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Dołączył: 03 Mar 2011
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 Wysłany: Wto 4:32, 22 Mar 2011 Temat postu: p90x calendar szx uty qsq esg |
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,[link widoczny dla zalogowanych]
GIK induced hypoglycemia nine cases
, For example, was limited, the clinical value of CRP testing, pending further exploration of the fluid caused by low blood sugar reactions 9 People's Hospital of Lishui, Zhejiang Province (323000) Three plastic main cultivated from June 1995 to June 1998, our department grant applications of liquid (GIK) infusion in the treatment of cardiovascular disease process found in nine cases of low blood sugar reactions 11 are reported as follows: 1 9 patients clinical data 6 males and 3 females, aged from 45 to 83 years,[link widoczny dla zalogowanych], mean 67 years. 4 cases of coronary heart disease, dilated cardiomyopathy 3 down, rheumatic heart disease, and sequelae of viral myocarditis and 1 case, all the patients have no history of diabetes. GIK in the preparation of 500ml of 10% glucose solution with added insulin 8 ~ 12U, potassium chloride 1.5g. 9 patients with low blood sugar reactions all occurred during GIK infusion, 2 patients 2 times back when GIK infusion were hypoglycemia reaction. Reaction mainly: Achillea pure sweat Robin I dumped the new medical reality Jiang 4, 1999 No. 6 for 9 / 11; palpitations accounting for 8 / 11; hunger, fatigue account for 6 / 11; nausea and vomiting, 4 / 11 ; restlessness accounting 4/1l; unconscious barriers to happen. Hypoglycemia when blood glucose response is 1.8 - 35mmol / L (glucose oxidase), the average 2.3mmol / L. All patients are discontinued GIK, glucose bolus 5O% 4O ~ 60ml and improved rapidly after oral glucose. 2 discussed in the GIK in cardiovascular disease is widely used, can promote myocardial glucose uptake and metabolism, so that potassium ions into the cell. Recovery of cell membrane polarization. To facilitate the normal contraction of the heart,[link widoczny dla zalogowanych], reducing cardiac arrhythmia. ... GIK is rarely reported side-effects. Timely treatment of the disease is disabled GIK, bolus or oral dose of glucose will be able to quickly relieve symptoms. Preparation of foreign GIK to GIK1000ml containing glucose 300g, insulin 50U, potassium chloride 80mmol / L, the domestic use of 1O% glucose plus insulin in 500ml 8 ~ 12U,[link widoczny dla zalogowanych], potassium chloride 1 ~ 1549gE. Within the scientific advice and practical GIK in 500ml of 10% glucose plus insulin 8U, potassium chloride 1.5. The authors observed the incidence of hypoglycemia in insulin concentration was higher in the prone, in 1O% glucose 500ml in 7 insulin to 10U, 4 times for the 8U, suggested that non-diabetic patients with insulin to 8U appropriate. Response to hypoglycemia in patients with the same time, mostly elderly,[link widoczny dla zalogowanych], so the elderly to be particularly vigilant when applied GIK low blood sugar reactions. In addition, patients did not cause hypoglycemia meal is one of the reasons 11 times in this article have occurred in the fasting 6. So best not to use the GIK fasting.
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