Treatments for Persistent Vegetative State
Treatments for Persistent Vegetative State
The list of treatments mentioned in various sources
for Persistent Vegetative State
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Discussion of treatments for Persistent Vegetative State:
Once the patient is out of immediate danger, although
still in coma or vegetative state, the medical care team will concentrate
on preventing infections and maintaining the patient's physical state as
much as possible. Such maintenance includes preventing pneumonia and bed
sores and providing balanced nutrition. Physical therapy may also be used
to prevent contractures (permanent muscular contractions) and orthopedic
deformities that would limit recovery for the patients who emerge from
coma.
(Source: excerpt from
NINDS Coma Information Page: NINDS)
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Coma:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
First assess airway, breathing, and circulation (ABCs)
–Obtain intravenous access
–Treat for hypoglycemia
–Look for signs of herniation and increased ICP
-
Reverse toxins if possible: Naloxone for opioids
-
Treat with antibiotics for possible infectious agents
–Cephalosporins (for bacteria), acyclovir (for herpes)
-
Increased intracranial pressure (ICP)
–Keep head of the bed up
–Intubate and hyperventilate
–Give mannitol (an osmotic agent)
-
Seizures: Treat with benzodiazepines and fosphenytoin
-
Treat the underlying systemic illness
-
Observe in the intensive care unit with frequent
neurologic examinations
–Closely observe fluid status, changes in temperature
–Prevent iatrogenic problems (e.g., DVT, corneal
abrasions, decubitus ulcers)
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
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