Therapeutic _'s treatment of pneumonia and streptococcus pneumonia and infective shock

Therapeutic _'s treatment of pneumonia and streptococcus pneumonia and infective shock
Should pay attention to the following several respects:
1)Supplement the blood capacity Give dextrose anhydride 40 first generally ' Low molecular dextrose anhydride) Or balanced the intersection of salt and liquid, in order to keep effective the intersection of blood and capacity, lower blood, glue stagnat degree, prevent blood coagulation under disseminated blood vessel from; There are obvious acid poisoners, should give 5% carbonic acid hydrogen sodium 200ml vein to instil. Blood pressure, urine amount, urine proportion, specific volume and the patient's whole body situation of blood cell, can be regarded as the index of adjusting the infusion, and the venous pressure of monitoring center.
2)It is active in blood vessel while infusing in application of medicine,it can aggravate such as dopamine, a different third Epinephrine, among hydroxy amine (A Lamine) Wait for the active medicine of blood vessel in order to help to resume blood pressure, guarantee the blood supplt of the important organ, make systolic pressure maintain at 90- 100mmHg. On condition that supplement the blood capacity, can also employ the blood vessel to expand medicines, in order to improving and circulating a little. If amalgamate the heart, renal failure, give sex muscular strength medicine or diuresis medicine as one thinks fit.
3)Control, infect, diagnose getting obvious, can strengthen the intersection of penicillin and dosage, 4 million - 10 millionU vein instil every day; Or use the second, three generations spore's army of very beginning is plain. Unidentified serious infection to cause of disease, can amalgamate a spore his pyridine (spore carboxyl first oh oxime of very beginning) Or very beginning spore piperazine ketone sodium ( Pioneer must) And amino sugar glucoside antibiotic give consideration to the intersection of leather and blue positive negative bacterium, treat pathogen change while being appropriate afterwards obviously.
4)Patient that the application whole body critical to the condition of glucocorticoid is poisonous blood disease is serious, but short-term ' 3- 5 days) Intravenous to instil cortisone of hydrogenation 100- 200mg or fills in the rice and looses 5- 10mg.
5)It should not be too fast to correct water, electrolyte and acid alkali disorder leaf, so as to avoid the lung edema in heart failure. Monitor and correct first - sodium, chlorine disorder and acid, alkalosis at any time. If blood capacity already insufficient 24-hour the intersection of urine and still quantity
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