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Intensivmedizin up2date 2014; 10(03): 201-215
DOI: 10.1055/s-0034-1377271
Allgemeine Prinzipien der Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

Therapie akuter Intoxikationen

Carsten Hafer
,
Jan T. Kielstein
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Publication History

Publication Date:
10 July 2014 (online)

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Kernaussagen

  • Die primäre Therapie bei Intoxikationen gilt einer raschen Stabilisierung der Vitalparameter, wobei die Sicherung der Atemwege und die Überwachung des Herzrhythmus Priorität haben.

  • Toxidrome leiten die klinische Beurteilung zur Abklärung der eingenommenen Substanzen.

  • EKG und anschließende Überwachung zur Erfassung von Rhythmusproblemen sind zentraler Bestandteil der Einschätzung einer vital bedrohlichen Situation.

  • Bei unklarer Intoxikation sollte man baldmöglichst Kontakt mit einer Giftinformationszentrale aufnehmen.

  • Bei zahlreichen Intoxikationen sollte man neben der Behebung metabolischer Komplikationen auch eine Nierenersatztherapie zur Giftelimination in Betracht ziehen.

  • Mischintoxikationen sind bei suizidaler Absicht häufig. Eine psychiatrische Beurteilung ist bei Suizidversuchen zwingend erforderlich.

 

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