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成人对乙酰氨基酚中毒的评估与管理

Assessment and management of paracetamol poisoning in adults.

作者信息

Pettie Janice, Dow Margaret

机构信息

National Poisons Information Service, Edinburgh.

出版信息

Nurs Stand. 2013;27(45):39-47; quiz 48, 50.

Abstract

Paracetamol is a low cost, effective analgesic that is widely available in the UK. Paracetamol is the drug most commonly taken in overdose and can lead to acute liver failure, which can be fatal. This article focuses on the assessment and management of paracetamol poisoning in adults. It includes current UK guidelines on paracetamol poisoning, which changed in September 2012 following a review by the Commission on Human Medicines. It also discusses strategies to reduce incidence and severity of paracetamol poisoning, and outlines the metabolism of paracetamol at therapeutic doses and in overdose.

摘要

对乙酰氨基酚是一种低成本、有效的镇痛药,在英国广泛可得。对乙酰氨基酚是过量服用最常见的药物,可导致急性肝衰竭,这可能是致命的。本文重点关注成人对乙酰氨基酚中毒的评估和管理。它包括英国目前关于对乙酰氨基酚中毒的指南,该指南在2012年9月人类药物委员会审查后有所变化。它还讨论了降低对乙酰氨基酚中毒发生率和严重程度的策略,并概述了治疗剂量和过量服用时对乙酰氨基酚的代谢情况。

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