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1 case of allergy caused by penicillin


Cyanosis, abdomen were normal , reflecting the existence of various physiological and pathological reflex was not elicited . Once supine , head to one side , warmth , to 2 to 4 L / min oxygen , adrenaline lmg intramuscular injection , intravenous injection of dexamethasone in four 40rag , low molecular weight dextran , calcium gluconate , bicarbonate Sodium, can Lamine , intravenous dopamine . 1O minutes Bp: 4/1.2kPa. P: 11O ~ 12O / min , R: 3O / min , the lips fading to red. 3O minutes Bp: 6/4kPa, P: 1OO ~ 11O / min , R: 24 times / min , continue to observe the 2 hours after Bp: 9.3/6.4kPa, R: 22 times / min , P: 1oo Beats / min , a more stable 7 to sent to the ward next morning ,[link widoczny dla zalogowanych], hospital treatment. ① 』 two lessons above 2 patients, previous history of allergy -free joints and Sport , have applied penicillin history. But this addition to factors outside the Green tied Zhu application of other drugs. Diagnosed based on symptoms of anaphylactic shock caused by penicillin . The drug is widely used in clinical toxicity is low, if the occurrence of abnormal anti- critical condition , can be life threatening without prompt emergency treatment , it should cause a high degree of re- said. ② ashamed before use penicillin allergy test , newborns included. ③ penicillin treatment loyalty should be rescuing the availability of facilities and enabling environment in the drug . Penicillin allergy occurs more rapidly, ferocious , fast may in seconds , minutes of the organ damage caused by the body into shock , severe life-threatening . ④ treatment process, a suspicious rash, itching , hives, allergies and so may be an early phenomenon, should be vigilant and contact your doctor promptly discontinued . ⑤ penicillin must now tie is used, whether intravenous or intramuscular injection should be dissolved into the body within 4 hours . Penicillin solution because there is instability characteristics. Medical staff should have all kinds of adverse reactions to penicillin , have high sense of responsibility , careful observation. To avoid accidents .