临床补液(Clinical fluid replacement).doc

临床补液(Clinical fluid replacement).doc

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时间:2020-03-02

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1、临床补液(Clinicalfluidreplacement)ClinicalfluidanalysisFor50kgpatients,exceptforallotherfactors,thegeneralcaseoffastingwatereveryday,25003000mlphysiologicalneeds,andhereIamtellingtherehydrationquality:A.Theamountof:1.Accordingtoweightadjustment2.Accordingtothebodytemperature,greaterthan37degreesCel

2、sius,eachincreaseintime,morethan3-5ml/kg.3.Specialloss:gastrointestinaldecompression;diarrhea;intestinalfistula;biliarydrainage;drainagetube;ventilatorsupport(respiratoryevaporationincreased)Two.Quality:1.Generallyreferstothesugar,glucose,250300g(5%GlucoseInjection250ml:12.5g,size100ml:5g,500ml

3、:25g10%GlucoseInjectionspecifications100ml:lOg,250ml:25g,500ml:50g)2.Salt,generallyreferstosodiumchloride,4-5g(0.9%SodiumChlorideInjection:take0.9gramsofsodiumchloride,dissolvedinasmallamountofdistilledwater,dilutedto100ml.・0.9%SodiumChlorideInjectionspecifications100ml:0.9g,250ml:2.25g,500ml:4

4、.5g)1.Generallyreferstopotassium,potassiumchloride,potassiumchloridesolution(10%34g,specifications:10ml:lg・10%PotassiumChlorideInjection10-15mlwithglucoseinjection500ml)2.generallyfastingtimewithin3days,donotneedtoaddprotein,fat・Morethan3days,everydayshouldbefilledwithprotein,fat・Three・Alsopaya

5、ttentionto:1.Accordingtoothermedicaldiseasepatientswithimportant,suchasdiabetes,heartfailure,renalinsufficiency,liverdysfunction,andtoadjustthequalityoftheirrehydration,doubt,ormedicalspecialistconsultation.2.AccordingtothepatientAccordingtothetestresults:albumin,sodium,potassium,calcium,etc・,h

6、owmuchtofilltheamountofcompensation,tothelaboratoryreviewisbasicallynormal・fastingmorethan3days,20%dailyfatemulsion250ML・Diabetes,highbloodsugar,rehydrationmustremembertoaddRI.Accordingtothedifferentsituation:A:theelderly,evenwithoutdiabetes,shouldalsoaddRI,accordingto5:1,becausesactualconditio

7、n,theneedfortheliquid,thecapacityisinsufficient.Lowbloodpressure,lowurinevolume,andlowvolume・Attentionshouldbepaidtoimprovingcirculation.theoperationisastress,insulinresistance,bloodsugarrise.Bdiabeticpatients,accordingtothespecif

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