Video: Hom insulin twg siv rau hyperkalemia?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ob tug hom insulin uas siv rau kev kho mob hyperkalemia suav nrog kev ua yeeb yam nrawm insulin analogs (piv txwv li, insulin aspart thiab insulin lispro) thiab tsis tu ncua insulin . Doses ntawm 5 thiab 20 units ntawm insulin muab tshuaj intravenously raws li ib tug bolus los yog mus txog rau 60-feeb infusion tau qhia nyob rau hauv cov ntaub ntawv.
Tom qab ntawd, cov insulin twg siv rau hyperkalemia?
Hyperkalemia feem ntau yog kho nrog ib lossis ntau txoj hlab ntshav ( IV ) noj 50% dextrose thiab ib IV bolus koob tshuaj ntawm 10 units ntawm cov tshuaj insulin sai lossis luv-ua yeeb yam insulin.
Tsis tas li, insulin txo cov poov tshuaj li cas? EFFECTS ON INSULIN : Cov tshuaj insulin yog lub zog txhawb rau hypokalaemia, lub cev tsis muaj zog poov tshuaj los ntawm kev tso zis los ntawm kev thauj mus rau hauv cov hlwb. Cov tshuaj insulin -induced hypokalemia nce plasma renin thiab angiotensin II theem thaum txo cov ntshav aldosterone concentration.
Tib neeg kuj nug, dab tsi yog lub luag haujlwm ntawm insulin hauv hyperkalemia?
Cov tshuaj uas siv hauv kev kho mob hyperkalemia suav nrog cov hauv qab no: Calcium (xws li gluconate lossis chloride): Txo qhov kev pheej hmoo ntawm ventricular fibrillation los ntawm hyperkalemia . Cov tshuaj insulin Kev tswj hwm cov piam thaj: Ua kom cov piam thaj nkag mus rau hauv lub cell, uas ua rau muaj kev hloov pauv ntawm cov poov tshuaj hauv lub cev.
Vim li cas koj thiaj muab insulin thiab d50 rau hyperkalemia?
Hloov K+ los ntawm ntshav rov qab mus rau hauv lub cell: cov kua dej hauv lub cev (25 txog 50 g dextrose, lossis 1-2 amps) D50 ) ntxiv rau 5-10 U tsis tu ncua insulin yuav txo qis cov qib potassium hauv 10 txog 20 feeb, thiab cov txiaj ntsig kawg 4 txog 6 teev, hyperventilation, β-agonists.
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