage the esophagus and gastric mucosa and cause bleeding. When washing the stomach, always massage the patient's stomach to promote the discharge of poisons. And closely observe the changes of patients' vital signs. After gastric lavage, inject 50% magnesium sulfate or 20% mannitol laxative from the gastric tube to promote the discharge of poisons. During gastric lavage, we should closely observe the patient's complexion and pulse, pay attention to whether there is bloody liquid rushing out, and report to the doctor in time if there is any abnormality. 2.3 Rapid establishment of venous access. Intravenous infusion can dilute and promote the excretion of poisons. [2] According to the severity of the disease, venous access was established for all patients, and drugs such as vitamin C and vitamin K were injected to achieve the purpose of diluting toxins and promoting the absorption and excretion of poisons, thus alleviating the symptoms of poisoning. Patients arrived at the hospital almost at the same time, and the order was generally chaotic. Patients are prone to fear and are eager to take medicine. Nurses should be calm and decisive, busy but not chaotic, strictly implement the system of "three checks and eight pairs", repeat oral orders, verify before implementation, record in time after taking drugs, and do a good job in safe medication.