In the presence of signs of weakening of warm activity to enter warm preparations (but not camphor!) intramusculary, intravenously slowly 2 ml of 0,5 % of a solution of Diazepamum or 6-8 ml of 10 % of a solution of Hexenalum or Thiopentalum-natrium. It is possible to allow to inhale an amyle nitrite, preliminary having moistened cotton wool or edge of a handkerchief 2-5 its drops. Nitrous oxide being in a specialised ambulance car can be used for inhalation with oxygen in a proportion 2:1.
If the consciousness is kept also by the patient can swallow, it is necessary to apply anticonvulsant preparations: phenobarbital (0,05-0,1 г for the night - if attacks night, and 0,03-0,05 г 2 times a day at day attacks), (on 0,1 г 2-3 times a day). In case treatment does not give effect, instead of use (on 0,25 0,5 г 2-3 times a day), Benzonalum (on 0,1-0,3 г 2 times a day), Chloraconum (on 1 г 2-3 times a day) or Tegretolum (on 1 tablet 2 times a day). buy rimonabant health online
At a small epilepsy it is necessary to prescribe phenobarbital or Suxilepum (0,25). If these preparations are noneffective, it is possible to give admixtures Serejsky or . Along with anticonvulsant preparations are useful Seduxenum (1/2 tablets 2 times a day), Diazepamum (0,0005) or (0,01).
The combined treatment by anticonvulsant preparations in a combination with sedative is especially necessary in case of polymorphic attacks at which, besides cramps, psychomotor disorders take place.
If cramps to stop it is not possible, and the epileptic status proceeds, the long narcosis with application of relaxants and artificial pulmonary ventilation is recommended. From relaxants it is possible to take advantage of Tubocurarinum-chloridum which periodically enter intravenously on 30 mg. The subsequent injections repeat it at renewal of cramps (approximately through 1 ч 30 mines - 3 ч 30 mines). The admixture of nitrous oxide is preferable To a narcosis with oxygen.
In connection with possibility of an edema-swelling of a brain use agents: Glycerinum (50 ml on 100 ml of water vnutr3-4 once a day), Lasixum (2 ml of a solution of 1 % intramusculary), magnesium Zinci sulfas (5-10 ml intramusculary 25 % of a solution).
Tetany. Disease is characterised by various muscular spastic strictures mainly in distal departments of arms and feet. Thus there are original positions brushes ("obstetrical hand") or tonic reductions of muscles of fingers of brushes and feet, the squint, an anisocoria is more rare tetani-cheskie than reduction of face muscles. The laryngospasm and the convulsive reductions of a respiratory musculation accompanied by the short-term termination of breath, a cyanosis, loss of consciousness and clonic cramps are possible.
At not full-term children is elderly before half a year cerebral forms of a spasmophilia with attacks of clonic cramps of a mimic musculation, convulsive reductions of muscles of all body, loss of consciousness and reflexes can be observed. The person is thus deformed. There are rotary movements of eyes, tongue movements. The body starts. From a mouth foam is allocated. phentrimine health
The tetany arises at children's age in the form of a spasmophilia is more often, more characteristic for is artificial raised children. Are typical symptom (effleurage on a trunk of a facial nerve causes fast reduction of muscles of a mouth, wings of a nose and eyelids), symptom (sharp rising of electric excitability of nervous trunks), phenomenon (at a prelum of a nervous fascicle of a shoulder there are convulsive data of fingers of a brush). The maintenance of calcium, phosphorus, a potassium and Sodium chloridums in blood below norm.
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