 Wysłany: Pią 18:12, 25 Mar 2011 Temat postu: 2000 cases of outpatient tonsil resection experien |
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| 2000 cases of outpatient tonsil resection feel squeezed
. 1 potassium channels are used by the whole group of patients with subclavian vein potassium, must not be done by trial and intravenous high concentration of potassium channels. Thus,tn requin pas cher, one can not accept the patients because of pain, the other can cause more serious phlebitis, severe cases can cause skin necrosis. 2.2 potassium method we used the kg) × 75, because of early postoperative voiding more patients, from the urine need to be included in the supplementary amount of potassium lost in the urine of about congenital heart disease per lOOml potassium 150mg. But the wind died, the patient urine potassium 225mg per lOOml about it. Above formula can be rewritten as: potassium content (mg) = (4.5) a measured serum potassium) × 0.3 × body weight (kg) × 75 +150 or 225 / per lOOml urine. For example, patients with valve replacement measured weight 5O kg potassium 3. Og, urine volume 500ml. Potassium 2.88 by the above formula should be appropriate to complement 2t3 times. Urine talking about here is the pumping of potassium into the serum potassium results after the return of urine output during this time. 2.3 The high concentration of potassium, the speed must not be too fast. The higher the concentration the slower the speed should be, in most cases, we will control the speed of 1.5ml / min or so, on the serum potassium is too low, could a little faster, but can not exceed 2. Oral / min to have someone monitoring the rate of potassium to prevent the adverse consequences of out of control. 2,4 Note: ① oliguria or renal dysfunction, high concentrations of potassium can not be. ② Note the influence of certain drugs on serum potassium, such as diuretics, insulin. Hypokalemia with metabolic acidosis, should be correct acidosis after potassium supplement to prevent a further decline in serum potassium. ③ high concentration of potassium in lOOml liquid as a group, can be used in different concentrations, each meeting once a group of serum potassium after the investigation, according to the results of the measured serum potassium to determine the concentration of the next group. ④ unless there are special circumstances, such as low potassium with severe arrhythmias, or severe metabolic acidosis, with a strong need for immediate medication and special low serum potassium in urine after the addition of the patient, as far as possible without high concentrations of complement potassium as a postoperative routine. Using this method, the concentration should not exceed 2, the speed of not more than 1.5ml / min. ⑤ In spite of the high concentration of potassium, elevated serum potassium can be no noticeable while potassium magnesium supplement sparse, each lgt2g, dissolved in 250ml ~ 500ml liquid intravenous drip. Jilin Medical Information 1995 4. , |
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