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File: 082696_doc1_474.txt
FtndinQ ~eoI.tion (Percent ~ ~odv Wei~ht)
Central p~lses Full F~ll Weak
(Femoral, carotid)
Feripheral p~lsos Full W.ak ~bscn't
(Radial~ pedal) Decreased Poor
Skin t~r~or \\~orma~
Eyes Normal SlL~htly S~nkt'n
Sunken
Musc~es Normal ~ome Severe
cramps cramps
~pp.arance ~lert1 ~lert1 ~estless,
sli~htly thirsty very
thirsty thirsty
Urine 110w Normal ~educed ~bsent
o Oral s~lt/+lutd replacement solution
- WHO: to I lit~r o~ potable water add ~~5 ~rams
Naci, 2.5 ~rams NaHCO3, 1.5 grams KCl, and 20
grams ~lucose 0 1 liter potable wa.r a
- ~lternate 1ormu~a:
~/4 t.asp~table salt
I teasp bakin~ soda
- one cup orange Juice or two bananas
- 4 tblsp sugar
0 tY fluLd replacement
- Use IS ~auge needle
- Us. ringers lactate or D5NS
o ~ntibiotics shorten duration ol disease
- Septra-DS/Bactrim~DS, one tab P.O b1i.d
- Doxycycline1 100 mg p~o. bi.d.
- T.tracycline, 250 mg p.c. q~i.d.
- Chloramphenicol, 250 mg p.o. q.i1d.
- Nor+loxacin, 400 mg p.o. b.i.d1
Ciprolloxacin, 500 mg p~o~ b.i.d.
Continue antibiotic +or ~-5 days
o ~ntibiotic resistance may be %.en
- Due to naturally acquired rest stance
- Due to organisms having been genetically
manipulated to induce resistance
Suggest begin treatment with Septra or
doxycycltne~ 11 no response, use norfloxacin
or ciprolloxacin;
o ~ntibiotics will not be .++ecttv. 1+ cholera toxin
used
is ~dequate Iluid replacement will be su++icient
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