10 Feb 2020

니코틴 중독, Nicotine poisoning

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니코틴 중독, Nicotine poisoning

 

원인

씹는 담배, 니코틴 검, 니코틴 패취, 파이프 담배, 니코틴이 든 살충제, 담배 잎, 액체 니코틴, E 담배액체 니코틴 리필 등을 과다 섭취하면 니코틴에 중독될 수 있다. 최근 액체 니코틴 리필을 소아들이 가고로 흡스 해 중독 된 경우도 있다.

증상 징후

구기, 구토, 창백, 땀, 고혈압, 빈맥, 서맥, 실조증, 수전증, 두통, 현기, 근섬유다발수축, 저혈압, 저혈압, 중추신경 우울증, 혼수, 호흡기 부전증, 경련 등이 생길 수 있다.

진단

병력 증상 징후 진찰 소견을 참조해 이 병을 의심하면 혈중 니코틴 농도 측정을 해 진단 한다.

치료

탄말 위장 투입, 지지치료, 경련치료, 아트로핀, 인공 호흡기치료, 투석치료 등으로 치료한다.

예방

씹는 담배, 니코틴 검, 니코틴 패취, 파이프 담배, 니코틴이 든 살충제, 담배 잎, 액체 니코틴, E 담배 액체 니코틴 리필로 니코틴 중독이 될 수 있다는 경고를 더 강조하고 니코틴이 든 상품을 소아들이 섭취하지 못하게 더 단단하게 포장 하도록 법으로 정하라고 미 소아과 학회는 CDC에 제청했다.

소스: 미 소아과학회 뉴스 AAP News 9/2015

Nicotine poisoning

cause

  • Tobacco, nicotine gum, nicotine patches, pipe tobacco, pesticides containing nicotine, tobacco leaves, liquid nicotine, E cigarette liquid nicotine refills, etc., can lead to nicotine poisoning.
  • In recent years, children have been addicted to liquid nicotine refills.

Symptoms, signs

  • Nausea, vomiting, paleness, sweat, high blood pressure, tachycardia, bradycardia, ataxia, tremors, headache, dizziness, muscle fiber bundle contraction, hypotension, central nervous system depression, coma, respiratory failure, convulsions, etc. may occur.

Diagnosis

  • If you suspect this disease by referring to the medical history, symptoms, signs, and examination findings, diagnose it by measuring the nicotine level in the blood.

Treatments

  • It is treated with an activated charcoal gastric installation, supportive treatment, convulsion treatment, atropine, artificial respiratory treatment, and dialysis treatment.

Prevention

  • Chewing tobacco, nicotine gum, nicotine patches, pipe tobacco, nicotine-containing pesticides, tobacco leaves, liquid nicotine, E-cigarette liquid nicotine refills further emphasize warnings that nicotine poisoning may result and prevent children from consuming products containing nicotine

The American Academy of Pediatrics suggested to the CDC to make a more tight package by law. Source: American Academy of Pediatrics News AAP News 9/2015

출처 및 참조 문헌 Sources and references

  • NelsonTextbook of Pediatrics 22ND Ed
  • The Harriet Lane Handbook 22ND Ed
  • Growth and development of the children
  • Red Book 32nd Ed 2021-2024
  • Neonatal Resuscitation, American Academy Pediatrics
  • Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
  • Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
  • Emergency care, Harvey Grant and Robert Murray
  • Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
  • Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
  • Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr
  • The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
  • Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
  • Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
  • Manual of Emergency Care 응급환자관리 정담미디어
  • 소아가정간호백과–부모도 반의사가 되어야 한다, 이상원
  • Neonatal Resuscitation American heart Association
  • Neonatology Jeffrey J.Pomerance, C. Joan Richardson
  • Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.
  • Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.
  • Preparation for Birth. Beverly Savage and Dianna Smith
  • Nelson Textbook of Pediatrics 14th ed. Beherman,
  • The Johns Hopkins Hospital, The Harriet Lane Handbook, 18th edition
  • Red book 29th-31st edition 2021
  • Nelson Text Book of Pediatrics 19th-21st Edition
  • Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
  • The Harriet Lane Handbook 19th Edition
  • 소아과학 대한교과서
  • 제1권 소아청소년 응급의료 참조문헌과 출처
  • Other
  • Copyright ⓒ 2015 John Sangwon Lee, MD., FAAP
  • “부모도 반의사가 되어야 한다”-내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.
  • “The information contained in this publication should not be used as a substitute for your doctor’s medical care and advice. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances. “Parental education is the best medicine.”