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Algorithm of actions when rendering acute management at a hyperthermia at children

Algorithm of actions when rendering acute management at a hyperthermia at children, a "white" hyperthermia.

1. To warm the child (hot-water bottles to hands and legs)
2. To give inside plentiful hot drink
3. To enter lytic mix in/in struyno or in oil: 50% solution of analginum of 0,1 ml/year of life of +3% solution of Thiamini bromidum of 0,1 ml/year of life + tavegil of 0,1 ml/year of life. Lytic mix can be repeated in 2 hours.
4. To enter into struyno either one or two vasodilating drugs in oil
- Nospanum of 0,1 - 0,2 ml/year of life;
- 2% solution of a papaverine of 0,1 ml/year of life;
1% solution of Dibazolum of 0,1 - 0,2 ml/year of life; 2,4% solution of an Euphyllinum of 2-4 mg/kg;
1% solution of niacin of 0,1-0,15 ml/year of life; nitroglycerine under language till 1 year - 1/4 tab., from 1 to 3 flyings - 1/3 table.
-1/2 table are more senior than 3 years.
5. In the absence of effect to enter in/in struyno slowly 0,25% Droperidolum solution in a dose of 0,1-0,15 ml/kg or 2,5% aminazine solution in a dose of 0,1 ml/year of life.
6. Carrying out infusional therapy depending on the reason which caused development of a hyper thermal syndrome is necessary.
7. Carrying out therapy of a basic disease.

Literature: Tactics of rendering the emergency acute management in pediatrics. Under edition of the prof. V. N. Chernyshov

Necessary medicines:
NOSPANUM
2,4% Euphyllinum solution; 1% solution nicotinic to - you; nitroglycerine
50% solution of analginum of +5% solution In 1 tavegil
2% solution of a papaverine of 1% solution of Dibazolum of 2,5% aminazine

 
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