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INTOXICAÇÕES E ENVENAMENTOS
Prof ª. Dra. Taís Tinucci
Socorros de Urgência
tóxico ou veneno
Qualquer substância nociva que,
quando introduzida no organismo,
provoca alterações em um ou mais
sistemas fisiológicos
• Manifestações:
►Neuropsiquiátricas
►Gastrointestinais
►Respiratórias
►Cardiovasculares
►Renais
intoxicações agudas
• Manifestações neuropsiquiátricas:
Alucinações (percepção real de objeto não
existente)
 Delírio (interpretação da alucinação)
(cocaína, anfetamina, pesticidas)
 Agitação
 Convulsões (estricnina)
 Miose (opiáceos, barbitúricos)
 Midríase (éter)
intoxicações agudas
• Manifestações gastrointestinais:
Náuseas
Vômitos
Hálito característico
Diarréia
Sialorréia
Dor abdominal
intoxicações agudas
• Manifestações respiratórias:
• Alterações de:
Ritmo
Frequência
Profundidade
intoxicações agudas
• Manifestações cardiocirculatórias:
Taquicardia
Bradicardia
Hipertensão
Hipotensão
intoxicações agudas
• Manifestações renais:
• Insuficiência Renal Aguda
Mercúrio
Fósforo
Inseticidas
intoxicações agudas
• Ingestão
Oral
• Inalação
Respiratória
• Absorção
Pele e mucosas
• Injetável
Corrente circulatória
tipo de intoxicação quanto à via
Intoxicações exógenas.ppt
• Quadro clínico depende da substância
Queimação ao redor da boca
Alterações do ritmo cardíaco e
respiratório
Alterações pupilares
Sintomas neurológicos
Sintomas gastrointestinais
ingeridos
ingeridos
• Identificar a causa
Embalagens, roupas, ocupação
• Manter via aérea aberta
• Ligar para CEATOX
• Dar líquido ou quelante somente se a vítima
estiver consciente
• Cuidados com aspiração
• Nunca induza o vômito, a menos que
recomendado pelo CEATOX
primeiros socorros
O envenenamento é a principal causa de morte acidental em crianças
primeiros socorros
Intoxicações exógenas.ppt
• Quadro clínico depende da substância
Dificuldade respiratória
Tosse
Alterações do ritmo cardíaco
Irritação ocular
inalados
Inalados: monóxido de carbono
•Identificar a causa
(exaustão de auto, gás, aerossóis)
•Remoção da cena
•Manter vias aéreas abertas
•Suporte básico de vida
•Ligar para o CEATOX
•Chamar sempre 193 quando houver
inalação de fumaça
primeiros socorros
• Quadro clínico depende da substância
Picada de insetos, overdose de drogas
►Identificar a causa
►Avaliar porta de entrada
►Sinais de reação alérgica
►Dificuldade respiratória
►Instabilidade hemodinâmica
injetados
•Identificar a causa
•Verificar condições respiratórias
•Verificar condições hemodinâmicas
•Retirar ferrão e conservar
•Colocar gelo no local
•Ligar para o CEATOX
primeiros socorros
Intoxicações exógenas.ppt
3 dias
4 dias
5 dias
6 dias
9 dias
10 dias
• Quadro clínico:
Irritações na pele
Prurido
Irritação ocular
Aumento da temperatura no local
Reações alérgicas
absorvidos
bolhas produzidas pelo contato com
planta venenosa
•Remoção do local
•Lavar a área com água
•Remover as roupas da vítima
•Ligar para o CEATOX
primeiros socorros
indicadores de emergência
relacionada a álcool ou drogas
• Estimulantes:
 Excitação, taquicardia, taquipnéia, fala rápida, boca seca,
midríase, diaforése, insônia.
 Anfetamina, cocaína, dextroanfetamina, metilfenidato
(Ritalina®), 3,4-metilenodioximetanfetamina (MDMA)
(Ecstasy), crac
abuso de substâncias
cocaína
ecstasy
crac
• Depressores:
 Lentidão, sonolência, fala ebriosa, bradicardia, bradipnéia.
 Barbituratos (Barbital ®, Seconal ®), hidrato de cloral
(Benzedrina®), metaqualona (Mandrix ®), sedativos não
barbitúricos (diazepínicos), álcool
abuso de substâncias
Intoxicações exógenas.ppt
• Narcóticos:
 Relaxamento, sonolência, miose, diaforése, bradicardia,
bradipnéia, hipotermia.
 Codeína, morfina, ópio, meperidina (Demerol®), elixir
paregórico (ópio), heroína, metadona
abuso de substâncias
heroína
papoula
• Alucinógenos:
Taquicardia, midríase, rubor facial,
alucinações, ansiedade, depressão.
Maconha (THC), LSD, mescalina, psilocibina,
haxixe(THC),
ayahuasca (Santo Daime)
abuso de substâncias
maconha
maconha
haxixe
peiote
ayahuasca
• Químicos voláteis:
Perda de contato com a realidade, edema de
mucosas, torpor, coma.
Cola, acetona, éter, solventes e materiais de
limpeza derivados do petróleo, lança-perfume
abuso de substâncias
Lança-perfume
• Atendimento telefônico 24 horas:
0800-014 8110
ceatox.org.br
centro de atendimento a intoxicações
•Atendimento telefônico 24 horas:
5011-5112
5011-5111
(ramais 250, 253, 254)
0800-771 3733
smscci@prefeitura.sp.gov.br
centro de controle de intoxicações
•informações às centrais:
idade do paciente
peso do paciente
como foi o contato com o produto
há quanto tempo foi a exposição
os sintomas que o paciente esta apresentando
informações sobre o produto (tenha a embalagem á
mão)
telefone para contato
centrais de atendimento a intoxicações

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Intoxicações exógenas.ppt