Pulmonary edema emergency treatment

Nowadays a broad spectrum of quite specific blood pressure lowering drugs is available which restricts the use of ganglion blockade. There are only a few situations in which the pharmacological blockade autonomous ganglia is clinically useful hypertensive emergencies, controlled hypotension in neurosurgery and in the treatment of pulmonary edema. 

The main life-threatening complications of heroin intoxication include acute pulmonary edema and delayed respiratory depression with coma after successful naloxone treatment. In a prospective study of the management of 160 heroin and heroin mixture intoxication cases treated in an emergency room in Switzerland between 1991 and 1992, there were no rehospitalizations after discharge... 

The main hfe-threatening complications of heroin intoxication include acute pulmonary edema and delayed respiratory depression with coma after successful naloxone treatment. In a prospective study of the management of 160 heroin and heroin mixture intoxication cases treated in an emergency room in Switzerland between 1991 and 1992, there were no rehospitahzations after discharge from the emergency room and there was only one death outside the hospital due to pulmonary edema, which occurred at between 2.25 and 8.25 hours after intoxication (36). A literature review found only two reported cases of delayed pulmonary edema, which occurred 4 and 6 hours after hospitalization. The authors recommended surveillance of a heroin user for at least 8 hours after successful opiate antagonist treatment... 

Not for patients with angina pectoris, myocardial infarction, dissecting aneurysm or pulmonary edema can increase blood sugar will arrest active labor Preferred by many for emergency treatment of aortic dissection 80 to 90% response rate can be followed by same drug taken orally May precipitate angina, myocardial infarction not used for aortic dissection main use is in pregnancy... 

Trimethaphan (500 mg/10 ml by IV infusion) is indicated for the production of controlled hypotension during surgery, for the short-term acute control of blood pressure in hypertensive emergencies, and in the emergency treatment of pulmonary edema in patients with pulmonary hypertension associated with systemic hypertension. In addition, trimethaphan has been used in patients with dissecting aortic aneurysm or in ischemic heart disease when other agents could not be used. 

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