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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.
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. |
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