How Do I Treat Severe Dehydration?

Dehydration therapy is an expedient measure to reduce intracranial pressure and alleviate the condition. It must also be treated for the cause, or concurrently with other treatments, such as hibernation and cooling, oxygenation, corticosteroids, surgery, etc.

Dehydration therapy

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Dehydration therapy is an expedient measure to reduce intracranial pressure and alleviate the condition. It must also be treated for the cause, or concurrently with other treatments, such as hibernation, cooling, oxygenation, and cortex.

dehydration therapy

Chinese pinyin

tu shu liáo f

Acute craniocerebral

Have severe heart, liver, kidney

1,

1. Check heart, kidney and liver function as much as possible before use.

2. Dehydration therapy is an expedient measure to reduce intracranial pressure and alleviate the condition. It must also be treated for the cause, or at the same time as other treatments, such as hibernation and cooling, oxygenation, corticosteroids, surgery, etc.

3. Regarding the restriction of water intake, the average adult limit is 1500-2000ml / d. However, it should be noted that dehydration treatment should be based on reducing extravascular fluids. Intravascular fluids should not only be reduced and concentrated, but should also remain normal or higher than normal and be appropriately diluted. Dehydration should be done by increasing the amount of excretion, and should not make the amount less than the normal metabolic requirement. In addition, during dehydration treatment, the plasma colloid osmotic pressure should be maintained at not less than 2.0kPa (15mmHg) (plasma albumin above 30g / L), and the plasma osmotic pressure should not be lower than 280-330mmol / L. Hyperglycemia is harmful to the brain, blood glucose levels should be monitored, and the sugar content in the infusion should be controlled.

4. Record the amount of liquid in and out daily and observe the effect after medication. Because each person's response to the drug is different, appropriate dehydration drugs should be selected according to the condition and efficacy.

5. Pay close attention to water, electrolyte balance and renal function. Check blood potassium, sodium, chlorine, urea nitrogen, creatinine and blood gas analysis daily. Special attention should be paid to the presence or absence of hypokalemia and ECG monitoring if necessary. If there are abnormalities, they should be corrected in time. Generally, after dehydration, 1000ml of urine and 40mmol of potassium supplement.

6. Hypertonic dehydration drugs should be injected intravenously quickly, and should not leak out of blood vessels during injection.

7. Closely observe the condition, paying special attention to blood pressure, pulse, breathing, consciousness and pupil size.