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Countermeasures: glucose administration, rapidly absorbed CH orally or 10–20 g glucose i. v. in case of unconsciousness; if necessary, injection of glucagon, the pancreatic hyperglycemic hormone. Even with optimal control of blood sugar, s. c. administration of insulin cannot fully replicate the physiological situation.
Particles > 100 ?m in diameter are trapped in the oropharyngeal cavity; those having diameters between 10 and 60?m will be deposited on the epithelium of the bronchial tract. Particles < 2 ?m in diameter can reach the alveoli, but they will be largely exhaled because of their low tendency to impact on the alveolar epithelium.

 

The immediate threat results not so much from the loss of erythrocytes, i. e. , oxygen carriers, as from the reduction in volume of circulating blood. To eliminate the threat of shock, replenishment of the circulation is essential. With moderate loss of blood, administration of a plasma volume expander may be sufficient. Blood plasma consists basically of water, electrolytes, and plasma proteins.
Chronic use of neuroleptics can, on occasion, give rise to hepatic damage associated with cholestasis. A very rare, but dramatic, adverse effect is the malignant neuroleptic syndrome (skeletal muscle rigidity, hyperthermia, stupor) that can end fatally in the absence of intensive countermeasures (including treatment with dantrolene.

 

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