Altitude sickness medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
The classification of patients with acute mountain sickness as mild or moderate is based on the severity of headache and presence of other manifestation such as [[nausea]], [[dizziness]], [[fatigue]] or [[insomnia]]. | The classification of patients with acute mountain sickness as mild or moderate is based on the severity of headache and presence of other manifestation such as [[nausea]], [[dizziness]], [[fatigue]] or [[insomnia]]. | ||
The management of mild acute mountain sickness includes: | The management of mild acute mountain sickness includes: | ||
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# Treatment with [[acetazolamide]] (250 mg q12h). | # Treatment with [[acetazolamide]] (250 mg q12h). | ||
# Descent: The patient should descend below the point at which the symptoms occured. | # Descent: The patient should descend below the point at which the symptoms occured. | ||
Similarly, following steps are recommended for management of moderate acute mountain sickness: | Similarly, following steps are recommended for management of moderate acute mountain sickness: | ||
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[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 20:42, 1 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Medical Therapy
The classification of patients with acute mountain sickness as mild or moderate is based on the severity of headache and presence of other manifestation such as nausea, dizziness, fatigue or insomnia.
The management of mild acute mountain sickness includes:
- Discontinuation of ascent.
- Treatment with acetazolamide (250 mg q12h).
- Descent: The patient should descend below the point at which the symptoms occured.
Similarly, following steps are recommended for management of moderate acute mountain sickness:
- Immediate descent.
- Administration of oxygen (2-4 L/min).
- Treatment with dexamethasone (8 mg PO/IM/IV, then, 4 mg q6h).
- Hyperbaric therapy: The patient is place in a portable altitude chamber or bag.