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Chapter: 11th 12th std standard Class Nursing Health Care Hospital Hygiene Higher secondary school College Notes

First Aid - Poisoning and drowning

Substances, when taken into the body in fairly large quantities, can be dangerous to health or can cause death, are called poisons.

Poisoning

Substances, when taken into the body in fairly large quantities, can be dangerous to health or can cause death, are called poisons.

 

Types of poisons: Swallowed poisons

Acids, alkaline, disinfectant, tablets for sleeping, tranquilizers and pain killing drugs. Alcoholic drink taken in large quantities

 

Inhaled poisons

 

Fumes and gases from explosions and fires cause choking, difficulty in breathing and death.

Injected poisons

 

Poisons get into the body through injections

First Aid in poisoning

 

            Poisoning is a serious matter

            Patient must be removed to a hospital or a doctor

 

            Preserve packets or bottles, which you suspect contained

 

the poison

If the victim is unconscious

            Do not induce vomiting

 

            Make the causality lie on his back or on a hard flat bed without any pillow and turn the head to one side.

            If breathing is very slow or stopped, start artificial respiration and keep it up, till the doctor comes/ respiration gets restored.

 

If the victim is conscious

            Aid vomiting by tickling the back of the throat

            Make him drink tepid water mixed with two tablespoons of common salt for a tumbler of water

            If it is a corrosive poison do not induce vomiting

 

Signs of corrosive poisons

 

Lips, mouth, and skin show grey , white or yellow patches.

Management

 

            The poison must be diluted by giving large quantities of cold water. This will dilute the irritant and delay absorption.

 

            Milk, egg beaten are given for the above purpose

 

Foreign bodies Eye

Foreign bodies such as insects and pieces of grit often enter the eye and may be quite difficult to discover. They produce feeling of discomfort and grittiness, which is accompanied by redness, congestion and watering.

 

These symptoms and signs are similar to those caused by disease. Therefore after a careful search, if the nurse fails to discover a foreign body she must at once refer the patient to a doctor.

 

Ear

 

            If it is an insect , fill the ear with glycerine or cocanut, or mustard oil or warm salt water.

            The insect will float up and can be removed easily.

 

            If there is nothing floating up, leave it alone. Do not meddle.

 

            Never pour the water and irrigate the ear since this may cause damage to the ear drum. For blockage due to hardened blocks take to him to the doctor.

 

Nose

 

            Children often insert foreign bodies such as buttons, pencil and beads into the nose.

            The child herself calls attention.

 

            Unless it is obviously easy to remove the foreign body, the nurse should not try to remove.

 

            The child should be warned not to inhale through her nose because this provokes the danger of drawing the foreign body further upwards.

 

            Advice mouth breathing until removing the foreign body. Refer the child to the doctor.

 

Throat

 

Some small objects like safety pin, irregular objects , fish bone or prawn get lodged or obstruct the throat. The nurse should refer the victim to the doctor

 

Stomach

 

Smooth object like buttons, coins, nuts, safety pin etc are swallowed. The nurse should refer the patient to the doctor.



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