Hydrocephalus medical therapy
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Hydrocephalus Microchapters |
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Diagnosis |
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Treatment |
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Hydrocephalus medical therapy On the Web |
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American Roentgen Ray Society Images of Hydrocephalus medical therapy |
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Risk calculators and risk factors for Hydrocephalus medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Ahsan Hussain, M.D.[2]
Overview
Medical Therapy
- Hydrocephalus is a medical emergency and requires prompt treatment.
- The mainstay of treatment for hydrocephalus is Furosemide.
- 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): Mannitol 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.