Abstract
ABSTRACT Objective: to present good practice guiding standards in nursing care to children intoxicated by household cleaners. Method: study with documentary nature, using narrative review, with literatures of technical-scientific evidence on the subject and protocols of a center for toxicological information in the northwestern region of Paraná. The good practice guiding standards were systematized and described in seven axes. Results: the procedures of reception related to family and obedience to ethical and relational aspects of care, primary assessment and measures for life support, nursing history and clinical epidemiological and laboratory anamnesis, decontamination measures, use of antidotes, symptomatic treatment and complementary exams and nursing guidelines for hospital discharge, regarding the structure and care process. Conclusion: adapted to the structural conditions and welfare services, this study may contribute to improve the quality of care and a more agile, efficient and complete care to the intoxicated person. Descriptors: Care Standard; Child Health; Poisoning; Poison Control Centers; Household Products; Nursing Care. RESUMOObjetivo: apresentar padrões orientadores de boas práticas na assistência de enfermagem a crianças intoxicadas por domissanitários. Método: estudo de natureza documental. Utilizou-se revisão narrativa, com literaturas de evidências técnico-científicas sobre o tema e protocolos de um centro de informação toxicológica do Noroeste do Paraná. Sistematizaram-se e se descreveram os padrões orientadores de boas práticas em sete eixos. Resultados: relacionaram-se os procedimentos para o acolhimento à família e obediência a aspectos éticos e relacionais do atendimento, avaliação primária e medidas de suporte à vida, histórico de enfermagem e anamnese clínica epidemiológica e laboratorial, medidas de descontaminação, uso de antídotos, tratamento sintomático e exames complementares e orientações de enfermagem para alta hospitalar, no tocante à estrutura e ao processo de atendimento. Conclusão: espera-se que, adaptado às condições estruturais e assistenciais dos serviços, este estudo possa contribuir para melhorar a qualidade da assistência e para que o atendimento ao intoxicado se torne mais ágil, eficaz e completo. Descritores: Padrão de Cuidado; Saúde da Criança; Envenenamento; Centros de Controle de Intoxicações; Produtos Domésticos; Cuidados de Enfermagem. RESUMEN Objetivo: presentar normas rectoras de las buenas prácticas en la atención de enfermería a los niños intoxicados por limpiadores domésticos. Método: estudio de carácter documental, utilizandóse revisión narrativa, con literaturas técnico-científicas sobre el tema y los protocolos de un centro de información toxicológica en la región noroeste de Paraná. Las normas rectoras de la buena práctica fueron sistematizadas y descritas en siete ejes. Resultados: los procedimientos para la recepción refieren a la familia y la obediencia a los aspectos relacionales y éticos de la atención primaria, la evaluación y las medidas de apoyo a la vida, la historia de la enfermería y la anamnesis clínica, epidemiológica y de laboratorio las medidas de descontaminación, uso de antídotos, tratamiento sintomático y exámenes complementarios y de enfermería al alta hospitalaria, directrices sobre la estructura y el proceso de cuidados. Conclusión: adaptado a las condiciones estructurales y de servicios de bienestar, este estudio puede contribuir a mejorar la calidad de la atención y para un servicio al intoxicado más ágil, eficiente y completa. Descriptores: Nivel de Atención; Salud del Ninõ; Envenenamiento; Centros de Control de Intoxicaciones; Productos Domésticos; Atención de Enfermería.
Highlights
First-childhood accidents, between zero and four years old, have been increasingly responsible for infant injuries and deaths in Brazil and in the world, and constitute a serious public health problem.[1-4]Among accidents in childhood, acute intoxication represents an emerging phenomenon, consisting of a set of toxic or only biochemical signs and symptoms caused by the interaction of a chemical agent with the biological system, i.e., an organic imbalance resulting from accidental or intentional exposure to chemical substances found in the environment, mainly at home or peridomiciliary, such as toxins from plants and animals, pesticides, pharmaceuticals, industrial products and household products.[5-7]Intoxication by household products, called household cleaners, have significant expression in the context of intoxications
Objective: to present good practice guiding standards in nursing care to children intoxicated by household cleaners
● To present good practice guiding standards in nursing care to children intoxicated by household cleaners
Summary
First-childhood accidents, between zero and four years old, have been increasingly responsible for infant injuries and deaths in Brazil and in the world, and constitute a serious public health problem.[1-4]Among accidents in childhood, acute intoxication represents an emerging phenomenon, consisting of a set of toxic or only biochemical signs and symptoms caused by the interaction of a chemical agent with the biological system, i.e., an organic imbalance resulting from accidental or intentional exposure to chemical substances found in the environment, mainly at home or peridomiciliary, such as toxins from plants and animals, pesticides, pharmaceuticals, industrial products and household products.[5-7]Intoxication by household products, called household cleaners, have significant expression in the context of intoxications. First-childhood accidents, between zero and four years old, have been increasingly responsible for infant injuries and deaths in Brazil and in the world, and constitute a serious public health problem.[1-4]. Acute intoxication represents an emerging phenomenon, consisting of a set of toxic or only biochemical signs and symptoms caused by the interaction of a chemical agent with the biological system, i.e., an organic imbalance resulting from accidental or intentional exposure to chemical substances found in the environment, mainly at home or peridomiciliary, such as toxins from plants and animals, pesticides, pharmaceuticals, industrial products and household products.[5-7]. Brazilian centers for information and toxicological assistance register approximately 50 thousand new cases of human intoxication, being 3,601 (8.55%) caused by household cleaners and 1,925 cases in children aged less than five years old.[10]. In a study analyzing 425 cases of intoxication in the age range between zero and four years, medicines and household cleaners totaled 254 notifications, corresponding to approximately 60% of cases.[11]
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