What is Heat stroke
This is mostly due to hard work in strong sunlight. In this, the physical process that keeps the temperature under control is worsened due to high temperature, which stops sweating. It is also known by the name of Sun Stroke, Thermoplegia, Hyperthermia heat stroke etc.
Heat stroke Symptoms and signs generated
Initially, the patient feels more restless. The patient feels nauseated, he feels dizziness and vomiting. Mouth and skin become dry. Severe fever (up to 106 ° F). Headache and face turn red. The body starts twitching and the pulse speed becomes faster. Breathing becomes deep and irregular. Sweating stops. The patient feels thirst again and again. There is a sound of wheezing when inhaling. The body starts to tremble due to the intensity of fever. He starts having seizures. Face and lips start turning blue. Jaundice and red spots appear on the body Urination stops. The eyes are red. Blood pressure is normal or elevated. Often the heart on the right side stops doing its work. If rapid treatment is not given, the patient may also die.
Diagnose and check
There is no difficulty in diagnosis based on symptoms. Laboratory examination found an increase in white particles, presence of protein in urine and increased blood urea. Serum potassium is low. Calcium and phosphate are low in the blood. The clotting time increases Be sure to have falsiparum malaria checked.
Ancillary and supportive treatment
Sprinkle cold water on the patient’s mouth and head by lying in a cold and ventilated room. An ice bag can be placed on the head. Cover the towels or sheets squeezed in very cold water on the body, so that it gets cold. Use of ice bag or cold water pad on the head and neck and spine is also beneficial.
How to treat Heat stroke
- General treatment- First take the patient in the shade and take off his clothes and soak the sheet in cold water and wrap it on the body or put the patient in a tub of cold water from the neck down. Use ice water strips. Do this until the temperature reaches 38 ° C (100 ° F). Massage the oil on the soles of the feet. Keep the patient in a cool and open ventilated place.
- Drug treatment- It is necessary to reduce the increased temperature and tremor of the patient. For this, injection chlor promine 0.7 mg / kg. Divide the quantity in two parts and give it at a 2-hour interval (by the vein route). Injection Dexamethasone (Dexona) or Injection IDzone (IDPL) 4 mg. Give it at 8-8 hours. If the patient is having trouble breathing, give oxygen. If there is no urine, give Mannitol with 1.5 g / kg I / V drip.
In case of anemia, offer fresh blood. Or give DNS slowly with IV drip.
Injection for body spasms should be done with larzactyl or diazepam. If blood circulation is weak, then Mephentine is given 15 ml. Or Veritol 20 mg. Give muscle Sodium phenobarvitone 200 mg in case of convulsions. Give muscle If there is still no control, then the paraldehyde is 8 ml. I. M: Give.