Infusion therapy in the volume of 40-50 ...

The treatment may be required mainly in cases of severe intoxication, when a threat is vitally important functions. Disintoxication therapy sensing and gastric lavage. The first step is to prevent further absorption of alcohol from the stomach, which should give into 2-3 tablespoons of activated charcoal, and then rinse the stomach (if maintained contact with the patient) with a probe or ingestion of several cups of water, followed by vomiting (mechanical irritation of the tongue, an injection 0,3-0,5 ml of 1% solution of apomorphine hydrochloride). It is also necessary to clean the oral cavity and pharynx. It is advisable to finish washing the introduction into the stomach with 50 ml of 4% solution of sodium bicarbonate. At the same time taking steps to prevent a possible collapse (injection solutions kordiamin, caffeine inside 5-10 drops of liquid ammonia in a glass of water). Proved very effective method of rapid sobering, especially designed for medical sobering-up stations IV Strel'chuk and others in 1975, It includes intramuscular injection of 10 ml of 5% solution of vitamin B6 and oral administration of 50-100 ml of water-drug mixture of 0,01 g. of amphetamine (benzedrine currently included in the list of drugs and its use in the general practice is impossible), 0,2 g Corazol and 0,1 g of nicotinic acid. If the state prevents drunken oral administration of a powder mixture, you can try to pull it off after 10-20 minutes after the injection of vitamin B6, when it's small favorable changes. After the whole complex of measures already in 10-15 min normalized state of the autonomic nervous system, decreasing emotional disinhibition, there is criticism, ordered behavior, and after 1-1,5 hours comes a clear and persistent effect of sobering up. Infusion therapy in the volume of 40-50 ml / kg is held to detoxification and for the correction of water and electrolyte balance, acid-base balance (KSCHR), improving blood rheology. Its exercise in the control of central venous pressure, fluid and electrolyte balance, KSCHR and urine output. When selecting products and solutions for infusion therapy should be considered available in every particular case of violation. Reduce the concentration of alcohol in the blood is actively contributing to intravenous 20 ml of 40% glucose, 15 units of insulin, 10 ml of 5% solution of ascorbic acid and 1 ml of 1% solution of nicotinic acid. Successfully used intravenous drip gemodeza half with isotonic sodium chloride solution (250 ml) was combined with 10 ml Panangin, 3-5 ml of 5% solution of vitamin B6, 3.5 ml 5% solution of vitamin B1 and 5 ml of 5% solution vitamin C, high-impact use of 10-15 mL (600-900 mg) metadoksila intramuscularly or intravenously in 500 ml isotonic solution. Metadoksil activates enzymes metabolizing ethanol accelerates the oxidation and elimination of ethanol and acetaldehyde, which in turn helps to reduce the duration of alcohol intoxication.