Lung Contusion

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While I would agree with minimizing crystalloids and maintaining euvolaemia
I don't think there's any evidence to support fluid restriction in these
patients.  A normal enteral fluid requirement should be adequate.  No
diuretics.
Karim


On 01/29/2009, KMATTOX at aol.com <KMATTOX at aol.com> wrote:
>
> You are correct.   Lasix is probably contraindicated in
> pulmonary  contusion.
>   We would use fluid RESTRICTION to even almost no  crystalloid fluid at
> all.    AVOID ALBUMIN at all  cost.    ONE doctor, not a team of multiple
> consultants writing  orders
>
> k
>
>
>
> In a message dated 1/28/2009 8:32:21 P.M. Central Standard Time,
> errington at erringtonthompson.com writes:
>
> As a  rule we don't use Lasix in pulmonary contusions.  The goal in
> caring  for patients with pulmonary contusions is
> euvolemia.  Intubate  early
> if necessary. Head of the bed should be elevated.  No  prophylactic
> antibiotics.  Early tracheostomy.
>
> Guys, am I missing  anything?
>
>
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