About dexamethasone use and prevention of altitude sickness

About dexamethasone use and prevention of altitude sickness

Somebody downstairs asked about dexamethasone. I personally knew a doctor (hereinafter referred to as a doctor), who had served with the Anhui Aidang Medical Team in 2000 in the Nyingchi region of Tibet. Therefore, he had certain experience in the use of medicine on the plateau. I asked the doctor a few questions. Write it below and share it with the mountain friends!
1. Q: What is dexamethasone? what's the effect?
Medical: Dexamethasone is a synthetic adrenocortical hormone, is a steroid drug, the general clinical treatment of inflammation caused by exudation, edema and so on.
2. Q: How does dexamethasone treat pulmonary edema?
Doctors: Dexamethasone can reduce the permeability of cells and capillary walls, reduce inflammatory fluid leakage in the lungs, inhibit the formation of histamine and other substances, dexamethasone is generally not used as a preventive medicine for high altitude disease, only the emergence of acute High altitude pulmonary edema and cerebral edema can only be used, the general principle of mastery is early use, adequate short-range. The side effects of dexamethasone must be noticed when using it.
3. Q: What are the side effects of dexamethasone?
Doctors: Dexamethasone can cause wounds to heal slowly. It is not recommended for people who are traumatized. Dexamethasone has some teratogenic effects. Under normal circumstances should not be used for pregnant women. Dexamethasone needs to be metabolized in the liver and liver insufficiency should not be used. In addition, the combination of dexamethasone and aspirin may cause gastrointestinal ulcers.
4. Q: What is good treatment for high altitude pulmonary edema?
Doctor: A good rest is the most important thing before there is an acute mountain sickness. High altitude pulmonary edema has appeared. If it is mild, some diuretics may be given orally, but potassium and sodium salts should be added. And immediately withdraw to low altitude. If the symptoms are severe, consider using some dexamethasone. If there are severe symptoms such as alveolar collapse, the mortality rate is high.
5. Q: Where can I get dexamethasone?
Doctors: Dexamethasone is a prescription drug. Generally speaking, dexamethasone can only be found in hospitals or by taking prescriptions to pharmacies. However, if you know a doctor, it is very easy to get it. Recommended France Russell's dexamethasone, the quality is better than domestically produced.
6. Q: Is Rhodiola useful?
Doctor: I don't believe there is no pharmacological medicine. However, there is no harm in eating!

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