Hydrocephalus medical therapy: Difference between revisions
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1.1.1 Adult | 1.1.1 Adult | ||
*Resuscitation | *'''Resuscitation''': | ||
**Oxygen. | **Oxygen. | ||
**B.P management. | **B.P management. | ||
**End organ perfusion. | **End organ perfusion. | ||
* Preferred regimen (1): [[Hypertonic saline]] in bolus 250 mL/kg IV. | |||
* Preferred regimen (2): [[Furosemide]] 0.5 to 1.0 mg/kg IV q6-12h. | |||
Preferred regimen (2): Furosemide 0.5 to 1.0 mg/kg IV q6-12h | |||
* Preferred regimen (3): [[Manitol]] 0.5-1g/kg in 20% solution IV q6-12h. | |||
* Alternative regimen (1): [[Glucocorticoids]]. | |||
* Alternative regimen (2): [[Pentobarbital]] 5-20 mg/kg as a bolus followed by 1-4 mg/kg/hr. | |||
* Alternative regimen (3): [[Acetaminophen]] 500 mg PO q6h for 7-14 days. | |||
Revision as of 21:17, 9 August 2018
Hydrocephalus Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Syed Ahsan Hussain, M.D.[2] Associate Editor-In-Chief: Cafer Zorkun M.D., PhD.,Kalsang Dolma, M.B.B.S.[3]
Overview
Medical Therapy
- Hydrocephalus is a medical emergency and requires prompt treatment.
- The mainstay of treatment for hydrocephalus is Furosemide.
1.1.1 Adult
- Resuscitation:
- Oxygen.
- B.P management.
- End organ perfusion.
- Preferred regimen (1): Hypertonic saline in bolus 250 mL/kg IV.
- Preferred regimen (2): Furosemide 0.5 to 1.0 mg/kg IV q6-12h.
- Preferred regimen (3): Manitol 0.5-1g/kg in 20% solution IV q6-12h.
- Alternative regimen (1): Glucocorticoids.
- Alternative regimen (2): Pentobarbital 5-20 mg/kg as a bolus followed by 1-4 mg/kg/hr.
- Alternative regimen (3): Acetaminophen 500 mg PO q6h for 7-14 days.