Hypertensive dehydration

Description:

Hypertensive dehydration is a consequence of preferential loss of water at relative saving the contents of electrolytes in an organism.

Symptoms of Hypertensive dehydration:

Hypertensive dehydration is shown by thirst, an oliguria, a hyperthermia, dryness of integuments and mucous membranes. The intracellular kind of hypertensive dehydration is followed by development of concern, excitement which in hard cases can be replaced by consciousness loss, up to coma. At a laboratory research increase in gematokritny number and quantity of erythrocytes, and also increase in concentration of electrolytes (sodium) in a blood plasma comes to light.

Reasons of Hypertensive dehydration:

This type of a disgidriya can be result of insufficient water inflow in an organism, in particular at gastrointestinal tract diseases, at restriction its reception through a mouth and insufficient completion of deficit with a parenteral way, and also at excess loss through skin or lungs in case of the hyperthermia which is often accompanying such diseases.

Treatment of Hypertensive dehydration:

Treatment of hypertensive dehydration consists in recovery of necessary volume of liquid in an organism by administration of electrolyte-deficient solutions, mainly in the form of 5% of solution of glucose with insulin (1 PIECE of insulin on 4 g of glucose). Deficit of volume of liquid can be determined by the size of gematokritny number or concentration of sodium of plasma on a formula:

Deficit of water = 0.6 x body weight (kg) x (1 - 142 mmol/l / Na)

It is natural that administration of liquid has to be carried out under control of a condition of the patient and, in particular, the central venous pressure (CVP).