Treatment for a coma depends on the cause people close to the comatose patient should give doctors as much information as possible to help the doctors determine the cause of coma prompt medical attention is vital to treat potentially reversible conditions. Treatment will depend on the underlying cause of the coma, for example, kidney failure, liver disease, diabetes, poisoning, and so on if there is brain swelling, surgery may be needed to relieve the pressure.
One new treatment that was demonstrated in a large scale controlled clinical trial was the use of amantidine this drug is most frequently used to treat tremor in parkinson’s disease, but was given to a group of 87 patients in persistent vegetative state or mcs, for four weeks, beginning 4-16 weeks after severe traumatic brain injury. Myxedema coma is a loss of brain function as a result of severe, longstanding low level of thyroid hormone in the blood (hypothyroidism) myxedema coma is considered a life-threatening complication of hypothyroidism and represents the far more serious side of the spectrum of thyroid disease.
While myxedema coma carries a significant mortality rate even with appropriate testing and treatment, an early diagnosis of hypothyroidism may well save a patient's life read the full article get immediate access, anytime, anywhere.
Coma is a state of unconsciousness in which a person cannot be awakened fails to respond normally to painful stimuli, light, or sound lacks a normal wake-sleep cycle and does not initiate voluntary actions a person in a state of coma is described as being comatose. If the cause was a metabolic problem like diabetes that was treated with medication, a patient can come out of the coma relatively quickly many patients who overdose on drugs or alcohol also can recover once the substance leaves their systems. Treatment varies, depending on the cause of the coma a procedure or medications to relieve pressure on the brain due to brain swelling may be needed if the coma is the result of drug overdose, doctors will give medications to treat the condition.
The speed of recovery from a coma depends on what caused it and the severity of damage to the brain if the cause was a metabolic problem like diabetes that was treated with medication, a patient can come out of the coma relatively quickly. Diagnosis of coma is simple, but diagnosing the cause of the underlying disease process is often challenging the first priority in treatment of a comatose patient is stabilization following the basic abcs (standing for airway, breathing, and circulation) once a person in a coma is stable, investigations are performed to assess the underlying cause. The glasgow coma scale score will be documented the deeper the coma, the lower the score please appreciate that a person with a normal glasgow coma scale of 15 may still have altered mental status repeated neurologic assessment is key to monitoring the status of the patient and determining if the coma is improving, worsening or remaining stable. A myxedema coma requires immediate admission to a hospital treatment involves administering thyroid hormone replacement medication into a vein antibiotics, steroid treatment, and breathing support may be necessary also.
The glasgow coma scale is used as part of the initial evaluation of a patient, but does not assist in making the diagnosis as to the cause of coma since it scores the level of coma, the glasgow coma scale can be used as a standard method for any healthcare professional, from emt, paramedic, nurse, or neurosurgeon, to assess change in the patient's mental status over time. Although the treatment of coma depends on the cause, there are some general treatment rules if the cause is unknown, what is often called a coma cocktail is given to the patient if the cause is unknown, what is often called a coma cocktail is given to the patient.