Its beneficial effects and the rationale for its use are also reviewed. Serum osmolality should be measured frequently after mannitol and maintained < 320 mOsm to avoid renal failure. A Foley catheter should always be inserted when mannitol is used. One pupil bigger than the other accompanied by headaches is often associated with Horner’s syndrome. Mannitol may be safely used during the early resuscitation phase in hypovolemic patients with concomitant head injury, provided that plasma expanders and/or crystalloid solutions are given to correct the hypovolemia simultaneously. The drops we use to dilate your eyes are actually a combination of two drops: one paralyzes the muscle that contracts to make the pupil smaller (much less scary than it sounds), and the other stimulates the muscle that has the opposite effect on the iris, widening the pupil. It is more effective and safer when administered in bolus doses than as a continuous infusion. Is this ok Answered in 5 minutes by: Eye Doctor: Dr. This agent may also be used pre- or intraoperatively in patients with intracranial hematomas, and when high ICP is demonstrated in the ICU. After an eye exam one eye was dilated for 24 hours and another one for 36. ![]() There are more than 2000 species of snakes in the world and about 300 species are found in India. It may be given when high ICP is suspected, prior to computed tomography scanning, e.g., in patients who develop a fixed, dilated pupil or neurologic deterioration. On one hand there is shortage of ASV but on the other. Mannitol should be given as a bolus intravenous infusion, over 10 to 30 mins, in doses ranging from 0.25 to 1.0 g/kg body weight. ![]() Mannitol has replaced other diuretics as the agent of first choice for control of raised intracranial pressure (ICP) after brain injury.
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