Emergency nursing routine for electric injury
1, immediately leave the power supply, and those with mild electric shock symptoms are conscious and only feel flustered and weak. They should rest on the spot for 1-2 hours, and then transfer to ICU for observation under ECG monitoring.
2, the heart stops breathing, after leaving the power supply, on-site routine cardiopulmonary resuscitation.
3. Establish venous access as soon as possible and use respiratory stimulants, such as nicolamine, gamboge and caffeine. And pay attention to the dropping speed to prevent convulsions due to too high or too fast drug concentration.
4. Observe the resuscitation effect closely during the rescue. An effective heartbeat can make the lips and nails turn red, the carotid artery beats and feels, and the blood pressure does not rise. If the heartbeat and breathing stop, cardiopulmonary resuscitation should be performed at the same time, and the patient should continue to be rescued until he is awake or has a corpse spot.
5. Strengthen the treatment and nursing after resuscitation, keep the balance of water and electrolyte, correct acidosis, pay attention to the changes of body temperature, pulse, respiration, pupil, heart rate and urine volume, and make detailed records to prevent and treat possible acute renal failure and blood potassium disorder in the later stage.
5, local wound debridement treatment.
6. After successful resuscitation, actively do ECG monitoring and brain resuscitation nursing.
Basic nursing care of electric injury
First, power failure
Immediately cut off the power supply or use wood sticks, bamboo poles and other insulation to make the patient out of the power supply.
Second, cardiopulmonary resuscitation
There is no time to delay. People with cardiac arrest or respiratory arrest must be given heart massage and mouth-to-mouth resuscitation immediately, which can not only save patients' lives, but also reduce and alleviate complications and sequelae. Patients with ventricular fibrillation can be injected with 1∶ 1000 epinephrine to thicken the fibrillation wave, and then defibrillation is beneficial to restore sinus rhythm. If the patient does not have ventricular fibrillation, epinephrine and isoproterenol should not be used.
Third, medical care.
During the rescue, we should monitor the heart, respiration and blood pressure, correct the balance of water, electrolyte and acid-base, and provide oxygen in time.
Fourth, timely treatment of internal bleeding and fractures.
In particular, people who fall from a height by electric shock must have a comprehensive physical examination. If internal bleeding or fracture is found, it should be taken immediately.
Five, fascia release and amputation