Treatment for patients at the Department of Cardiology (Provincial General Hospital).
At the Department of Cardiology (Provincial General Hospital), 88 beds are always full of patients being treated during hot days. Patients are mainly the elderly, people with a history of high blood pressure, heart failure, coronary artery disease... admitted to the hospital in a state of fatigue, dizziness, shortness of breath, at risk of stroke, acute heart failure if not treated promptly.
Master, Doctor Ngo Van Tuan, Head of the Department of Cardiology, recommends: In conditions of prolonged hot weather, people with cardiovascular disease need to pay special attention to maintaining regular medication, drinking enough water, avoiding strenuous exercise and not lying in air conditioning at too low a temperature. In particular, they should eat a nutritious diet, supplement vitamins and limit sudden changes in temperature, such as going from air conditioning to hot weather.
Even young and healthy people are at high risk if they are subjective to the effects of the weather. Bai Chay Hospital recently received two serious cases of electrolyte disturbances and acute kidney failure due to severe dehydration after participating in a marathon in hot weather. They were Mr. L.D.T (44 years old, Ha Long City) and Mr. D.VH (35 years old, Thai Nguyen City) who were hospitalized in a state of fatigue, shortness of breath, vomiting, cramps, and limb cramps. Blood test results showed concentrated blood, increased liver enzymes, and acute kidney failure, which are warning signs of multiple organ damage. Thanks to emergency care, active fluid transfusion, and nutritional supplements, after 48 hours, the health of the two patients was stable and they were discharged from the hospital.
According to Dr. CKI Luong Minh Tuyen, Deputy Head of the Department of Nephrology - Dialysis (Bai Chay Hospital), hot weather increases sweating, leading to dehydration and reduced circulatory volume. This is the reason why blood flow to important organs such as the kidneys, heart, and brain is reduced, easily leading to acute kidney failure, heat shock, coma, and even death. Heat shock not only occurs in weak people, but also in young, healthy people, if they exert themselves in conditions of excessively high temperatures. Patients hospitalized due to mild heat can be treated with rehydration and electrolytes to avoid acute kidney failure. Severe patients with heat shock may require dialysis and intensive care.
Doctors of the Department of Nephrology - Dialysis (Bai Chay Hospital) examine and treat patients with electrolyte disorders and acute kidney failure due to dehydration.
When the ambient temperature increases, the body tends to sweat more to cool down, leading to rapid loss of water and electrolytes. If not compensated in time, this can cause a decrease in blood volume, leading to cardiovascular collapse and severe electrolyte disturbances, even death. Common initial symptoms are headache, dizziness, vertigo, cramps, and convulsions of the limbs. More dangerously, prolonged dehydration and heat shock can cause impaired cardiovascular and kidney function, especially complications of acute kidney failure, coma, or death. Actively and properly rehydrating and replenishing electrolytes becomes a key factor in protecting health in the summer.
Bachelor of Nutrition Nguyen Thi Hanh, Department of Nutrition (Vietnam - Sweden Uong Bi Hospital), shared: Adults should drink 1.5-2.5 liters of water per day, divided evenly throughout the day, not waiting until thirsty to drink. In addition to filtered water, it is necessary to supplement with soup, fruit juice, and water containing electrolytes. Limit cold drinks, carbonated water, and alcohol because they can easily cause digestive disorders and increase dehydration. In particular, groups of people susceptible to dehydration such as children, the elderly, and people with chronic diseases need to be closely monitored for signs such as dry lips, dark urine, rapid heartbeat, dizziness, etc. for timely treatment.
To prevent dangerous diseases caused by heat, doctors recommend that people limit outdoor activities from 10-16 hours, especially heavy labor and sports such as running and long-distance cycling. Supplement enough water and electrolytes, especially for outdoor workers who may need to compensate for 3-4 liters of water and should supplement electrolytes, avoid complications of acute kidney failure due to dehydration. Increase nutrition, eat more fruit or drink fruit juice to ensure enough vitamins, increase the body's resistance. Eat cooked food, boil water, avoid food left in hot environments for a long time, which can easily cause diarrhea and poisoning.
Wear protective gear when working in the sun, such as wide-brimmed hats, long-sleeved shirts, sunglasses, etc. Use air conditioning properly, keep the temperature at around 28-29 degrees Celsius, avoid sudden temperature differences when moving from indoors to outdoors. Do not let the fan or air conditioner blow directly on the person, especially children and the elderly. If you see someone with heatstroke, take them to a cool place, loosen their clothes, apply cool compresses, give them water or Oresol and quickly take them to the nearest medical facility.
Nguyen Hoa
Source: https://baoquangninh.vn/phong-benh-mua-nang-nong-3363886.html
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