How to prevent lung shock?

summary

Severe shock patients may have progressive hypoxia and dyspnea. This disease brings great harm to patients, resulting in hypoxic respiratory failure, which is called shock lung（ Or acute respiratory distress syndrome (ARDS). Shock lung is one of the important causes of death in patients with shock. Now let's talk about how to prevent shock lung?.

How to prevent lung shock?

First, the lung is the whole body blood filter, which drains the metabolites from the whole body. The active substances and foreign bodies in the blood have to pass through or even be stopped in the lung; In the changeable spring, as long as the elderly have a history of cold, they should go to the hospital for early diagnosis and treatment in case of breathing, pulse acceleration and blood pressure drop.

Second, the activated neutrophils in the blood also flow through the small blood vessels of the lung and adhere to the endothelial cells earlier; Hydrocortisone 200-600 mg / D or dexamethasone 10-30 mg / D were added to the liquid in batches for intravenous drip for 3-5 days. At the same time, ranitidine 150mg, 1-2 times a day, was added to prevent stress ulcer.

Third: the lung contains macrophages, which are activated during systemic inflammatory reaction, producing tumor necrosis factor and other inflammatory mediators, causing inflammatory reaction. The amount of alkali supplement is 1mmol = 0.3 ×（ Normal - HCO3 - measured - HCO3) × Body weight (kg) (1mmol = 2.1ml 4% sodium bicarbonate). First input 1 / 3 of the calculated amount, and then supplement according to the condition and blood gas value. 11.2% sodium lactate and 3.63% trimethylolmethane can also be used to correct acidosis.

matters needing attention

When there are signs of early heart failure or acute pulmonary edema, cedilanide can be given 2.4mg and 5% glucose solution 20-40ml by slow intravenous injection, and furosemide 20-40mg can be added at the same time.