General Procedures Of Intensive Medical Care

Main procedures of general intensive medical care are to insure respiration and function of the cardiovascular system. Because of elevated concentration of hemoglobin and hematocrit the risk for thrombotic or thromboembolic complications, like myocardial infarction, stroke and infarction of the mesenteries is high. Therefore, a starting dose of low molecular heparin 500 to 1000IE/hr is recommended. In patients who are not in shock and have an adequate renal function, alternatively also low molecular heparin can be used subcutaneously. Concomitant coma-triggering diseases like infections should be treated early. There should be continuous ECG-monitoring, a gastric tube (specially in diabetic gastroparesis), application of oxygen, and possibly a urinary catheter. A central venous catheter is needed in severely-ill patients to monitor fluid balance as well as the intravenous pressure during volume repletion because there is a danger of volume overload during therapy.

Your Heart and Nutrition

Your Heart and Nutrition

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