Intubation nasotracheal

IM inj, or nasotracheal intubation) compress venipuncture sites at least 30 min used before starting warfarin tb apy OD May cause profound hemorrhage manage bleeding, give IV fluids... 

There is no specific antidote for the PPD. The early challenge threatening the patient s life is asphyxia due to edema of the upper respiratory tract and the airways. Tracheostomy is a life saving measurement in this condition [6] (Figure 6). Nasotracheal intubation was proven also to be effective [29]. 

Cocaine is a potent CNS stimulant that elicits a state of increased alertness and euphoria with its actions similar to those of amphetamine but of shorter duration. These CNS effects are thought to be largely associated with the ability of cocaine to block dopamine reuptake at nerve synapses and thereby prolong the action of dopamine in the CNS. It is this response that leads to recreational abuse of cocaine. Cocaine also blocks the reuptake of norepinephrine at presynaptic nerve terminals this produces a sympathomimetic response (including an increase in blood pressure, heart rate, and body temperature). Cocaine is effective as a local anesthetic and vasoconstrictor of mucous membranes and is therefore used clinically for nasal surgery, rhinoplasty, and emergency nasotracheal intubation. 

When exposure to 1,1,1-trichloroethane ceases, regardless of route of exposure, the compound is rapidly cleared from the body, predominantly by exhalation of unchanged 1.1.1-trichloroethane in expired air (see Section 2.3.). Very little metabolism of the compound takes place, and despite a preferential distribution of absorbed 1,1,1 -trichloroethane to fatty tissues, significant retention does not occur without continued exposure. Thus, continued ventilation by the lungs will eliminate the compound from the body. Suggested methods to assist in lung ventilation include orotracheal and nasotracheal intubation for airway control and positive pressure ventilation techniques (Bronstein and Currance 1988 Ellenhorn and Barceloux 1988). 

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