When can body fluids be avoided to avoid fatal complications?

Rapid infusion of fluid in patients with hypertension, heart failure and elderly can cause acute pulmonary edema, resulting in suffocation resulting in death.

Rapid infusion of fluid in patients with hypertension, heart failure and elderly can cause acute pulmonary edema, resulting in suffocation resulting in death.

According to Dr. Au Thanh Tung, Head of the Department of Examination, Hospital of Ho Chi Minh City University of Medicine and Pharmacy, most people who are sick or have a tired feeling want to be transfused to be better. According to doctors , this view is not entirely true.

Infusion is a solution of dissolved substances such as sugar, protein, fat and solution containing electrolytes such as sodium chloride, potassium chloride, bicabonate, in addition to special preparations such as infusion of fluids, infusions with elements Coagulation, platelets . Under any circumstances, this must be done according to the doctor's instructions.

In daily medical practice, infusion indications include nutrient delivery or electrolyte compensation for patients before or after surgery, especially when surgery for gastrointestinal diseases, patients with coma, swallowing disorders or esophageal and stomach diseases that make them unable to eat or drink. In particular, the principle is: To translate electrolyte compensation for people with electrolyte disorders, rehydration and electrolytes for burn patients, vomiting or diarrhea, infusion in patients with severe dengue fever . In addition, Some special cases such as albumine infusion for people with cirrhosis, transmission of clotting factors for people with coagulopathy, platelet transfusions for patients with hemorrhage reduced demand.

Picture 1 of When can body fluids be avoided to avoid fatal complications?

Under any circumstances, infusion must be carried out according to the doctor's instructions.(Artwork: Wiseweek).

Any sick person who has an infusion can have complications and complications. For example, when transmitting, the drainage will cause local edema, phlebitis. No sterile adherence will cause infection. In particular, when transfusion is rapid, patients with hypertension, heart failure and elderly patients can lead to acute pulmonary edema, meaning that a large amount of fluid will be deposited in the lungs, causing the asphyxia. breathing, can die. The most dangerous complication is shock, blood pressure drop that lethal if not handled promptly. "Any patient can be shocked with any type of infusion," Dr. Tung said.

To prevent the risks of infusion, Dr. Tung advised people to change their views, remembering that infusion must be prescribed and indicated by a doctor. Normally, if the patient is able to drink, it is best to choose a drink, still eat, whether soup or porridge, should also choose to eat.

Health facilities implementing infusion must have adequate tools and equipment to manage when complications occur. Medical staff must be trained how to identify signs of shock and correct treatment according to the regimen. When detecting an infusion shock, the patient's condition must be properly assessed, the first step is to be treated in advance. If the decision to transfer to another medical facility must be safe during the travel time.

Update 15 December 2018
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