Rabies in the presence of seizures may give rise to confusion with tetanus, but rabies, as well as in strychnine poisoning, the pupils dilated a patient, the muscles are relaxed in the interictal period. In addition, rabies is characterized by manifestations of rabies. It must be borne in mind that peritonzillity, inflammation mandibular joints, inflammation of the tongue and gums may be accompanied by one of the major symptoms of tetanus – lockjaw, to simulate his earlier appearance. Treatment. Enormous importance of tetanus should be given should lie. Constipation eliminate enema. Bowl should be a rubber. Particular attention is paid to nutrition of patients.

When opening the mouth, difficulty swallowing and convulsions muscle food should be liquid and high-calorie. Food intake and water produced from numnah with a rubber tip, or through a thin probe, introduced into the stomach through the nose (after the introduction of anticonvulsants). Nursing care is provided individual supervision of a nurse. Once the diagnosis should immediately begin treatment of tetanus antitoxic serum. Although the use of serum can not decide the success of treatment patients with tetanus from this method of therapy is no reason to refuse. The first introduction of the adult dose – 100 000-250 000 AE, newborn – 10 000-20 000 AU, the older children – 20 000-80 000 AU. To prevent severe reactions to the introduction of intramuscularly. Because of the risk of complications is not recommended to enter the serum in other ways (endolyumbalno, suboktsipitalno).

Along with serum treatment, recommended treatment toxoid. First injection of toxoid in 2 ml dose is administered 3 hours prior to the serum, the second and third administration of 2 ml toxoid produced at intervals for 5-6 days, regardless of the use of serum. To reduce the reflex excitability of the muscles and easing tic drugs are used, and neyroplegicheskie curariform means to facilitate the relaxation of tonic tension of the muscles, reducing or even terminating seizures. Read more here: Gina Bonati.

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