![Cov kua dej dab tsi yog siv hauv cov kua dej resuscitation? Cov kua dej dab tsi yog siv hauv cov kua dej resuscitation?](https://i.answers-medical.com/preview/medical-health/14054242-what-fluids-are-used-in-fluid-resuscitation-j.webp)
Video: Cov kua dej dab tsi yog siv hauv cov kua dej resuscitation?
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2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ib thaj tsam ntawm cov kua dej tau siv hauv kev rov ua kua dej , feem ntau hom yog colloids thiab crystalloids. Colloids feem ntau yog siv raws li plasma ntim expanders nyob rau hauv kev kho mob ntawm circulatory shock. Lawv muaj cov lwg me me loj uas tsis yooj yim hla cov phab ntsa capillary thiab khaws cia hauv cov hlab ntshav.
Tib neeg kuj nug, cov kua dej dab tsi uas siv rau hauv cov neeg mob kub hnyiab rau cov dej resuscitation?
Feem ntau, dej resuscitation yog nqa tawm hauv cov hlab ntsha thiab feem ntau siv resuscitation mis yog cov mis dawb dawb crystalloid Parkland. Qhov no txhawb nqa cov lus qhia rau tag nrho ntim ntawm thawj 24 teev ntawm resuscitation ntawm kwv yees li 4ml ib kilogram ntawm lub cev hnyav ib feem pua hlawv ntawm TBSA.
Qhov thib ob, cov kua dej dab tsi yog siv rau kev poob siab hypovolemic? Isotonic crystalloid daws Feem ntau yog muab rau intravascular repletion thaum poob siab thiab hypovolemia. Cov tshuaj colloid feem ntau tsis siv. Cov neeg mob uas lub cev qhuav dej thiab txaus circulatory ntim feem ntau muaj dej dawb tsis txaus, thiab cov tshuaj hypotonic (xws li, 5% dextrose hauv dej, 0.45% ntsev ) siv tau.
Ntawm no, lub hom phiaj ntawm kev rov ua kua dej yog dab tsi?
Cov cov hom phiaj ntawm dej resuscitation Nyob rau hauv hnyav sepsis thiab septic shock yog los xyuas kom meej txaus cov ntaub so ntswg perfusion los ntawm kev kho cov intravascular volume (depleted los ntawm vasodilation thiab nce nyob rau hauv vascular permeability) thiab optimize lub plawv tso zis los ntawm kev txhim kho venous rov qab thiab plawv txhaws.
Vim li cas thiaj li siv cov ntsev ib txwm los cawm neeg?
Ib txwm Saline (NS) 0.9% Sodium Chloride tov thiab Ringer's Lactate tseem hu ua lactated Ringers (LR) yog ob yam dej haus thawj siv nyob rau hauv resuscitation . Lawv tau ua siv raws li crystalloid kev daws teeb meem rau xyoo lawm. Crystalloid daws teeb meem yog siv los hloov cov kua dej tseem ceeb tshaj plaws uas suav nrog ntshav poob hauv kev raug mob.
Pom zoo:
Dab tsi yog qhov anion ntau tshaj plaws hauv cov kua dej hauv lub cev?
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Qhov ntau tshaj plaws anion (lossis tsis zoo ion) hauv ECF yog chloride (Cl-). Cation ntau tshaj hauv cov kua dej hauv lub cev (ICF) yog cov poov tshuaj (K+). Qhov ntau tshaj plaws anion hauv ICF yog hydrogen phosphate (HPO4-)
Cov kauj ruam uas raug thiab muaj kev nyab xeeb tshaj plaws hauv kev cawm tus neeg raug tsim txom uas poob dej hauv dej yog dab tsi?
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Nyob Nyab Xeeb. Nyob Nyab Xeeb. Yog tias muaj ntau dua ib tus neeg cawm neeg, muaj ib tus neeg hu rau 911 tam sim ntawd. Yog tias tus neeg mob paub zoo, sim mus cuag tus neeg mob nrog qee yam nruj txaus kom rub nws rov qab. Yog tias tsis muaj dab tsi yuav ncav cuag tau, pov tus neeg mob kom hlua thiab txhawb kom nws mus
Dab tsi tsuas yog pom hauv cov kua dej hauv lub cev?
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Intracellular fluid yog qhov chaw uas muaj dej ntau hauv lub cev. Cov kua dej no nyob hauv daim nyias nyias ntawm tes thiab muaj dej, electrolytes thiab cov protein. Potassium, magnesium, thiab phosphate yog peb qho electrolytes feem ntau hauv ICF
Dab tsi yog qhov sib txawv ntawm cov kua dej tsis txaus thiab lub cev qhuav dej?
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Kev ua kom lub cev qhuav qhuav qhia txog kev txo qis ntawm kev ua haujlwm zoo nyob hauv qhov chaw hauv lub cev, thaum lub cev qhuav dej qhia txog kev poob dej dawb hauv qhov feem ntau ntau dua qhov poob ntawm sodium
Dab tsi hloov pauv tshwm sim hauv cov kua dej sab hauv thiab sab hauv lub cev thaum lub cev qhuav dej?
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Cov ntsev ntau hauv dej, siab dua osmotic siab. Raws li qhov xwm txheej ib txwm muaj, osmotic siab nyob rau hauv qhov chaw tso rau sab hauv yog zoo ib yam li hauv qhov chaw sab nrauv. Thaum lub cev qhuav dej tshwm sim, txawm li cas los xij, cov ntsiab lus ntawm cov ntsev nyob hauv ib lossis ntau qhov ntxiv lossis txo qis