Eng / Cholera_2023
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IV degree (weight loss of 10% or more)
Hypothermia (body temperature 35°C or below)
Peripheral arterial pressure is sharply reduced until the disappearance
No peripheral pulse
Tachypnea (respiratory rate up to 4060 per minute)
Aphonia
Anuria in all patients
Stools and vomiting copious at first, may stop
Dehydration shock
a variant of hypovolemic shock resulting from severe dehydration of the body that developed over a relatively short period of time due to profuse diarrhea, or indomitable vomiting, accompanied by exsicosis and severe electrolyte disturbances
Dehydration shock
Progressive decrease in blood pressure and an increase in tachycardia against the background of symptoms of dehydration.
Dehydration from II to IV degree
Characterized by anuria (as a result of a drop in blood pressure),
a decrease in body temperature (algid),
tachypnea, in the lungs (due to impaired microcirculation),
excitation, followed by lethargy.
Specific diagnosis of cholera
Bacteriological examination of feces, vomit
Serological diagnostic methods
(RA, RNGA with antigenic and antibody diagnosticums, vibriocidal test, ELISA, RCA, etc.)
Cholera treatment
An untreated person with cholera may produce 10 to 20
litres (3 to 5 US gal) of diarrhea a day.
Severe cholera, without treatment, kills about half of affected individuals
Cholera bed
Need specific equipment for patient care and fluid loss management
WHO hospital cholera tent
Stages of rehydration
Primary rehydration
(first 1-2 hours)
Corrective rehydration
(the entire period of the disease)
Solutions for rehydration
crystalloids, balanced polyionic solutions: Disol, Trisol