Poisoning and overdose at a glance.

Agnieszka Szydlowska
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Abstract

Poisoning and overdose are significant public health concerns in the UK, with poisoning accounting for more than 115000 hospital presentations in England in 2021-2022. Nurses are crucial in managing patients from triage to discharge. Nurses' role in treating poisoning and overdose cases involves recognising toxidromes, initial stabilisation and symptom management. Commonly ingested substances include paracetamol, ibuprofen and illicit drugs; pharmacological interventions available include antidotes such as acetylcysteine and naloxone. Patients require a multidisciplinary approach, and collaborative care may involve clinical toxicologists, mental health professionals and social services to ensure comprehensive recovery. Ethical considerations of poisoning treatment include patient consent and the complexities of intentional overdoses. By understanding the nuances of poisoning and overdose treatment, health professionals can offer compassionate, evidence-based care.

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中毒和服药过量一目了然。
中毒和过量用药是英国重大的公共卫生问题,2021-2022年,英格兰有超过11.5万例医院中毒病例。护士在病人从分诊到出院的过程中起着至关重要的作用。护士在治疗中毒和过量用药病例中的作用包括识别毒副反应、初步稳定和症状管理。通常摄入的物质包括扑热息痛、布洛芬和非法药物;可用的药理学干预包括解毒剂,如乙酰半胱氨酸和纳洛酮。患者需要多学科的方法,协作护理可能涉及临床毒理学家,精神卫生专业人员和社会服务,以确保全面康复。中毒治疗的伦理考虑包括患者同意和故意过量用药的复杂性。通过了解中毒和过量治疗的细微差别,卫生专业人员可以提供富有同情心的、基于证据的护理。
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