Kraft M E
Kaiser Permanente, Vallejo, Calif., USA.
J Emerg Nurs. 1998 Oct;24(5):457-9. doi: 10.1016/s0099-1767(98)70016-9.
The patient was discharged approximately 36 hours after admission to the emergency department. At that time she was awake and alert and responding appropriately to her surroundings. Her vital signs were within normal limits. It took approximately 2 weeks to receive the baby's clonidine level, which was 11.0 ng/mL; the therapeutic level is between 0.5 to 4.5 ng/mL. We came to the conclusion that the babysitter's clonidine patch had accidentally fallen into the playpen, where the baby subsequently sucked on it. To this day, the babysitter denies any involvement. Situations such as this confront emergency nurses every day, and questions arise regarding intent. In this case, the physician interviewed the babysitter and believed that the overdose was unintentional. Once again we are reminded of the fragility of life, the importance of capable, cautious caregivers, and just how easily accidents can happen. What a happy outcome this turned out to be after what appeared to be such a grave medical emergency on presentation!
患者在进入急诊科约36小时后出院。当时她神志清醒，对周围环境反应正常。她的生命体征在正常范围内。大约花了2周时间才拿到婴儿的可乐定水平，结果是11.0纳克/毫升；治疗水平在0.5至4.5纳克/毫升之间。我们得出的结论是，保姆的可乐定贴片不小心掉进了婴儿围栏里，婴儿随后吮吸了它。直到今天，保姆都否认与此事有任何关联。像这样的情况每天都在考验急诊护士，关于意图也会产生疑问。在这个案例中，医生询问了保姆，认为这次过量用药是无意的。我们再次意识到生命的脆弱、称职且谨慎的照顾者的重要性，以及意外是多么容易发生。在最初呈现出如此严重的医疗紧急情况之后，结果竟是如此令人欣慰！
