Severe high temperature resulting in failure of the thermoregulatory mechanism.
Diagnosis:
Positive history - Rising temperature to 41°c or more - Flushed hot dry skin - Early constricted then dilated
pupil - Hyporeflexia - Convulsions and projectile vomiting (danger sign) - Increased pulse more than 160
beats / minute - Increased blood pressure early then hypotension later.
Treatment:
1- Specific treatment (cooling procedure).
Remove the patient clothes - Put ice or cold blanket on patient body - Follow-up temperature.
2- Symptomatic treatment as:
R/ Neurazine (Chlorpromazine = major tranquilizers) ampoule to control muscular activity as shivering.
R/ Ringer solution IV for hypovolemia.
R/ Valpam ampoule only for convulsions.
- Fresh blood transfusion for bleeding.
- Respiratory care if respiratory failure.
Diagnosis:
Positive history - Rising temperature to 41°c or more - Flushed hot dry skin - Early constricted then dilated
pupil - Hyporeflexia - Convulsions and projectile vomiting (danger sign) - Increased pulse more than 160
beats / minute - Increased blood pressure early then hypotension later.
Treatment:
1- Specific treatment (cooling procedure).
Remove the patient clothes - Put ice or cold blanket on patient body - Follow-up temperature.
2- Symptomatic treatment as:
R/ Neurazine (Chlorpromazine = major tranquilizers) ampoule to control muscular activity as shivering.
R/ Ringer solution IV for hypovolemia.
R/ Valpam ampoule only for convulsions.
- Fresh blood transfusion for bleeding.
- Respiratory care if respiratory failure.
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