Treatment of shock pneumonia

The lungs are a very important organ in our human body. If there is a problem with our lungs, it will cause serious harm to our body, so we must protect our lungs well. Pneumonia is the most common disease of the lungs. There are many types of pneumonia. One of the more serious types of pneumonia is shock-type pneumonia. Below we will introduce the treatment method of shock-type pneumonia.

1. General treatment

Lie flat, breathe oxygen, and keep warm.

2. Antimicrobial treatment

The principles should be early, broad-spectrum and effective. Before the pathogen is identified, treatment can be carried out with penicillin (penicillin oxypiperazine), ticarcillin (ticarcillin plus potassium clavulanate); cefuroxime, cefotaxime, cefoperazone, ciprofloxacin, ofloxacin, etc. (see Bacterial Pneumonia). Adjust antimicrobial drugs after obtaining the results of pathogen culture and drug sensitivity test.

3. Anti-shock treatment

For patients without renal insufficiency, 800-1000ml of fluid can be quickly infused according to the patient's heart rate, blood pressure, and urine volume. The infusion rate can be slowed down after the blood pressure returns to normal and the urine volume is >30ml/h. The 24-hour fluid replacement volume can reach 3000-4000ml. The fluid choice is mainly crystalloid (normal saline, 5% sugar saline, balanced salt), and colloidal solutions such as albumin, whole blood, etc. can be appropriately supplemented when necessary. The commonly used one is low molecular weight levorotatory acid. On the basis of replenishing blood volume, vasoactive drugs such as dopamine, dobutamine, metaraminol or scopolamine can be used as appropriate.

4. Correct acidosis

The amount of alkali supplement is calculated as 1mmol=0.3×(normal HCO3- measured HCO3-)×body weight (kg) (1mmol=2.1ml4% sodium bicarbonate). First input 1/3 of the calculated amount, and then supplement according to the condition and blood gas values. Acidosis can also be corrected with 11.2% sodium lactate and 3.63% tris(hydroxymethyl)aminomethane.

5. Adrenal cortex hormone

Hydrocortisone or dexamethasone, with ranitidine added at the same time. Prevent stress ulcers.

In the above article, we introduced the importance of lungs to our human body. We must protect our lungs in our daily lives. Shock-type pneumonia is a relatively serious lung disease. Above, we introduced in detail the treatment methods of shock-type pneumonia.