Mental and iatrogenic factors therapy of patients with viral croup

croup during emergency physicians face many specialties,
              using hundreds of different pharmacological and therapeutic
              methods. At the same time, the number of tasly effective (at
              competent application) dasgs are very

              small.

            

Anxiety clinical symptoms, particularly stenotic
              respiration, often provokes unwarranted therapeutic activity.
              The basis of the latter - the frequent discrepancy between expression of stenotic
              breath and really, there are signs of respiratory failure;
              According to our data, at least 72% of patients in the presence of stenotic
              Breathing fully compensated.


            

Nevertheless, the symptom "heavy breathing" forms expressed
              emotional reactions such as relatives of the sick child, and
              health care workers. The desire for quick liquidation of stenotic
              breathing often leads to severe polypharmacy, frequent parenteral
              dasg administration, exacerbating the patient and negativism
              provoking events laryngospasm, which closes the vicious circle.

            

Long-term observations and experience in specialized department
              (More than 7,000 patients over the period 1988-1998 years) led to the conclusion
              that the indications for parenteral administration of medications
              in the first days after admission (ie at the stage of emergency
              specialized care) in 22% of patients are absent, and in 60,2%
              - Just a single intramuscular injection of the complex pharmacological
              funds.

            

Only in 0.8% of patients have indications for intravenous
              dasgs, and the need for repeated intramuscular
              injections did not exceed 17%.

            

Komorowski EO
            


            

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