Cov txheej txheem:
Video: Koj yuav xam cov tshuaj IV hloov pauv li cas?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov qauv siv:
- Rau 0 - 10 kg = hnyav (kg) x 100 mL/kg/hnub.
- Rau 10-20 kg = 1000 mL + [qhov hnyav (kg) x 50 ml / kg / hnub]
- Rau> 20 kg = 1500 mL + [hnyav (kg) x 20 ml/kg/hnub]
Hais txog qhov no, koj xam xam cov kua IV li cas?
Tus lej 24-teev feem ntau muab faib ua kwv yees li ib teev kom yooj yim, ua rau "4-2-1" mis
- 100 ml/kg/24-teev = 4 ml/kg/hr rau thawj 10 kg.
- 50 ml / kg / 24-teev = 2 ml / kg / hr rau 2nd 10 kg.
- 20 ml/kg/24-teev = 1 ml/kg/hr rau qhov seem.
Ib tug kuj tseem nug, koj tuaj yeem nqus tau cov kua qaub li cas sai sai? Ib 20 ml/kg 0.9% dej qab zib li qub bolus (siab tshaj 999 mL) yuav yuav tsum tau siv ntau tshaj 1 teev. Qhov no yuav ua raws li D5-0.9% dej qab zib li qub ntawm tus nqi txij nkawm (ntau tshaj 55 mL / h). 60 mL/kg 0.9% dej qab zib li qub bolus (siab tshaj 999 mL) dhau 1 teev yuav raug tswj hwm.
Raws li, ntau npaum li cas cov kua dej tau muab rau lub cev qhuav dej?
Intravenous kua kev tswj hwm (20-30 mL/kg ntawm isotonic sodium chloride 0.9% daws dhau 1-2 h) kuj tseem tuaj yeem siv tau kom txog rau thaum lub qhov ncauj tso dej kom haum. Raws li Cochrane cov txheej txheem tshuaj xyuas, rau txhua 25 tus menyuam tau kho nrog ORT rau lub cev qhuav dej , ib tug ua tsis tau thiab yuav tsum tau txhaj tshuaj kev kho mob.
3 yam tseem ceeb ntawm IV cov kua dej yog dab tsi?
Kev rhuav tshem IV Cov kua dej 4 feem ntau hom thiab lawv siv
- 9% Normal Saline (tseem hu ua NS, 0.9NaCl, lossis NSS)
- Lactated Ringers (tseem hu ua LR, Ringers Lactate, lossis RL)
- 5% Dextrose hauv Dej (tseem hu ua D5 lossis D5W)
- 4.5% Cov Tshuaj Ib Leeg (tseem hu ua Half Normal Saline, 0.45NaCl)
Pom zoo:
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