Paren–teral herbicide poisoning: are we prepared to care?

Abstract

Objective: report the case of a young patient admitted to the Intensive Care Unit (ICU), victim of suicide due to paraquat(PQ) parenteral poisoning and propose the main nursing diagnoses and interventions according to the International Classification for Nursing Practices (ICNP®). Method: retrospective descriptive study of the case study type, of a patient admitted to the public intensive care unit in the southern interior of the legal Amazon. Case report: the victim injected PQ into the biceps, the site evolved to induration and necrosis by coagulation, as the PQ progressed and metabolized, the patient presented with manifestations such as leukocytosis, hepatic and respiratory damage and then multiple organ failure (FMO). Conclusion: It is concluded that victims of PQ intoxication are considered victims of attempted suicide, oral intake above 40 / 45mg / kg significantly increases mortality to 100%, and parenteral administration contributes directly to FMO, and death in 100%.