How to withdraw from coma

Take all possible measures to clarify the correct diagnosis of the patient, in parallel with resuscitation. This requires additional methods of examination (laboratory, clinical), identification of history. After ascertaining the probable causes, which has led the development of coma, conduct etiological and pathogenetic therapy. Remember: the main goal of all activities is the rapid removal of the patient from a comatose state.

Take care of the intensive care patient. Shall mean the maintenance and correction of vital functions of man. The primary goal of treatment will be considered: prevention of cerebral edema and hypoxia, prevention of pressure sores, control of pelvic organs, meeting the energy needs of the body, compensation for violations of water-electrolyte metabolism, detoxification; control of hypertension, improving metabolism, and maintaining cerebral and General hemodynamics, the maintenance of normal lung ventilation, monitoring of possible complications (pneumonia, pulmonary edema, pulmonary embolism, atelectasis), etc.

Depending on the results of laboratory and clinical studies organize the etiological pathogenetic and therapeutic measures. As a rule, in renal insufficiency, hemodialysis is appointed, with status epilepticus - the introduction of anticonvulsants, purulent meningitis is treated with antibiotics, with drug overdose - naloxone, in alcoholic coma - large doses of vitamin b in cases of poisoning - use of appropriate antidotes, if ketoacidosis is insulin, etc. In each case, the treatment of the patient individually, depending on indications of studies conducted by the attending physician.

After the removal of a person from a coma pay special attention to the pathological manifestations that brought the patient to the development of this condition. If necessary, take care of the rehabilitation activities.