Ensure venous access, monitoring and maintenance of vital functions (in accordance with general principles of resuscitation).
Infusion therapy (800 ml or more) intravenously drip: sodium chloride 0.9% - 400 ml glucose 5%- 400 ml.
Pain relief (after the start of infusion therapy because of possible blood pressure lowering)
When the average intensity of pain used antispasmodics: drotaverinum intravenously slow, 40-80 mg (2% solution - 2-4 ml). Let us welcome nitroglycerin sublingual tablets (0.25 mg or half tablets) or spray (400 micrograms or 1 dose).
When expressed pain syndrome are used non-narcotic analgesics: ketorolac 30 mg (1 ml) intravenously, the dose must be entered no less than 15 s (intravenously muscularly administration analgesic effect develops within 30 minutes).
