Wine poisoning, like any food intoxication, requires urgent measures to remove toxic substances from the body and eliminate those malfunctions in the body that are caused by them. But we need to understand that alcohol is absorbed into the blood already in the initial sections of the digestive tract, so the usual measure for many people who struggle with poisoning in the form of gastric lavage after a few minutes after drinking alcoholic beverages may be useless.
It is clear that to face firsthand with food or alcohol poisoning is not a pleasant matter. Anyone can get scared and fall into a stupor, not knowing what to do when poisoning with wine. The most important thing is to calm down and not panic, in this case your actions will be logical and accurate.
It's easier if wine poisoning has occurred before your eyes, i.e. It is known when and how many people drank. Otherwise, alcoholic intoxication can be judged by the aroma of alcohol and the drunken state of the victim, although this does not exclude poisoning by other foods.
The presence of signs of ordinary food poisoning says little about the severity of intoxication, rather about its stage, so the hope to cope with one's own strength is justified only with the availability of medical education. If there is not one, the first thing to do is to seek help from a medical institution. As time goes by minutes and seconds, you do not need to try to deliver the victim to the hospital on foot or by public transport. There is an "ambulance" for this.
But while the ambulance did not appear on the doorstep, after assessing the condition of the victim, it is necessary to try to provide him with first aid to reduce intoxication and prevent possible complications. If a man is very weak, it is better to put him to bed, but not on his back, but on his side, placing a pillow under his head. Thus, in the event of vomiting, vomit can safely run out, and will not enter the respiratory tract.
If a person is unconscious, he is laid on a flat surface with his back, and his head turns sideways, which is a preventive treatment of the tongue that can block the victim's breathing.
Before the arrival of an ambulance, one must constantly control the breathing and heartbeat of a person who has been poisoned with wine. If the heart suddenly stops, you need to do an indirect heart massage, combining it with the artificial respiration procedure.
If a person is conscious and able to take medicines, they are combating intoxication. Best for this purpose are suitable popular sorbents used for any poisoning (activated and white coal, Smecta, Polysorb, Enterosgel, etc.). But we need to understand that the oral administration of drugs is possible only if the person is conscious.
The main point of detoxification therapy is the use of an antidote. But here you have to be very careful. Antidote for poisoning with wine is normal sugar, which must be dissolved in barely warm water (1 glass) and give a drink to the victim. But if it is a question of poor quality wine, it is more advisable to use a quarter of a glass of high-quality vodka (ethanol) as an antidote.
With repeated vomiting, a large amount of liquid is removed from the human body, resulting in dehydration and a violation of the water-salt balance. This is a very dangerous state, which also needs to be fought. It is clear that when vomiting to enter the body of the liquid is ineffective, because it will almost immediately be withdrawn. It is more expedient to perform rehydration therapy intravenously, in the form of a dropper. And yet, before the doctor's arrival, you can try to give the victim special medications, for example, "Regidron" (dosage - 1 tablespoon), tea, cool boiled water, a decoction of rice or oats.
If there is no diarrhea, the victim can be given a salt laxative, which will help to cleanse the body of harmful substances and toxins.
If these measures are easily poisoned, it will be enough that the patient's condition comes back to normal in time. The state of moderate severity and severe intoxication require the victim to be transferred to a medical institution, where the treatment will be carried out according to the following scheme:
- detoxification is carried out by the introduction of an effective antidote and enterosorbents, previously cleansing the intestines by enema,
- anticonvulsants and antiemetics are administered (as for the latter, although vomiting is considered useful in reflex poisoning, purification of the gastrointestinal tract in this way will be useful only in the first minutes after alcohol intake; in the following time, this symptom only exhausts the patient without bringing any relief)
- measures are taken to rehydrate and eliminate the effects of dehydration,
- the analysis of work of cardiovascular and respiratory system is carried out, the preparations supporting a work of heart are entered,
- is symptomatic treatment, warning of various complications, including infectious,
- patients are prescribed vitamins and vitamin-mineral complexes, because together with the liquid, the body also lost useful substances, which must be replenished in order to adjust its work.
Physiotherapeutic treatment for poisoning is already shown at the stage of recovery, when it is necessary to restore injured due to intoxication organs. What kind of procedures will be prescribed depends on those violations that are found in the body, as the effects of toxic effects on it.
In severe cases, the patient can stay in the hospital for about 2 weeks, after which they switch to outpatient treatment. In mild cases, treatment can be carried out at home, but it is still necessary to cause an "emergency room" if the patient's condition does not improve or if there are dangerous symptoms:
- continuing vomiting, not allowing to fight the dehydration in the home,
- If vomit or stool contains particles of blood,
- obvious signs of dehydration (dry skin, constant thirst, a small amount of urine, while it has a sharp nauseating smell, a poor general condition),
- a prolonged increase in body temperature on the background of a satisfactory state of health (a short-term rise in temperature is characteristic of an acute condition, but it does not last long)
- the appearance of symptoms indicating the defeat of the central nervous system (neurological symptoms: violation of breathing and palpitations, the appearance of seizures, a violation of the sensitivity of the body).
If there is no certainty that a person has been poisoned with wine, antidote should not be rushed, but enterosorbents and liquid should be given whenever possible. If there is vomiting, stop it before the arrival of doctors who establish the true cause of poisoning, it is impossible.
We will not dwell long on enterosorbents, with the help of which the body cleanses toxins. About them, so much has been said that there is hardly anything new to add. You can only advise to resort to the help of such drugs as "Activated Carbon" and "Enterosgel", which are usually in the home medicine chest.
When poisoning with wine or other substances is not recommended to take these sorbents to persons with intestinal obstruction or hypersensitivity to the components of the drugs. Among the expected side effects, they include constipation and nausea, which is not so terrible against the background of already existing symptoms.
" Activated charcoal " is taken in a dosage, depending on the patient's body weight, when 1 tablet of coal is taken for a full 10 kg of weight.
Enterosgel does not require support for weight. It is prescribed to everyone in the amount of 1 packet or one and a half tablespoons, depending on the form of release. This is a single dose, which must be taken three times a day. Usually the medicine is taken outside food (1.5-2 hours before or after meals), but when poisoning with wine it is unlikely that the victim will want to eat, so there will be no restrictions.
Particular attention should be given to rehydration therapy, which can be carried out at home (with mild intoxication) or in a hospital environment when poisoning with wine accompanied by a large loss of fluids. If there is no vomiting or it quickly stopped, you can use drugs that restore water-salt metabolism and acidity of the organism in the form of tablets, powder or suspension.
For example, the drug "Orasan", containing dextrose, which helps fast and complete absorption of liquids and mineral components. The effective dose of the drug will depend on the weight of the affected person. The optimal daily dose is 60 mg of the aqueous solution of the drug (1 sachet is diluted in 1 liter of boiled water) for each kilogram of weight.
You need to take the medicine after every act of defecation. If there is vomiting, "Orasan" can be tried to take 10 minutes after it.
The drug is suitable for almost everyone, except for patients with intolerance of its individual components and patients with diabetes mellitus (although the latter are unlikely to drink sweet wine, which usually becomes the cause of poisoning).
If such therapy does not help, you will have to go to a hospital where intravenous infusions of saline, glucose solution with various contents of the latter, polyionic solutions and other effective preparations can be prescribed to combat dehydration and normalize the electrolyte balance.
In order to stop the useless vomiting during wine poisoning, antiemetic drugs are prescribed , for example, "Metoclopromide", effective for any digestive disorders. The drug may be given in the form of tablets or injections.
Because alcohol poisoning is a matter for adults, we will consider doses that are effective for them. For Metoclopromide, this dose is 1 tablet three times a day.
In patients with severe conditions, an antiemetic may be given as intramuscular or intravenous injections. Single dose is 1 ampoule. But the frequency of the drug can vary from 1 to 3 times a day, as the doctor will appoint.
The drug is suitable for most patients and rarely shows side effects. It can be a mild tremor and reversible movement coordination disorder. It also happens that after taking the medication the person starts to sleep, there is a noise in the ears or the mucous membrane of the mouth dries up, but these symptoms are not considered dangerous and soon pass.
As a drug of choice for anticonvulsant therapy is "Magnesia" ( Magnesium sulfate ), thanks to the ability to prevent convulsions and provide spasmolytic, antiarrhythmic and soothing effect.
When poisoning the drug is injected slowly or in the form of a dropper, using a clean 25% solution or composition with the addition of saline or a five-percent solution of glucose. In a day, you can inject no more than 200 ml of the drug.
Despite all the benefits of the drug for cramping seizures, it can not always be used. The fact is that "Magnesia" can not be prescribed for dehydration, depression of the respiratory center, low blood pressure and a rare weak heartbeat, which is often observed when wine is poisoned. The fact is that the drug itself is capable of provoking the above symptoms and further complicating the patient's condition.
In the second stage of wine poisoning, we observe the inhibition of the respiratory and cardiac centers. Violation of the coronary circulation in turn leads to hypoxia, because the tissues along with the blood do not get the oxygen they need and other nutrients. In such conditions it is very important to support the work of the heart with special medications - cardiac glycosides.
One of the budget and very popular cardiac glycosides is a drug based on the extract of digitalis leaves Digoxin, the purchase of which is possible only with the prescription of a doctor. With heart failure and cardiac ischemia, the drug can be administered in the form of tablets and solution, but when poisoning the advantage is given to the second form of release.
Ampoule solution is mixed with saline or 5% glucose solution. Single dose is 1-2 ml. The dose of dilution solutions is 10 ml. Multiplicity of administration 1-2 times a day for the first day, then once during the day.
An ampoule solution diluted 10-fold greater than for injections can be used for IVs at a rate of administration of not more than 40 drops per minute.
The drug can somewhat disrupt the heart rhythm, causing tachycardia and arrhythmias, and electrical conduction of the heart muscle, affect the composition of the blood, cause confusion and hallucinations. Sometimes there may be headaches, high fatigue, visual and digestive disorders, allergic reactions. But all these symptoms develop mainly with the introduction of high doses of the drug.
The drug is not prescribed for hypersensitivity to cardiac glycosides, inflammation of the heart, ventricular tachycardia or obvious bradycardia, blockade of the heart, and some other cardiac pathologies, as well as with excess calcium or potassium deficiency (hypercalcemia and hypokalemia) in the body. So taking this medication without doctor's prescription or at those doses is quite dangerous.
Alternative treatment and homeopathy
Wine poisoning is a very dangerous condition, the treatment of which should ideally be performed by specialists. Nevertheless, if the poisoning proceeds in a mild form and resembles the usual food poisoning symptoms, it is possible to include alternative recipes in the treatment of sorbents, redirectors and antiemetics, which will help the body recover much faster. Alternative treatment can be resorted to in the event that symptoms of poisoning have appeared in response to a large number of drunk, and not to the content of harmful substances in the wine.
If the house has fresh homemade eggs (without salmonella!), You can drink a couple of slightly whipped proteins that neutralize the intoxicating effect of ethanol.
To quickly remove toxins from the body, alternative medicine advises eating more citrus and juice from them, which can also help reduce nausea.
Since wine is a sweet drink, and failures in the body caused by intoxication can disrupt the exchange of glucose, which will go to the blood, it is recommended to add a half of lemon juice in a glass of water and slowly drink.
But the recipe for a universal remedy, which will be useful for any poisoning. Dill vodichku with honey can be easily prepared, if 5 cups of boiling water pour 3.5 tsp. Fennel seeds, boil for 5 minutes, cool to a warm state and add 3.5 tsp. Honey. The whole broth should be drunk during the day.
It will help to reduce intoxication and somewhat to alleviate the condition of the victim and the treatment with herbs. Good decongestion of decoction decoction of tansy and chamomile (50 g of tansy flowers, 20 g of chamomile grass, 0.5 liters of water). A decoction of licorice roots helps to fight dyspeptic disorders. If the liver is damaged by alcohol and toxins, the infusion of the roots of elecampane (20 g of crushed rootlets per 20 g of water, 1/3 of an hour) is suitable.
Homeopathy for wine poisoning does not have a rich list of effective remedies. And yet, she can offer something.
For example, with dehydration, homeopathic doctors prefer to prescribe a Hina drug that helps the body regain strength. And to reduce the symptoms of intoxication with mild poisoning helps homeopathic remedy Nux vomica. Dosage and specific features of the use of drugs need to be clarified by a specialist doctor who should be acquainted with all the details of poisoning.
To remove symptoms of alcohol poisoning with the abuse of wine, you can take the drug "Anti-E" for 4-5 drops per reception. The drug is dissolved in 1 tbsp. Water and drink at intervals of 1 hour. The next day, the frequency of intake is reduced to 6-8 times a day.