Prescribe thiamine chloride 5% 6.3 ...

The ineffectiveness of these measures, the absence of pharyngeal reflexes performed endotracheal intubation and mechanical ventilation. In practice, drug often deal with patients who have signs of acute and chronic heart failure, which requires the appointment cardiotropic funds. When symptoms of heart failure (falling blood pressure, tachycardia) designate cardiac glycosides - 1 ml 0.06% solution Korglikon or 1 ml 0.05% solution of strophanthin intravenously. Well proved a 10% solution mildronate. It is administered intramuscularly or intravenously at a dose of 5-10 ml (must be aware of its possible side effects - hypotension or excitation). By reducing blood pressure less than 80/40 mm Hg appoint 2 ml of 20% solution of caffeine subcutaneously. With the trend towards increasing blood pressure (over 180/105 mm Hg) administered 10-20 ml of 25% magnesium sulfate solution by slow intravenous injection, 2-4 ml of 2% papaverine solution, 2-4 ml, but shpy (and then other intravenously or intramuscularly) 5-10 ml 2.4% solution of aminophylline by slow intravenous drip, 0,1-0,2 g trental intravenously. It is well known that chronic alcohol intoxication causes the development of cardiomyopathy, a dangerous heart rhythm disorders. Therapy of these states depends on the type of arrhythmia and / or degree atrioventricular block. When urinary retention is shown bladder catheterization. If necessary, you can stimulate diuresis as loop diuretics such as Lasix dose of 20-40 mg per day, and osmotic (mannitol at a dose of 1.12 ml 20% solution), as well as an adequate selection of the volume of infusion therapy and inclusion of solutions improve the glomerular filtration rate (gemodez), the combined effect of drugs (reoglyuman). For symptomatic therapy aimed at maintaining vital functions, include the use of nootropics (piracetam 20% of 20-60 mL by slow intravenous drip), hepatoprotectors (essentiale 1-2 ml intravenously, 400-800 mg of SAMe intramuscularly or intravenously, very slowly) and ATP, 1% 1-2 mL intramuscularly or intravenously. Assign as vitamins C and B group involved in the formation of enzymes and coenzymes that facilitate redox processes in the body, affect tissue respiration, carbohydrate metabolism, the activity of the peripheral nervous system. Prescribe thiamine chloride 5% 6.3 ml, pyridoxine hydrochloride 5% 4.8 ml intramuscular injection or intravenous drip, nicotinic acid 0.1% 2.1 ml intramuscular injection, ascorbic acid, 5% 5-10 mL intramuscularly or intravenously, 100 - 300 mg of calcium pangamata. It must be remembered that one should not mix in same syringe nicotinic acid with thiamine chloride, as the latter in this case is destroyed. When psychomotor agitation, observed in atypical forms of alcohol intoxication mild to moderate in the process of detoxification for alcohol intoxication severe appoint 2-4 ml 0.5% solution relaniuma or 3 ml of 0.5% solution flormidala slow intravenous or intramuscular injection, 300 mg thiopental sodium by intramuscular or slow intravenous injection.