ʻO Rack's Lactate Solution: He aha ia a pehea e hoʻohana ai

Anter

• Pehea ka ʻokoʻa o ka paʻakai?
• He aha kā lākou mea like
• Pehea ko lākou ʻokoʻa
• Nā ʻike o ka hopena
• Nā hoʻohana olakino o ka lactated Ringer's
• Pehea e holo ai ka hopena
• Nā hopena ʻē aʻe
• ʻO ka maʻa maʻamau o ka Ringer's lactated
• ʻO ka lawe lawe ʻana

ʻO ka hopena a Lactated Ringer, a i ʻole LR, kahi wai hoʻouluulu (IV) hiki ke loaʻa iā ʻoe inā make wai ʻoe, ke ʻoki ʻana, a loaʻa ʻole nā ​​lāʻau IV. Kapa ʻia ia i kekahi manawa i ka hopena lactate a i ʻole ka sodium lactate solution.

Nui a hewahewa nā kumu e loaʻa ai iā ʻoe kēia wai IV inā pono ʻoe i ka mālama olakino.

Pehea ka ʻokoʻa o ka paʻakai?

ʻOiai ka saline a me ka lactated solution a Ringer i kekahi mau ʻano like, he ʻokoʻa hoʻi kā lākou. Hiki i kēia ke hoʻohana i kahi mea i kūpono aʻe ma mua o ka mea ʻē aʻe e pili ana i ke kūlana.

He aha kā lākou mea like

ʻO ka paʻakai maʻamau a me ka lactated Ringer's ʻelua mau wai IV i hoʻohana mau ʻia i ka haukapila a me nā hoʻonohonoho olakino.

ʻO lāua nā wai isotonic. ʻO ke ʻano isotonic ke ʻano o ka wai i ke kaomi osmotic like me ke koko. ʻO ke kaomi osmotic kahi ana o ke kaulike o nā mea hoʻoheheʻe (e like me ka sodium, calcium, a me chloride) i nā mea hoʻoheheʻe (e laʻa me ka wai).

ʻO ka manaʻo isotonic hoʻi ke loaʻa ʻoe iā IV lactated Ringer's, ʻaʻole e hoʻonā ka hopena i nā hunaola e hoʻonui a nui aʻe paha. Akā, e hoʻonui ka hopena i ka nui o ka wai i kou kino.

Pehea ko lākou ʻokoʻa

Hoʻokomo nā mea hana wai i nā ʻāpana like ʻole i ka paʻakai maʻamau i hoʻohālikelike ʻia me ka lactated Ringer's. ʻO nā ʻokoʻa o nā huna huna ʻo lactated Ringer ʻaʻole kū lōʻihi ma ke kino e like me ka paʻakai maʻamau. Hiki i kēia ke lilo i hopena maikaʻi e hōʻalo ai i ka wai kahe.

Eia kekahi, loaʻa i ka lactated Ringer's ka lactate sodium hoʻohui. Hoʻopili ke kino i kēia mea i kahi mea i kapa ʻia he bicarbonate. He "kumu" kēia e hiki ke kōkua i ka hoʻēmi kino ʻana o ke kino.

No kēia kumu, hoʻohana kekahi mau kauka iā lactated Ringer i ka wā e mālama ai i nā kūlana olakino e like me sepsis, kahi e lilo ai ke kino i acidic nui.

Hōʻike kekahi mau noiʻi e makemake ʻia ka lactated Ringer's ma mua o ka saline maʻamau no ka hoʻololi ʻana i ka wai i nalowale i nā mea maʻi trauma.

Eia kekahi, ʻoi aku ka nui o ka paʻakai koloride i ka saline maʻamau. Hiki i kēia ke kumu i ka vasoconstriction renal, e pili ana i ke kahe o ke koko i nā puʻupaʻa. ʻAʻole pili kēia hopena i ka hopohopo inā ʻaʻole loaʻa i kahi kanaka kahi nui o ka hopena paʻakai maʻamau.

ʻAʻole hui maikaʻi ʻo Lactated Ringer me kekahi mau ʻano IV. Hoʻohui nā hale kūʻai lāʻau i ka paʻakai maʻamau me nā hāʻina IV aʻe:

• methylprednisone
• nitroglycerin
• nitroprusside
• norepinephrine
• propanolol

Ma muli o ka lactated Ringer's he calcium i loko o ia mea, ʻaʻole makemake kekahi mau kauka e hoʻohana i ka wā e loaʻa ai i ke kanaka ka hoʻokaʻa koko. Hiki i ka calcium keu ke hoʻopaʻa me nā preservatives i hoʻohui ʻia i ke koko e nā panakō koko no ka mālama ʻana. Hoʻonui kēia i ka makaʻu o ke kahe o ke koko.

Ma ke ʻano he ʻaoʻao, he ʻokoʻa iki ka lactated Ringer mai ka mea i kapa ʻia ʻo Ringer solution wale nō. Loaʻa ka hopena o Ringer i ka sodium bicarbonate ma kahi o ka sodium lactate i loko. I kekahi manawa ʻoi aku ka nui o ka glucose (kō) ma loko o kā Ringer solution ma mua o ka lactated Ringer's.

Nā ʻike o ka hopena

ʻO ka hopena a Lactated Ringer he nui nā electrolytes like e hana maoli ai ke koko.

Wahi a B. Braun Medical, kekahi o nā ʻoihana e hana ana i ka lactated Ringer's, ʻo kēlā me kēia 100 mililiter o kā lākou hopena e komo pū ana me kēia:

• kalipuna koloriside: 0.02 gram
• potassium chloride: 0,03 gram
• sodium chloride: 0.6 gram
• sodium lactate: 0.31 gram
• wai

Hiki ke loli iki kēia mau mea e ka mea hana.

Nā hoʻohana olakino o ka lactated Ringer's

Hiki i nā mākua a me nā keiki ke loaʻa ka hopena o ka lactated Ringer. ʻO kekahi o nā kumu e loaʻa ai i kekahi i kēia hopena IV:

• e mālama i ka make wai
• e kōkua i ke kahe o ka lāʻau IV i ka wā o ke kaha
• e hoʻihoʻi i ke kaulike wai ma hope o ka nui o ke kahe o ke koko a i ʻole ke ahi
• e mālama i kahi aa koko me ka catheter IV hāmama

ʻO Lactated Ringer ka hopena IV o ke koho inā loaʻa iā ʻoe sepsis a i ʻole kahi maʻi maʻi e kiola ʻia ke kaulike acid-base o kou kino.

Hiki paha i nā kauka ke hoʻohana pū i ka lactated Ringer's ma ke ʻano he wai wai. He sterile ka hopena (ʻaʻohe ona koʻohuna i loko ke mālama pono ʻia). No laila hiki ke hoʻohana ʻia e holoi i kahi ʻeha.

Hiki nō ke hoʻohana i ka wā o ke kaha ʻana e hoʻouwai i ka ʻōpū a i ʻole kahi kahua ʻoki lāʻau. Kōkua kēia i ka holoi ʻana i ka bacteria a hana maʻalahi paha i kahi pūnaewele.

ʻAʻole manaʻo nā mea hana i nā kānaka e inu i ka hopena o ka lactated Ringer. Hoʻohana wale ʻia ia no ka hoʻouwai wai a hoʻohana IV paha.

Pehea e holo ai ka hopena

Loaʻa iā ʻoe ka hopena lactated Ringer i kahi IV. Ke hele ka hopena i loko o ka aa, hele i loko o nā pūnaewele a ma waho hoʻi. ʻO ke kūpono, kōkua ka hopena i ka mālama ʻana a i ʻole ke kūleʻa ʻana i ka wai i kou kino.

Nā hopena ʻē aʻe

ʻO ka hāʻawi ʻana i ka nui lactated Ringer's hiki ke kumu i ka pehu a me ka edema. Loaʻa i kekahi poʻe nā kūlana olakino i hiki ʻole i ko lākou kino ke mālama pono i ka wai keu. Loaʻa kēia mau ʻano:

• maʻi maʻi maʻi paʻa
• puʻuwai puʻuwai kongestive
• hypoalbuminemia
• cirrhosis

Inā loaʻa ka poʻe me kēia ʻano olakino i ka lactated Ringer (a i ʻole nā ​​wai IV ʻē aʻe), pono e nānā pono kahi ʻoihana lapaʻau iā lākou e hōʻoia ʻaʻole lākou e nui ka wai.

Ma waho aʻe o ka hoʻoheheʻe o ka wai, hiki i ka hopena o ka wai lingerated Ringer nui loa ke hoʻopili i kāu mau electrolyte pae. Hoʻopili kēia i ka sodium a me ka potassium. Ma muli o ka liʻiliʻi o ka sodium i ka lactated Ringer's ma mua o ka mea i loko o ke koko, hiki i kou pae sodium ke haʻahaʻa loa inā nui kāu.

ʻO kekahi o nā hāʻina lactated ringers me dextrose, kahi ʻano glucose. i ka poʻe i loaʻa i ka huehue kulina.

ʻO ka maʻa maʻamau o ka Ringer's lactated

ʻO ka mahele lāʻau no ka lactated Ringer e pili ana i nā kūlana. E noʻonoʻo ke kauka i nā mea e like me kou mau makahiki, ke kau kaupaona, kou olakino holoʻokoʻa, a pehea kou hydrated.

I kekahi manawa kauoha paha ke kauka i nā wai IV ma ka helu "KVO". Kū kēia no ka "hāmama i ka aa," a ma kahi o 30 mau mililiter i kēlā me kēia hola. Inā maloʻo loa ʻoe, hiki i ke kauka ke kauoha i nā wai i hoʻoheheʻe ʻia me ka wikiwiki loa, e like me ka 1,000 milliliter (1 lita).

ʻO ka lawe lawe ʻana

Inā pono ʻoe e loaʻa i kahi IV, ʻike paha ʻoe i kāu ʻeke IV heluhelu "lactated Ringer's." He koho ho'āʻo ʻia kēia no ka pani loli a nā kauka i kauoha pinepine ai. Inā loaʻa iā ʻoe, e kiaʻi ʻia ʻoe e ʻike pono ʻaʻole e loaʻa ka nui ma o kāu IV.