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Стационарный формат выбирают, когда цена ошибки слишком высока. Основная ценность стационара — круглосуточный контроль и возможность быстро корректировать лечение, если динамика ухудшается. Это особенно важно при длительном запое, тяжёлой абстиненции, нестабильном давлении, выраженной тахикардии, повторяющейся рвоте, обезвоживании, а также при подозрении на осложнения со стороны сердца и сосудов. Нередко стационар рекомендуют и тогда, когда пациент живёт один, нет возможности обеспечить наблюдение близких или ранее уже были «ночные провалы», когда состояние резко ухудшалось и приводило к повторному употреблению.
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Выезд врача нужен не только ради удобства. Часто именно дома легче согласиться на помощь: без дороги, без ожидания, без лишних контактов и без стресса от смены обстановки. Но домашний формат не должен быть «упрощённым». Корректная тактика начинается с осмотра и измерения показателей: давление, пульс, дыхание, температура, уровень сознания, признаки обезвоживания, выраженность тремора и тревоги. После этого врач подбирает схему стабилизации, ориентируясь на риски, а не на желание «сделать побыстрее».
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