Treatment

TREATMENT

  • Shock/fluid therapy ==  isotonic fluids at the rate of 90 mL/kg within the first 30–60 min
  • Use of colloid solutions to restore cardiorespiratory function.
  • gastric decompression by orogastric intubation
  • Decompression by trocarization and indwelling catheters 
  • Immediate surgery is indicated in patients unresponsive to cardiorespiratory stabilization and in all patients following successful stabilization.
  • Severely restrict activity prior to surgery and for a minimum of 10–14 days postsurgery
  • Corticosteroids such as dexamethasone sodium phosphate (5 mg/kg slow IV) or prednisolone sodium succinate (22 mg/kg slow IV
  • Cefazolin sodium (20–35 mg/kg IV q8h or every 2 h interoperatively) or cefoxitin sodium (30 mg/kg IV q6–8h).
  • H2-receptor antagonists may ameliorate or prevent gastric ulceration (e.g., famotidine 0.5 mg/kg IV or PO q12–24h; ranitidine 1.0 mg/kg IV or PO q12h).

Last modified: Tuesday, 8 March 2011, 1:59 AM