中国医科大学 孙 梅
Post on 09-Jan-2016
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Fluid Therapy
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5%10%
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0.9% (NS) 3% 5%NB)3.61.4% 10%
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(ml) NS 10%GS 1.4%NB 10%GS 10%NaCl 5%NB 10%KCl2:1 . 2 1 500 30 471:1 (1/2) 1 1 500 202:3:1 (1/2) 2 3 1 500 15 244:3:2 (2/3) 4 3 2 500 20 331:2 (1/3) 1 2 500 151:4 (1/5) 1 4 500 9 (1/3) 1 4 500 9 7.5
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Oral rehydration salt (ORS)WHO ()NaCl 3.5NaHCO3 2.5KCl 1.5Glucose 20Water 1000ml 2/3 0.15%.
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( ORS )NaCl 2.6 gKCl 1.5 g 2.9 g 13.5 g 1000 ml
2Glucose(2/3Na+K+Cl /NaHCO3
WHOORS(NaHCO32.5
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ORT) : 50~80ml/kg : 80~100ml/kg 8~12h
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ORT)ORSK+ 20mmol/L 0.15% ORSHCO3- 30mmol/L Na+ 50mmol/L ORSNa+ 90mmol/L
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=++ (ml) 50 10~30 60~80 90~120 50~100 10~30 60~80 120~150 100~120 10~30 60~80 150~180
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1/2 1:1 2/3 432 1/3~1/5 1/21:11/3~1/5
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: 2:11.4% 20ml/kg 300ml 30-60
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8~12 =-1/2 8~12 8~10ml/kgh
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=-1/2 1/2~1/3 12~16 5ml/kgh
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5%NB ml=(40-CO2CP) 0.5 BW(kg)5%NB ml=-ABE 0.5 BW(kg) * BW: CO2CP5%NB 5ml/kg1.4% NB 20ml/kg HCO3- 5mmol/LCO2CP 10vol%
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: 200~300mg/kgd 2~3ml/kgd 10% KCl 300~450mg/kgd 3~4.5ml/kg.d 10% KCl
- 60.15~0.3%
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10% Calii Gluconate 10ml+25% Glucose 10ml IV25% Mg.Sulfas 0.2~0.4ml/kg IM Q6hHR80/
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60~80ml/kg 1/51/2~1/312~24
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