Prikaz primera / Case report
ZASTRUPITEV OTROKA Z JEDKIMI SNOVMI – PRIKAZ PRIMERA
CHILD POISONING WITH CORROSIVE SUBSTANCES - CASE REPORT
A. Lajhar
.OLQLþQLRGGHOHN]DJDVWURHQWHURORJLMRKHSDWRORJLMRLQQXWULFLRQLVWLNR3HGLDWULþQDNOLQLND 8QLYHU]LWHWQLNOLQLþQLFHQWHU/MXEOMDQD/MXEOMDQD6ORYHQLMD
,=9/(ý(.
-HGNRYLQHVRVQRYLNLVOLQHLQOXJLNLYVWLNXVNRåRDOLVOX]QLFDPLQHSRVUHGQRSRãNRGXMHMRWNLYRKadar VWUXSSRY]URþLGRORþHQRRNYDURJRYRULPRR]DVWUXSLWYL9HOLNDYHþLQDDNXWQLK]DVWUXSLWHYPLQHEUH]VRPDW- VNLKSRVOHGLF]DEROQLNH.OMXEWHPXSDJUHSULRWURFLK]DGRYROMãLURNSUREOHPWDNRJOHGHQDLQFLGHQFRNRW JOHGHQDY]URNKRVSLWDOL]DFLMH=XVWUH]QLPLSUHYHQWLYQLPLXNUHSLEL]DQHVOMLYRXVSHOL]PDQMãDWLSUHGYVHP SRJRVWRVWQDNOMXþQLK]DVWUXSLWHY9SULVSHYNXMHRSLVDQD]DVWUXSLWHY]MHGNLPLVQRYPLLQSULND]DQSULPHU zastrupitve s kalijevim hipermanganom.
.OMXþQHEHVHGH]DVWUXSLWHYMHGNHVQRYLRWURN]GUDYVWYHQDQHJD
ABSTRACT
&RUURVLYHVDUHVXEVWDQFHVDFLGVDQGDONDOLWKDWFDXVHGLUHFWGDPDJHWRWLVVXHZKHQLQFRQWDFWZLWKVNLQRU mucous membranes.:KHQD SRLVRQFDXVHVDFHUWDLQNLQGRIGHIHFWLWLVUHIHUUHGWRDVSRLVRQLQJ0RVWDFXWH FDVHV RI SRLVRQLQJ SDVV ZLWKRXW VRPDWLF FRQVHTXHQFHV IRU WKH SDWLHQW 1HYHUWKHOHVV WKH\ SUHVHQW TXLWH D EURDGSUREOHPDVUHJDUGVLQFLGHQFHDQGDUHDQLPSRUWDQWUHDVRQIRUKRVSLWDOLVDWLRQ%\DSSO\LQJDSSURSULDWH SUHYHQWLYHPHDVXUHVLWZRXOGQRGRXEWEHSRVVLEOHWRGHFUHDVHWKHIUHTXHQF\RIDFFLGHQWDOSRLVRQLQJFDVHV 7KH DUWLFOH EHORZ GHVFULEHV SRLVRQLQJ E\ FRUURVLYHV DQG SUHVHQWV DQ H[DPSOH RI SRLVRQLQJ E\ SRWDVVLXP permanganate.
.H\ZRUGVSRLVRQLQJFRUURVLYHVFKLOGQXUVLQJ 6ORY3HGLDWU
UVOD
Otroci so po naravi radovedni. Ta radovednost pa ODKNR RWURNX SRY]URþD ãNRGR 0RUGD JD ]DQLPD NDNãQH VR QH]QDQH MDJRGH V VRVHGRYHJD JUPD DOL SD åHOL SRVNXVLWL VWUXSHQR þLVWLOR 6WUXS YQHVHMR Y WHOR QD UD]OLþQH QDþLQH ] ]DXåLWMHP YGLKDYDQMHP ýHMHSULVRWHQQDNRåLDOLVOX]QLFLSDJDWHORYVUND 1DMSRJRVWHMãH VR ]DVWUXSLWYH V VQRYPL NL VR WDNR SRJRVWRSULVRWQHYYVDNGDQMHPåLYOMHQMXGDMLKQLWL QHREUDYQDYDPRYHþNRWVWUXSHQHDONRKROþLVWLOD ]GUDYLODUDVWOLQH«'QHYQRSUHMPHXUQDWRNVL- NRORãNRGHåXUQDVOXåEDWXGLSRYHþNOLFHY]GUDYQL- NRYDOLVWDUãHYGDVRRWURFL]DXåLOLþLVWLOR=DXåLWMD þLVWLO]MHGNLPLNHPLNDOLMDPLVRUHGND
'R]DVWUXSLWYHSULRWURFLKQDMYHþNUDWSULGHYREGR- EMXªYVHYXVWD©1DMSRJRVWHMãHVRSULRWURFLKSUHG SHWLPOHWRPVWDURVWLNRSUHYODGXMHMRQDNOMXþQH]D- VWUXSLWYH LQ SUL DGROHVFHQWLK NR JUH YHþLQRPD ]D zastrupitev s samomorilnim namenom.
Po podatkih registra klicev Centra za zastrupitve se RNROL ]DVWUXSLWHY ]JRGL Y GRPDþHP RNROMX 0HGQDNOMXþQLPL]DVWUXSLWYDPLGRPDVRRWURFL]D- VWRSDQLYSULEOLåQR1DMSRJRVWHMãHVR]DVWUXSL- WYHYNXKLQMLLQYNRSDOQLFL
Usoda zastrupljenega je odvisna od ukrepov v prvih PLQXWDKR]LURPDXUDKNRMHPRåQRVWUXSRGVWUDQLWL L]RUJDQL]PDDOLQHYWUDOL]LUDWLãHSUHGHQVHYVUNDY kri.
3ULSRãNRGEL]MHGNRYLQDPLPRUDPRNDUQDMKLWUHMH pridobiti naslednje podatke:
• .DWHUDMHGNRYLQDMHSRY]URþLODSRãNRGER"
• .ROLNRMHGNRYLQHMHRWURN]DXåLO"
• .GDMMHRWURN]DXåLOVWUXSLQNROLNRþDVDMHELOY VWLNX]QMLP"
• 1DNDNãHQQDþLQMHMHGNRYLQDYVWRSLODYWHOR"
• 0HVWRNMHUMHSULãORGRSRãNRGEH]MHGNRYLQR QHYDUQRVWPQRåLþQHQHVUHþH"
• =DNDMMHSULãORGRSRãNRGEHQHVUHþDVDPRPRU ]DVWUXSLWHYSRWUHWMLRVHEL"
=HOR SRPHPEQD MH ]GUDYVWYHQD QHJD RWURND NL MH ]DXåLO MHGNR VQRY ]ODVWL SD SUYL VWLN PHGLFLQVNH VHVWUH]RWURNRPLQVWDUãLVDMMHYVDNPHGþORYHãNL odnos vzajemen. Medicinska sestra si mora vzeti GRYROMþDVDGDVHSRVYHWLVWDUãHPLQRWURNXþHSUDY MHYQXMQLKSULPHULKWR]HORWHåNR3ULGRELWLVLPRUD ]DXSDQMHVLFHUVRVWDUãLLQRWURNãHEROMSUHVWUDãHQL
OPREDELITEV JEDKOVIN
-HGNH DOL NRUR]LYQH VQRYL R]QDND & VR VQRYL NL åLYRWNLYRSRãNRGXMHMRDOLXQLþLMRþHSULGHMRYVWLN ] QMLP =DQMH MH ]QDþLOQR GD SRY]URþDMR RSHNOLQH DOLUD]MHGHODKNRSDWXGLGUDåLMRVOX]QLFRLQNRåR 'RGDWQHR]QDNH]DMHGNHVQRYLVR5SRY]URþDMR RSHNOLQHLQ5SRY]URþDMRKXGHRSHNOLQH ,]UD]MHGNRYLQDXSRUDEOMDPR]DOXJHNLVOLQHLQQML- KRYH VROL ,]UD] NDYVWLN SD OH ]D OXåQLQH R]LURPD alkalne snovi ali baze. Uporaba kavstikov in korozi- YRYMH]HORãLURNDWDNRYLQGXVWULMLNPHWLMVWYXIDU- PDFLML]GUDYVWYXSDWXGLYJRVSRGLQMVWYX0HGQMH XYUãþDPRþLVWLOD]DVDQLWDULMHRGWRþQHVQRYLSHþL VUHGVWYD SURWL UMDYHQMX « .RUR]LYQL XþLQHN LPDMR WXGLSUDãNL]DSRPLYDOQHVWURMHLQEHOLOD.DYVWLþQR delujejo tudi male diskaste baterije za napajanje ele- NWURQVNLKXULQåHSQLKUDþXQDOQLNRYþHVHYSUHED- YLOLK]DJR]GLMRLQL]QMLKL]WHþHYVHELQDåLYRVUHEURY NORULGQDWULMHYKLGURNVLG
RAZDELITEV JEDKOVIN
-HGNRYLQHGHOLPRYGYHVNXSLQL .LVOLQH
• DQRUJDQVNH NORURYRGLNRYD åYHSOHQD GXãLNR- YDIRVIRUQDÀXRURYRGLNRYDERURYDFLDQRYR- GLNRYDNLVOLQD«
• RUJDQVNH PUDYOMLQþQD RFHWQD POHþQD IHQRO VDOLFLOQD«
• NLVOH VROL DPRQLMHY NORULG åLYRVUHEURY GLNOR- ULG
• .LVOLQHYVWLNXVNRåRLQVOX]QLFDPLSRY]URþL- MR NRDJXODFLMVNL WLS QHNUR]H 1HNUR]D VH KLWUR RPHMLLQQHQDSUHGXMHYJORELQR=DUDGLRGVWR- panja odmrlega tkiva pride lahko do predrtja VWHQHSRåLUDOQLNDDOLåHORGFDãHOHþH]QHNDMGQL 3UL]DGHWD NRåD DOL VOX]QLFD MH UMDYNDVWRþUQR REDUYDQDSULSLNULQVNLLQGXãLNRYLNLVOLQLSDMH REDUYDQDUXPHQR3UL]DXåLWMXNLVOLQHQDMGHPR QHNUR]H RELþDMQR QD PDOL NULYLQL åHORGFD QD VOX]QLFL SLORUXVD LQ DQWUXPD SRåLUDOQLN SD MH SUL]DGHWUHGNHMH
%D]H
7RVRDONDOQHVQRYLQDWULMHYLQNDOLMHYNDUERQDWND- OLMHYSHUPDQJDQDWQDWULMHYERUDWQDWULMHYKLSRNORULW
±YDUHNLQD«%D]HWXGLDONDOLMHSRY]URþDMRNR- OLNYDFLMVNLWLSQHNUR]HNHUVHYHåHMR]EHOMDNRYLQD- PLLQPDãþREDPL/RNDOQDSRãNRGEDWNLYDMHVLFHU WDNRMãQMD YHQGDU QHNUR]D QDSUHGXMH Y JORELQR ãH
±GQLâHOHSR±GQHKVH]DþQHQHNUR]DUD]PH- MHYDWLLQSRãNRGRYDQRWNLYRREQDYOMDWL=DWRREVWD- MDQDMYHþMDQHYDUQRVW]DSUHGUWMH]JRUQMLKSUHEDYLO
±GQL3UL]DGHWDNRåDDOLVOX]QLFDMHVSUYDYLGHWL PLOQDWREHOHEDUYHNDVQHMHUXPHQRUMDYH3UL]DXåL- WMXOXJDMHQDMSRJRVWHMHSUL]DGHWSRåLUDOQLNUHGNHMH åHORGHF
.$/,-(9+,3(50$1*$1±.0Q2 -HYREOLNLWHPQRYLMROLþDVWLKDOLEURQDVWLKNULVWDORY PRGURNRYLQVNHJD VLMDMD EUH] YRQMD REVWRMHQ QD ]UDNXVNRUDMQHSUR]RUHQ]DVYHWORERVODGNHJDRNX- VDLQSR]QHMHWUSNHJDREþXWNDUD]NUDMDVHSULEOLåQR SUL&]L]ORþDQMHPNLVLND-HPRþDQRNVLGDQW QHNRPSDWLELOHQ]MRGLGLUHGXFLUDMRþLPLVQRYPLWHU YHþLQRRUJDQVNLKVXEVWDQF.RWGH]LQ¿FLHQWVHXSR- UDEOMDYGRRGVWRWQLvodni raztopini6PU- tni odmerekNDOLMDMHJ
8SRUDEOMD VH WXGL SUL EHOMHQMX VPRO YRVND PDVWL ROMVODPHMHOHQRYHNRåHERPEDåDVYLOHLQGUXJLK YODNHQEDUYDQMXOHVDYUMDYRWLVNDQMXWNDQLQSUHþL- ãþHYDQMX&2YSURL]YRGQMLPLQHUDOQLKYRGYIR- WRJUD¿MLSULVWURMHQMXNRåSUHþLãþHYDQMXYRGHLQNRW reagent v analizni kemiji.
Uporablja se v zdravstvu kot antiseptik za izpira- QMH VYHåLK LQ RJQRMHQLK UDQ UD]MHG ]D NRSHOL DOL YODåQH RENODGNH SUL DNXWQLK GHUPDWR]DK JOLYLþQLK EROH]QLKLQHNFHPLK9QLåMLKkoncentracijah delu- MH DGVWULQJHQWQR Y YHþMLK SDkorozivno 3RY]URþD YQHWMH NRåH. Kristali in raztopine hipermangana Y NRQFHQWUDFLML QDG GHOXMHMR MHGNR ± UD]MHGD- MRUDQHLQWYRULMRWHPQHURERYHGUDåLMRVOX]QLFHLQ REDUYDMRNRåRUMDYR3ULDNXWQLL]SRVWDYOMHQRVWL MHKLSHUPDQJDQãNRGOMLYLQSRPHQLUHVQRJURåQMRSUL YGLKDYDQMXDOLVWLNXVNRåR9EOLåLQLRJQMDRGGDMD UD]MHGDMRþGLP3ULVWLNXVNLVOLQDPLDOLIDWLþQLPLLQ DURPDWLþQLPLDPLQLNDUEDPDWLRUJDQVNLPLKDORJH- QLUDQLPLVQRYPLL]RFLDQDWLRUJDQVNLPLVXOIDWLQL- WUDWLRUJDQVNLPLIRVIDWLLQSROLPHUL]LUDMRþLPLVQRY- PLXVWYDULWRNVLþQHSOLQH-H]GUDYMXãNRGOMLY±;D NRUR]LYHQSRY]URþDXOFHUDFLMHRNVLGDWLYHQ±2LQ RNROMXQHYDUHQ±1
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JEDKOVINO
6WRSQMDRNYDUHWNLYDMHRGYLVQDRGYUVWHNROLþLQH NRQFHQWUDFLMHLQSKMHGNRYLQHþDVDL]SRVWDYHLQQD- þLQDYQRVD-HGNRYLQDQDMSRJRVWHMHSUL]DGHQHNRåR LQVOX]QLFHSRJRVWRWXGLRþL
.RåD1DPHVWXVWLND]MHGNRYLQRQDVWDQHRSHNOLQL podobna sprememba. Barva je odvisna od vrste jed- NRYLQH0HVWRMHEROHþH
2þL1DRþHVXSRY]URþLMHGNRYLQDODKNRSRãNRGER ]XQDQMLKRþHVQLKGHORYYH]QLFHLQURåHQLFH3RMDYL VH EROHþLQD RWHNOLQD UGHþLQD YH]QLFH EOHIDURVSD- ]HP IRWRIRELMD LQ VRO]HQMH -HGNRYLQD ODKNR SRY- ]URþLWUDMQRRNYDURURåHQLFHVWUDMQRL]JXERYLGD 9GLKDYDQMH3ULLQKDODFLMLLQ]DXåLWMXMHGNRYLQHQDM- GHPRWLSLþQHORNDOQHVSUHPHPEHQDVOX]QLFLGLKDO LQ SUHEDYLO ,QKDODFLMD SRY]URþD ULQLWLV IDULQJLWLV ODULQJLWLVEURQKLWLVYKXMãLKSULPHULKSQHYPRQLWLV LQQHNDUGLRJHQLSOMXþQLHGHP
=DXåLWMH=DXåLWMHMHGNRYLQHSRY]URþLUD]OLþQHVWR- SQMHRSHNOLQSRVOX]QLFLXVWQHYRWOLQHåUHODSRåL- UDOQLNDLQåHORGFD7DNRMMHSULVRWQDKXGDEROHþLQD
Y XVWLK åUHOX ]D SUVQLFR LQ Y WUHEXKX 2ELþDMQR so vidne spremembe okrog ust in v ustni votlini.
2WURNVHPRþQRVOLQLWHåNRSRåLUDSRJRVWREUXKD KHPDWLQVNH PDVH SUL ]DXåLWMX NLVOLQ SD LPD REþX- WHNåHMH5D]YLMHVHVWULGRUKULSDYRVWLQWHåNDVDSD
=DUDGL SUL]DGHWRVWL HSLJORWLVD MH SRJRVWR YVUNDQMH Y GLKDOD 3UL SHUIRUDFLML SRåLUDOQLND LQ åHORGFD VR SULVRWQL ]QDNL PHGLDVWLQLWLVD SHULWRQLWLVD ãRND LQ GLVHPLQLUDQH LQWUDYDVNXODUQH NRDJXODFLMH ',.
9NDVQHMãHPSRWHNXSULGHODKNRGRQDVWDQND¿VWXO PHGSRåLUDOQLNRPLQVDSQLNRPDOLDRUWRNUYDYLWHY L]SUHEDYLOUD]YRMDUHVSLUDFLMVNHJDGLVWUHVD0RåQH VRWUDMQHSRVOHGLFH]DUDGLEUD]JRWLQNLSRY]URþDMR VWHQR]RSRåLUDOQLNDDOLåHORGFDLQ]DKWHYDMRRSHUD- cijsko zdravljenje.
UKREPI OB ZASTRUPITVI Z JEDKIMI SNOVMI
(YDNXDFLMD L] QHYDUQHJD REPRþMD R]LURPD SUHNLQLWHYL]SRVWDYOMHQRVWL
-HGNRYLQRRGVWUDQLPRLQWDNRSUHNLQHPRQDGDOMQMR L]SRVWDYOMHQRVWRWURND3RPHPEQDMHODVWQD]DãþLWD PDVNDURNDYLFH]DãþLWQDREOHND
3RNOLþHPR UHãHYDOFH ]GUDYQLãNR SRPRþ QD
$%& RåLYOMDQMD Y]SRVWDYLWHY RVQRYQLK åL- YOMHQMVNLKIXQNFLM
Umetno dihanje je potrebno izvajati z ustreznimi SULSRPRþNLLQQHªXVWDQDXVWD©6WHPELRJUR]LOL VYRMH ]GUDYMH 1H]DYHVWQHJD RWURND QDPHVWLPR Y ERþQL SRORåDM QHYDUQRVW DVSLULUDQMD ]DUDGL EUXKD- QMD]DGXãLWHY
6LPSWRPDWVNR]GUDYOMHQMH
3UL]DGHWRVW EROHþLQD EOHGLFD GLVSQHD FLDQR]D LQ ]QRMQD NRåD SRVSHãHQ VODER WLSOMLY XWULS LQ QL]ND vrednost arterijskega krvnega tlaka so simptomi in ]QDNL NL QDV RSR]RULMR QD UD]YLWR ãRNRYQR VWDQMH 7DNRWURNPRUDOHåDWL]GYLJQMHQLPLVSRGQMLPLXGL SRPHPEQRMHGDWDNRMY]SRVWDYLPRLQY]GUåXMHPR SUHKRGQRVWGLKDOQLKSRWLGRYDMDPRRGVWRWQLNL- VLNSUHNRPDVNH2+,2Y]SRVWDYLPRYHQVNRSRWLQ QDGRPHãþDPRL]JXERWHNRþLQ%ROHþLQRRPLOLPR]
analgetiki.
'HNRQWDPLQDFLMDLQSUHSUHþHYDQMHQDGDOMQMH ãNRGH
,]RNROMDRGVWUDQLPRNRQWDPLQDWHLQWDNRSUHSUHþL- mo dodatne negativne vplive.
.RåDVOX]QLFH Morebitne trdne delce jedkovine RWUHVHPR V NRåH ãH SUHG izpiranjem. Odstranimo NRQWDPLQLUDQD REODþLOD LQ REXWHY 3UL]DGHWR PHVWR L]SLUDPR]RELOLFRþLVWHYRGHQDMPDQMPLQXWDOL YHþRGYLVQRRGNRQFHQWUDFLMHLQNROLþLQHNHPLNDOLMH terþDVDL]SRVWDYOMHQRVWL1HL]SLUDPR]QHYWUDOL]D- cijskimiVUHGVWYLNHUWDODKNRGRGDWQRSRãNRGXMHMR NRåR = YRGR MHGNRYLQR UD]UHGþLPR RGVWUDQLPR KODGQD YRGD SD GHOXMH WXGL SURWLYQHWQR LQ PDQMãD EROHþLQR2GVWUDQLPRPRUHELWQHPHKXUMH
6WLN]RþPL2GVWUDQLPRPRUHELWQHNRQWDNWQHOHþH -HGNLKWXMNRYQHRGVWUDQMXMHPR]JD]RDOLUREFHP ker s WHP ODKNR RþL GRGDWQR SRãNRGXMHPR 6 SDO- FHPLQND]DOFHPUD]SUHPRRþHVQLYHNLLQVSLUDPR]
EODJLPFXUNRPYRGHL]SLSHDOLSRVRGH]OLYþNRP curekYRGHXVPHULPRYQRWUDQMLNRWRþHVQHUHåHQH QD]UNORSUL SRãNRGELREHKRþHVSDQDNRUHQQRVX 2þL L]SLUDPR PLQ DOL YHþ RGYLVQR RG koncen- WUDFLMH VQRYL LQ þDVD L]SRVWDYOMHQRVWL 1H L]SLUDPR ]QHYWUDOL]DFLMVNLPLVUHGVWYLNHUlahko dodatno po- ãNRGXMHMRRþL2þLQDWRVWHULOQRSRNULMHPR2WURND mora pregledati tudi oftalmolog.
=DXåLWMH ,] XVW RGVWUDQLPR PRUHELWQH WUGQH GHOFH ustaVSHUHPR]YRGRLQSD]LPRGDMHRWURNQHSRJRO- WQHSRPDMKQLKSRåLUNLKQDMSRSLMHRG±GOYRGH R]LURPDNROLþLQRNLãHQHL]]RYHEUXKDQMD2WURNX]
PRWHQR]DYHVWMRKXGLPLEROHþLQDPLYSUVQHPNRãX LQWUHEXKXNLEUXKDDOLQHPRUHSRåLUDWLQHVPHPR GDWLQLþHVDUSLWL 9QREHQHPSULPHUXQHVPHPRQD- menoma izzivati bruhanja niti uporabiti nevtraliza- cijskih sredstev v obliki blagih kislin in lugov zaradi QHYDUQRVWLHNVRWHUPLþQLKUHDNFLMVVSURãþDQMHPWR- SORWHLQSOLQRYNDUELãHGRGDWQRSRãNRGRYDORVOX- ]QLFRLQSRYHþDORQHYDUQRVWSHUIRUDFLMH
=HOR SRPHPEHQ XNUHS MH HOLPLQDFLMD NL RPRJRþD RGVWUDQMHYDQMHVWUXSDSUHGHQVHDEVRUELUDYNUL,]- vaja jo zdravnik.
3RVNUEHWLMHSRWUHEQRWXGL]DSUHSUHþLWHYQDGDOMQMLK ]DVWUXSLWHY HYDNXDFLMD SRWHQFLDOQR RJURåHQLK LQ SUHSUHþLWHYGHNRQWDPLQDFLMHRNROMD
3UHSR]QDYDQMHVWUXSD
âHOHNRVPRSRVNUEHOL]D]DVWUXSOMHQFDXJRWDYOMD- PRY]URN]DVWUXSLWYH3RPDJDPRVL]HPEDODåRGH- NODUDFLMDQDYRGLOR]DXSRUDERR]LURPD]PRUHEL- WQLPYDUQRVWQLPOLVWRP=EHUHPRPRUHELWQHY]RUFH ]D WRNVLNRORãNH DQDOL]H L]EUXKDQH PDVH RVWDQNL VWUXSD
9VHSUHYHþNUDWVHGRJDMDGDSUHVWUDãHQLVWDUãLR]L- URPDVSUHPOMHYDOFLNLSULSHOMHMRRWURNDQDNOLQLNR YHGROH]DVNRSHSRGDWNHRVWUXSX6WDUãHMHSRWUHE- QRSRãLOMDWLGRPRYGDSULQHVHMRRULJLQDOQRDOLQDGR- PHVWQRHPEDODåRVWUXSD6WDUãLSULQHVHMRRWURNRYH L]ORþNHOHYL]MHPQLKSULPHULK9HþLQRPDMLK]DYUåH- MRLQQHYHGRNDNRSRPHPEQLVR]DSUHSR]QDYDQMH VWUXSD1DWDQDþLQVHGLDJQRVWLþQLSRVWRSHNPRþQR SRGDOMãD
3URWLVWUXSLDOLDQWLGRWL
$QWLGRWLVR]GUDYLODNLQHYWUDOL]LUDMRLQDNWLYLUDMR YHåHMR]QDVSURWQLPGHORYDQMHPL]QLþLMRDOLQDND- WHUL NROL QDþLQ ]PDQMãDMR WRNVLþQH XþLQNH VWUXSRY Pri zastrupitvi s kalijevim permaganatom se upora- EOMD SURWLVWUXS PHWLOHQVNR PRGULOR ãHOH NR MH GLD- gnoza postavljena in strup zanesljivo prepoznan.
3RVYHWRYDQMHV&HQWURP]D]DVWUXSLWYH 3UDYD LQIRUPDFLMD RE SUDYHP þDVX LQ QD SUDYHP mestu je geslo informativno-konzultativne toksiko- ORãNHVOXåEHNLPRUDXUGQHYQR]DJRWDYOMDWLNOL- QLþQRSRPHPEQHLQIRUPDFLMHRVWUXSLK]GUDYLOLKLQ SRWHQFLDOQRWRNVLþQLKSUHGPHWLKVSORãQHUDEH6OR- YHQVNR SRGURþMH ªSRNULYD© &HQWHU ]D ]DVWUXSLWYH NLGHOXMHY8.&Y/MXEOMDQL,QIRUPDFLMHRVWUXSLK in ukrepih pri akutnih zastrupitvah so dostopne ob GHODYQLNLKRGSRQHGHOMNDGRSHWNDRGGRXUH SRWHOHIRQXRGGRXUHWHURE VRERWDKQHGHOMDKLQSUD]QLNLKSDSRWHOHIRQX*60
3RPRþSULSULSUDYL]DSUHYR]LQ]ELUDQMXGR- NXPHQWDFLMH
3RWHN]DVWUXSLWYHLQXVRGDSRãNRGRYDQFDVHSRJR- VWRRGORþDWDYSUYLKPLQXWDKMHGNHVQRYLFLDQLGL ali urah po zastrupitvi. Poznavanje ukrepov in nji- hovo pravilno zaporedje lahko UHãL åLYOMHQMHRPLOL SRVOHGLFHDOLVNUDMãD]GUDYOMHQMH
UKREPI V BOLNIŠNICI
=GUDYOMHQMHVHODKNR]DþQHWDNRMþHMHQDUDYDVWUXSD znana.
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