Examinando por Materia "Organophosphorus Compounds"

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  • Miniatura
    ÍtemAcceso abierto
    Correct management of organophosphate poisoning in patients treated in emergency services
    (Universidad Privada Norbert Wiener, 2017) Valdivieso Aquije, Judith Jacquelin; Obregon Zorrilla, Yolanda Noemi; Gómez Gonzales, Walter Edgar
    Objective: To determine the correct management of acute poisoning in patients attended in emergency services. Materials and Methods: A systematic review was conducted to synthesize the results from multiple primary studies, which are an essential part of evidence-based nursing, identifying relevant studies to answer specific clinical practice questions. Results: The review covered 10 scientific articles on the correct management of organophosphate poisoning in patients attending emergency services. Of the studies reviewed, 30% (3) were from India, 20% (2) from England, 20% from Ecuador, and 10% each from Brazil, Uruguay, and Spain. The articles came from databases Medline, Lilacs, and Cochrane Plus. Conclusions: The reviewed articles show that atropine is the antidote treatment, whereas the use of oximes for acute poisoning is not optimal, as they are not universal for all agents. There is a need for clinical trials not only with oximes but also with other antidotes, such as hydrolases, pyridostigmine carbamate, glutamate antagonists, and adenosine receptor agonists (clonidine).
  • Miniatura
    ÍtemAcceso abierto
    Effective interventions in managing organophosphate poisoning in patients presenting to the emergency department
    (Universidad Privada Norbert Wiener, 2019-02-17) Burga Muñoz, Elsa; Rivadeneyra López, Nancy del Pilar; Calsin Pacompia, Wilmer
    Objective: To analyze the evidence on the effectiveness of interventions in the management of organophosphate poisoning in patients who attend the emergency service. Materials and Methods: The type of research was quantitative and the design was a systematic review, the population and sample were 10 scientific articles published and indexed in scientific databases, the instrument was a database search: Cochrane Library, Scielo British Medical Journal, PubMed, Lancet, Wiley Online Library, EBSCO, the GRADE Method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: 100% articles, 20% Peru and Brazil 10% Spain, Colombia, Ecuador, Mexico, India, Venezuela and Argentina. In relation to the study designs, 30% systematic review, 20% cases and controls, 10% review, meta-analysis, 20% retrospective, 10% prospective and 10% descriptive Conclusions: It is concluded that the most effective interventions were decontamination, monitoring of vital functions, care of the airways, gastric lavage, use of activated charcoal, administration of atropine, in addition, patients poisoned by organophosphates must be subjected to A rapid clinical assessment of their vital functions, as well as a good identification of the diagnoses and nursing intervention, allows the patient to be seen as a whole, taking into account the timely treatment that the patient must receive in the biological, physical and mental sphere of the patient. .