Video: Koj yuav tswj hwm IV thawb insulin li cas?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Txheeb xyuas cov piam thaj hauv ntshav ib teev ua ntej kev txiav. Tswj thawj zaug koob tshuaj ntawm subcutaneous cov tshuaj insulin raws li xaj. Cov tshuaj insulin luv luv, 1-2 teev ua ntej, cov tshuaj insulin ntev ntev, 2-3 teev ua ntej. Txuas ntxiv mus Txoj kev lis ntshav rau 30 - 60 feeb tom qab txhaj tshuaj subcutaneous txhawm rau tiv thaiv kev rov qab ua kom cov piam thaj hauv siab.
Hauv qhov no, koj puas tuaj yeem muab insulin IV thawb?
XWB ib txwm, tsis muaj teeb meem cov tshuaj insulin (100 units / mL) tuaj yeem muab tso rau hauv txoj hlab ntshav. Ua Tsis txhob siv Humulin R U -500 intravenously. Piv txwv li, ib cov tshuaj insulin Txoj kev lis ntshav tuaj yeem npaj los ntawm kev ntxiv 100 units ntawm qhov tsis tu ncua cov tshuaj insulin mus rau 100 mL ntawm 0.9% Sodium Chloride Txhaj Tshuaj los npaj ib qho infusion concentration ntawm 1 unit / mL.
Kuj Paub, koj yuav tswj hwm IV cov tshuaj insulin rau hyperkalemia li cas? Cov lus qhia los ntawm American Heart Association pom zoo kho cov neeg laus uas muaj mob hnyav lossis mob plawv nres vim yog hyperkalemia nrog rau txoj kev lis ntshav ntawm 25 grams ntawm 50% dextrose tov nrog 10 units ntawm qhov tsis tu ncua cov tshuaj insulin infused intravenously tshaj 15 mus rau 30 feeb.
Thiab kom paub, yuav ua li cas txhaj tshuaj insulin rau IV?
Sib tov 250 units ntawm tib neeg li niaj zaus cov tshuaj insulin hauv 250 mL ntawm cov ntsev ib txwm (1 U/mL). Yaug kwv yees li 30 ml ntawm kab ua ntej kev tswj hwm . Tsis txhob siv lub lim lossis lim nrog cov tshuaj insulin . Piggyback lub cov tshuaj insulin dej rau hauv txhaj tshuaj kua siv ib txhaj tshuaj infusion twj nrog lub peev xwm ntawm 0.1 mL/hr.
Koj puas muab insulin lossis dextrose ua ntej?
Cov ntaub ntawv txwv tau qhia tias kev tswj hwm ntawm dextrose hmoov ua ntej cov tshuaj insulin muaj txiaj ntsig thiab nyab xeeb [37]. Ntawm peb qhov chaw, dextrose hmoov yog muab tam sim ua ntej IV cov tshuaj insulin . Ntshav qab zib ntau ntau yog tau txais ntawm lub hauv paus, 1, 2 thiab 3 teev tom qab kho.
Pom zoo:
Koj yuav pab tus menyuam li cas nrog kev tswj hwm lub siab?
Ua Cov Txheej Txheem Ua Ntej Ua Ntej Zoo li kev paub ua pa thiab ua tib zoo xav txog kev xav tuaj yeem pab txhim kho kev tswj hwm. Qhia koj tus menyuam kom ua pa tob tob ob peb zaug thaum lawv hnov lawv lub siab lossis lub tsev tsis xav ua. Kev kawm kom ncua tuaj yeem mus ntev rau kev pab koj tus menyuam kom txo qis tus cwj pwm coj tsis zoo
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IV Kev Tswj IV Laub: Diluent: Muab cov tshuaj bolus tsis tau lim. Tus nqi: Tswj tshaj 2 min. Infusion txuas ntxiv: Diluent: Dilute 125 mg hauv 100 mL, 250 mg hauv 250 mL, lossis 250 mg hauv 500 mL ntawm 0.9% NaCl, D5W, lossis D5/0.45% NaCl. Tus Nqi: Saib Tshooj Kev/Tshuaj. Y-Qhov Chaw Sib Xws. Y-Site Tsis sib xws