The syndrome of hemodynamics

Depending on the nature of the toxic agent on the body there are different forms of hemodynamics.
The collapse. For patients in a state of collapse (see), intravenously administered 3-4 ml of 0.2% solution of norepinephrine or 3 ml of 1% solution mezatona to 500 ml of 5% glucose solution with the addition of 2 ml of 5% solution of ephedrine and 1 ml of 0.05% solution strofantina. When shock and unconscious add 60 mg prednisolone. The steady collapse (systolic pressure below a critical value of 70 mm RT. century) it is expedient to use the fractional arterial injection of single-group of blood or blood fluids (poliglyukin, polivinol).
Pulmonary edema. The treatment of pulmonary edema is the same as acute heart failure (see Circulation, circulatory insufficiency). Drug treatment of pulmonary edema conducted against the backdrop of specific poisoning therapy. However, it should reducing the amount of fluid. In a coma contraindicated administration of drugs. Diuretics : lasix 1 % solution 4-6 ml of venous or novoryt 1 ml intramuscularly.
Pulmonary edema should be differentiated from branchereau poisoning organophosphorus compounds and certain drugs (alcohol, morphine). Bronhorea quickly stopped with the introduction of atropine.
Toxic pulmonary edema occurs when burns of the upper respiratory tract pairs of chlorine, ammonia, strong acids, etc. and also in the administration of phosgene, diphosgene and other irritating gases. Treatment: the use of aerosols with a Dimedrol, ephedrine, novocaine, streptomycin. Enter prednisolone 30 mg intravenously with 20 ml of 40% glucose solution again, 30% urea solution 100-150 ml intravenously, prepared by 10% glucose solution, cardio-vascular equipment according to indications.
Hypotension. Due to the increased capillary permeability with burns of the esophagus and stomach acids and alkalis (less poisoning drugs and heavy metal salts) may come of plasma loss dehydrated patient and lower blood pressure. Treatment: re-injection plasma and blood fluids to normalize blood pressure.
Burn shock occurs when the poisoning cauterizing liquids, mainly acids and alkalis. Subcutaneously, or in the vein type 1-2 ml of 1% solution of morphine and 1 ml of 0.1% solution of atropine. With the increasing pain applied nitrous oxide. For the prevention and treatment of shock hold left vagosimpatical and bilateral perirenal procaine blockade (see Blockade procaine), and injected glucose-procaine mixture (50 ml of 2% solution novokaina to 500 ml of 5% glucose solution). In torpid phase of shock, it is expedient to intravenous injection, prednisolone (60 mg), apply cardiovascular drugs (kordiamin, strofantin, ephedrine) or intra-arterial injection of blood. Cm. also Burns.