儿科补液全面分析（Comprehensive analysis of pediatric rehydration）.docVIP

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儿科补液全面分析（Comprehensive analysis of pediatric rehydration）.doc

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儿科补液全面分析（Comprehensive analysis of pediatric rehydration）

儿科补液全面分析（Comprehensive analysis of pediatric rehydration） First, remember several important formulas: The 5% NaHCO3 (ML) = (22 - measured HCO3 -) * 0.5*1.7* weight (kg) (written 0.6) = (22 - HCO3 - measured) * body weight (kg) (5%SB 1ml=0.6mmol) The mmol number of complement = = (-BE) *0.3*W (kg), i.e. 5%SB (ML) = (-BE) *0.5*W (kg) Give the 1/2 amount first Estimation method: by temporarily increasing the level of HCO3 - 5mmol/L, SB 5ml/kg* OR.11.2% to calculate 5% sodium lactate 3ml/kg. The 25% arginine hydrochloride (ML) = O (measured HCO3 - -27) mmol/L *0.5*0.84*W (kg) The required quantity of potassium replacement (mmol) (4- = measured blood potassium) * body weight (kg) *0.6 (1mmol K=0.8ml Inj.10%KCl) The need to pay the amount of sodium (mmol) = (140- measured blood sodium) * body weight (kg) *0.6 (0.5 women) The required water quantity (ML) = (measured the concentration of serum sodium -140) * *4 weight (kg) Two, need to pay attention to and remember the problem 1, calculate the total amount of fluid infusion: mild dehydration: 90-120ml/kg; moderate dehydration: 120-150ml/kg; severe dehydration: 150- 180ml/kg. 2. To increase the cumulative loss of hypotonic dehydration: use 2/3 of 4:3:2 fluid (4 portions of salt: 3 sugars: 2 bases) 3, to increase the cumulative loss of isotonic dehydration, and to increase the amount of dehydration continued loss and physiological needs: use 1/2 of 3:2:1 liquid (3 copies of sugar: 2 parts of salt: 1 bases) 4, remember - Salt: the base is always 2:1 (here base refers to 1.4%S, so that it is similar to the ratio of sodium to chlorine in the plasma, so as to avoid excessive transfusion, blood chlorine is too high. 5%-10% sugar GS, salt NS (0.9%NaCl), 5%NaHCO3 (1.4%NaHCO3 diluted alkali alkali method: 5% divided by 4, the remaining sugar supplement. For example: 100ml5% base diluted to 1.4% base: 100/4=25100-25=75, that is 25ml5% base, +75ml sugar) 5. Potassium supplementation: the total amount of 10%KCl in 100ml liquid is not mo