

① Vomit-accelerator is the urgent measure to discharge poison in stomach. It is effective only soon after poisoning. For over 4-hour poisoning, vomit-accelerator can not be applied as poison has permeated into duodenum. ![]() ② Stomach-washing should be applied when vomit-accelerator can not take effect. It will be most effective in two hours after taking poison. Stomach-washing can discharge stuff in stomach, adjust acidity and alkalinity, roll out simulation to stomach wall and convulsion of pylori constrictor, revive stomach peristalsis and exudation functions. In addition, this method can also be applied in acute gastric dilatation. Liquid for stomach-washing is usually warm salty water, warm boiled water, 1%-2% NaCl solution, warm suds, thick tea, 1% soda, etc. Washing liquid proportion should be 5-10 ml per kilogram of weight. Adding 0.02%-0.05% activated carbon into the washing liquid can achieve better effect. ③ Asorption measure is to use sorbent like activated carbon to absorb poison onto surface of medicine, accordingly preventing against further permeation to inner body. But it should be noted to use plant activated carbon, not mineral or animal activated carbon. In 30 minutes after taking activated carbon, the victim should take evacuant, simultaneously with vomit-accelerator and stomach-washing. However, activated carbon cannot take effect on cyanide poisoning. ④ Bitter aloes can accelerate discharge of gastroenteric poison. Whereas plant oil is forbidden as poison can dissolve in it. 2. Accelerated Poison Discharge Diuretic, usually furosemide or mannitolcan, speed up poison elimination from emiction. However, this measure must be taken under the conditions of normal level of water and electrolyte, and normal renal function. In case of no emiction addition, diuretic should be stopped to use again. In case of taking effect, vein liquid supply injection should be applied to avoid dehydration. Changing acidity and alkalinity of emiction can accelerate poison discharge. Taking NH4C1 orally can acidify emiction, soda to cure weak acid compound poisoning such as aspirin and barbital toxicosis, can basify emiction.
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