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Care for a patient intoxicated by mushrooms - preparation of simulation scenarios
KOHOUTOVÁ, Denisa
The thesis focuses on patients mushroom poisoning and preparation of simulated scenarios. The thesis is mainly theoretical with addition of two simulated scenarios, which are supported by specialised literature, magazines and Czech or foreign websites. Firstly, intoxications in general overview, symptoms, first aid and treatment are studied. In the next chapters complete overview and description of mushrooms is given, without it the thesis would be incomplete. Lastly, mushroom intoxication, its symptoms, pre-hospital care, treatment and hospital care are described. Mushroom intoxication is immediate life threatening condition, if it is not treated correctly and in time. Suicide and accident can be reasons for this type of intoxication. Early diagnoses of the toxic substance in the mushroom and early treatment are used to treat even the harshest of cases. Most common, however less serious, intoxications are caused by panther cap, this type of mushroom is easily mistaken for blusher. As the most dangerous mushrooms intoxication is considered the one caused by death angel. Death angel consists of high number of toxins and is often mistaken for blusher or champignon. The death doses of this mushroom is estimated to only few tenths of a gram - in other words to one mushroom or less. Consumption of poisonous mushroom mostly affects liver and kidneys. Blood chemistry test, urine test and test of the gastric content are important parts of diagnosing mushroom intoxication. Important step of removing and eliminating toxins from patient's body is invoked vomiting and gastric lavage with administration of bituminous coal. Hospital care provided by nurse is significant part of intoxication treatment. Nurses take care of airways, they monitor basic vital functions, assist during invasive procedure, collect blood samples based on doctor's ordination and they provide hygienic care and decubitus prevention. Diploma thesis can be provided as a textbook material for nurses and paramedics. Mostly in regard to simulated scenarios.
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