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 (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.


* 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

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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 (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 (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.


References

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