علاج مرض اليد والقدم والفم مع إصابة الجهاز العصبي المركزي وارتفاع ضغط الدم

References

• Children presenting with features of autonomic nervous system (ANS) dysregulation, including cold sweating, mottled skin, tachycardia, tachypnea, hypertension and hyperglycemia, are at risk of rapid progression to cardiopulmonary failure.
• Autonomic nervous system (ANS) dysregulation: Presence of cold sweating, mottled skin, tachycardia, tachypnea, and hypertension.
• Assessment of haemodynamic and hydration status should guide intravenous fluid therapy, as well as the use of inotropes to support cardiac function during this critical stage.
• Early intubation is recommended, particularly for children who are restless and agitated due to frequent myoclonic jerks.
• Anecdotal experience suggests that administration of milrinone at this stage may be useful in halting progression into established cardiopulmonary failure.
• Anecdotal experience indicates that IVIG could also be useful at this stage.
• Judicious intravenous fluid therapy.