Anti-Depression Poisoning (TCA)
Protocols
Anti Depression Poisoning (TCA):
Rx:
- Hospitalization
- NPO-TFO
- 02 Inhallation- sos
- NG Suction if Pt unconscious
- Continuous Catheterization
- Stomach wash within 4 hour
1. Inf. 5% DNS (1L) + N/S (1L) +5% DA (1L)
- IV @ 30 d/min
2. Inj. Ceftron(1gm)(Ceftriaxone)
- 1vial I/V ...........BD
3. Inj.Sergel (40mg)(Esomeprazole)
- 1 vial I/V ......... BD
If BP Stable:
Inj. Lasix(Furosemide)
- 2amp I/V stat & 1amp IV BD (8am & 4pm)
if acidosis:
inj.Sodi-bicarb (7.5% 100ml)
- 25 ml I/V stat
সতর্কতাঃঃ
- ECG করা জরুরী।
During Discharge from Hospital:
1. Cap.Denver(200mg)(Cefixime)
- 1+0+1.............7 days
2. Tab.Acifix(20mg)(Rabeprazole)
- 1+0+1.............10 days
উপদেশঃ
- বেশি চা / কফি খাবেন।
- বিশ্রামে থাকবেন।
- মানসিক counselling নিবেন।