Radiological drug allergy emergency plan

First, [allergic reaction emergency plan]

The nursing staff should ask the patient whether there is a history of allergies to the drug before applying the drug to the patient, and perform an allergy test according to the requirements. Anyone with a history of allergies should not be tested for allergy to the drug.

Correctly implement the drug allergy test, the preparation of the allergy test drug solution, the intradermal injection dose and the test result judgment should be correctly operated according to the requirements, and the positive allergy test is prohibited.

If the patient has a positive test result or has a history of allergies to the drug, the drug is banned. At the same time, the patient's medical order and medical record folder are marked with the name of the allergy drug, and the positive test of the allergy test is placed on the bedside, and the patient and his family are informed.

After the drug allergy test, all patients who have received this drug will stop using this drug for more than 3 days, and should repeat the allergy test before they can be used again.

Antibiotics should be used now, especially penicillin aqueous solution can easily decompose and produce allergic substances at room temperature, causing allergic reactions, and can also lower the drug potency and affect the therapeutic effect.

Strictly implement the check-up system, be alert to the occurrence of allergic reactions before the drug allergy test, and treat the adrenaline in the plate.

The drug allergy test was negative. After the first injection, observe for 20 to 30 minutes. Observe the allergic reaction in the patients who visited the patrol to prevent delayed allergic reactions.

Second, [allergic shock emergency plan]

Once the patient develops anaphylactic shock, stop using the allergic drugs immediately, rescue them on the spot, and report the doctor promptly.

Immediately supine, follow the doctor's prescription subcutaneous injection of adrenaline 1mg, children reduce. If the symptoms are not relieved, subcutaneous injection or intravenous injection of 0.5ml every 30 minutes, until the risk period is removed, keep warm.

Improve the symptoms of hypoxia, give oxygen inhalation, breathe suppression should be given artificial respiration according to the doctor's advice, when the throat edema affects breathing, the tracheal intubation should be prepared immediately, if necessary, with tracheotomy.

Rapidly establish venous access, supplement blood volume, and establish two venous pathways if necessary. Follow the doctor's advice to apply crystal liquid, booster medicine to maintain blood pressure, apply aminophylline to relieve bronchospasm, give respiratory stimulants, and also give antihistamine and corticosteroids.

Sudden cardiac arrest, immediate rescue measures such as chest compressions, artificial respiration and other cardiopulmonary resuscitation.

Observation and recording, close observation of the patient's consciousness, body temperature, pulse, respiration, blood pressure, urine output and other clinical changes, patients should not move before leaving the danger.

Record the rescue process in a timely and accurate manner within 6 hours according to the Regulations on Handling Medical Malpractice.

Third, [program]

Allergic reaction protection program:

Ask about history of allergies → Do allergy test → Disable positive drug for this patient → Mark the drug, inform the family → Negative patients receive the drug treatment → Active use → Strictly check the system → After the first injection, observe 20~30 min

Anaphylactic shock first aid program:

Immediately stop taking this medicine → supine → subcutaneous injection of epinephrine → improve hypoxic symptoms → replenish blood volume → relieve bronchospasm → occur cardiac arrest for cardiopulmonary resuscitation → closely observe changes in condition → inform family → record rescue process