Läkartidningen
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Case Reports
[Nausea is a common symptom in palliative care. Choice of treatment is based on the cause].
Nausea is a common and distressing condition often regarded solely as a symptom. In many cases, however, there is a clear cause, and causal treatment is to be preferred if it is at all possible. In terminal cases, where causal treatment is not always possible, symptomatic pharmaceutical treatment combined with good care and appropriate diet is preferable.
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Review Comparative Study
[Follow up of pediatric care is a good resource of knowledge that can be even better].
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In cases of hypovolaemic shock and trauma, hypertonic saline (HS) resuscitation is beneficial as it results in rapid and efficient fluid redistribution from interstitial and cellular sources to the intravascular compartment. The ensuing haemodilution and reduction in blood viscosity improves venous return and increases preload, while afterload is simultaneously reduced due to the vasodilatory effects of HS. All these changes promote increased cardiac output and improve haemodynamic stability. ⋯ As compared with standard fluid regimens, HS without the colloid, dextran, has not been shown to improve survival rates, whereas HS in combination with dextran may be a superior alternative. In specific categories of trauma patients, (e.g., those with head injuries), HS treatment seems clearly advantageous. Registration of HS solutions is currently under way in several countries.