How to protect organ
functions with BRT&MEBT/MEBO in extensive burns treatment?
Cardiac strengthening and
cardiac function protection:
routine cardiotonic such as cedilanid
should be administrated after admitted with the dosage and frequency
modified according to the heart rate changes and the peripheral
circulation.
Prevention and protection of the renal functions:
routinely
apply mistura diuretica to improve renal blood circulation and relieve
microvascular vasospasm of the renal parenchyma as early as possible.
Protection of the digestive system functions and prevention of the stress ulcer:
Food intake in early stage for nutrition supply through
gastrointestinal tract should be combined with gastric mucosa
protectant and acid inhibition agent.
Maintain body fluid equilibrium:
The basic transfusion volume of the burns patient with TBSA over 50%
should be 2 times higher than the physiologically required volume
everyday, and the volume should be adjusted according to the changes of
urinary volume and the adjusting range should be less than 10% of the
total volume.
Maintain thermoregulation balance:
There are a lot of factors that may influence the temperature of the
patient, therefore, the reason for the temperature changes should be
judged and corresponding treatment is also required in order to insure
the normal body metabolism.
Principle of the protective treatment of multi-organs:
After
the wound develops into liquefaction stage, all the organs of the body
are undergoing functional restoration stage.
Therefore, a secondary
damage to the organs should be avoided during that period of time in
order to establish a normal environment for functional restoration.
The principles are as following:
- All the drugsthat may be disadvantage for or do damage to
the heart, kidney, liver and digestive system should be taken out of
service;
- All the drugs that may be disadvantage for protein synthesis should be taken out or forbidden;
- Insure the Calories supply and reduce catabolism;
- Increase protective drugs and nutritional agents that can protect all the organs.
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