What does adult dehydration symptom have?

summary

In fact, we often hear the name of dehydration in our daily life, but dehydration is not what we call washing machine dehydration, but a symptom of our body. Dehydration refers to a group of clinical syndromes caused by the decrease of extracellular fluid. According to the changes of blood sodium and osmotic pressure, the body is divided into hypotonic dehydration, decreased extracellular fluid and hyponatremia; Hyperosmolar dehydration, extracellular fluid to reduce high blood sodium, such as osmotic dehydration or reduce extracellular fluid and serum sodium is normal. What does adult dehydration symptom have? Let's talk about it

What does adult dehydration symptom have?

The loss of body fluid through digestive tract is the most common reason. Because the loss of upper digestive tract fluid is mainly caused by H, it is easy to be accompanied by metabolic alkalosis, and the lower digestive tract fluid contains more alkali, which is easy to be accompanied by metabolic acidosis. Therefore, in the diagnosis of isotonic dehydration, we should pay attention to whether it is accompanied by acid-base imbalance.

The patients with heart, liver and kidney dysfunction and multiple serous cavity effusion are prone to isoosmotic dehydration due to repeated large amount of pleural and abdominal puncture. Attention should be paid to the drainage volume not more than 1000ml at a time, and to observe whether there is hypovolemic state and timely treatment.

Because body fluid accounts for only 45% of body weight in elderly patients, and thirst is not as good as that in young people, and dehydration signs such as dry skin, decreased elasticity, tachycardia and orthostatic hypotension are easy to be ignored. Therefore, special attention should be paid to whether patients have oliguria or anuria, whether oral mucosa has oliguria or anuria, whether consciousness state is abnormal, and whether resting state blood pressure is low, There was no loss of body fluid in the history.

matters needing attention

(1) We should determine the type of diarrhea according to different causes, and make relative treatment for different types（ 2) Dehydration symptoms caused by severe diarrhea can be timely replenished with water and electrolytes（ 3) In terms of diet, coenzymes can be used to increase the absorption of protein, fat and sugar, and vitamins can be supplemented appropriately, so as to eat more fruits and vegetables（ 4) If inflammatory bowel disease is confirmed by examination, it should be treated with sulfasalazine (SASP). If the condition is serious, it can be treated with hormone, combined with prednisone (prednisone), hydrocortisone, dexamethasone or prednisolone (prednisolone).