With pulmonary edema, oxygen therapy is carried out through a defoamer
Oxygenotherapy with the use of antifoams is notonly improves the patency of the airways in connection with the elimination of foam, but also eliminates tissue hypoxia. It has no absolute contraindications and is conducted simultaneously with other methods of urgent care for a sick child.
However, it should be borne in mind that high concentrations of oxygen (above 60%) can cause irritation of the mucous membrane of the upper respiratory tract (especially if it is inflamed).
When there is a cough, nausea and vomiting,atelectasis (aggravation of respiratory disorders) it is necessary to reduce the concentration of oxygen to 25-35% in the supplied gas mixture, to weaken the feed rate of the latter, to abandon the nasal catheters, to use a mask or an oxygen tent.
To reduce the volume of circulating blood and venous inflow to the right ventricle of the heart, discharge the small circle of blood circulation the following measures are carried out.
1. The patient is given a pillow with a pillowposition with lowered legs or gently raise the head end of the bed (with violation of cerebral circulation the position of the patient's body remains horizontal).
On the lower extremities (thighs) impose on 20 -30 min venous tourniquets (in the following, the degree of tension is gradually reduced). At the pre-hospital stage, bloodletting is permissible (careful extraction of 100-200 ml of blood from the vein).
"Drug therapy in pediatrics", S.Sh. Shamsiev
Lung edema can cause and increasedpermeability of small blood vessels, pronounced inclination of light tissue to bind water, reduction of oncotic and osmotic blood pressure, impaired lymph flow in the basin.
2. Assign diuretic and diuretics: furosemide (lasix), ethacrynic acid (uretit), urea, mannitol. If pulmonary edema occurs with the phenomena of severe arterial hypertension, furosemide can be used only after.