Slowed and irregular breathing

Introduction Respiratory slowness and irregularity are seen in overdose of sleeping pills. The sleeping pills are also known as stable. The main ingredient is Xipan, which is white or off-white crystalline powder; odorless and slightly bitter. Almost insoluble in water, soluble in hydrochloric acid. In the case of acid or alkali and heat and easy to hydrolyze, the oral drug is opened under the action of gastric acid, enters the alkaline intestine and re-cyclizes the original drug. Therefore, the bioavailability of the drug is not affected. Anxiety, compensatory rebound is lighter after stopping the drug, and it is difficult to stop the drug. The aftereffect is lighter. The safety range is large.

Cause

Seen in the use of sleeping pills too much, inhibition of the respiratory center.

an examination

1, neurological symptoms: dizziness, memory loss, lethargy, ataxia, loss of consciousness, sputum reflex disappeared, severe coma, convulsions, pupil dilation, disappearance of light response.

2, breathing, circulatory system initial breathing rate slowed down and regular, then the breathing slowed and irregular. Severe breathing difficulties, purpura, pulse acceleration, blood pressure, oliguria, circulatory failure.

3, the skin can be seen with rash, nausea, vomiting, constipation.

4, sleeping pills, a large amount of time, long time and not found in the patient can lead to death.

Differential diagnosis

1. Mild poisoning: lethargy, judgment and orientation disorder, gait instability, unclear speech, nystagmus. Various reflexes exist, body temperature, pulse, breathing, and blood pressure are normal.

2, moderate poisoning: shallow coma, with strong stimulation can wake up, can not answer questions, and soon into a coma. The sputum reflex disappears, the breathing is shallow and slow, the blood pressure is still normal, and the corneal reflex and pharyngeal reflex exist.

3, severe poisoning: deep coma, early limb muscle tension, sputum hyperreflexia, pathological reflex positive. Later, the whole body muscles relax and various reflexes disappear. The pupil reacts to light, and the pupils sometimes become large and sometimes shrink. Breathing is shallow and slow, irregular or tidal breathing. The pulse is fine and the blood pressure drops.

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