Ringer's Lactate Solution: Nws Yog Dab Tsi thiab Nws Siv Li Cas

Zoo Siab

• Nws txawv ntawm cov dej qab ntsev li cas?
• Dab tsi uas lawv muaj sib xws
• Lawv sib txawv li cas
• Cov ntsiab lus ntawm kev daws
• Kev siv tshuaj kho mob ntawm lactated Ringer's
• Ua li cas txoj kev daws teeb meem ua haujlwm
• Muaj kev phiv ntau
• Ib txwm koob ntawm lactated Ringer's
• Cov nqa mus

Cov Lactated Ringer's solution, lossis LR, yog cov dej muaj leeg (IV) uas koj yuav tau txais yog tias koj lub cev qhuav dej, phais mob, lossis tau txais tshuaj IV. Nws kuj tseem hu ua Ringer's lactate lossis sodium lactate tov.

Muaj ntau qhov laj thawj uas vim li cas koj tuaj yeem tau txais cov kua dej IV no yog tias koj xav tau kev kho mob.

Nws txawv ntawm cov dej qab ntsev li cas?

Thaum saline thiab lactated Ringer cov kev daws teeb meem muaj ob peb qhov zoo sib xws, lawv kuj muaj qhov sib txawv. Qhov no tuaj yeem ua rau kev siv ib qho yooj yim dua lwm tus nyob ntawm qhov xwm txheej.

Dab tsi uas lawv muaj sib xws

Cov dej muaj ntsev thiab cov kav dej lub Ringer's yog ob qho dej ua kua IV siv rau hauv tsev kho mob thiab chaw kho mob.

Lawv yog ob qho tshuaj kua isotonic. Raug isotonic txhais tau tias cov kua hauv lub cev muaj tib lub siab osmotic li ntshav. Osmotic lub zog yog qhov ntsuas qhov sib npaug ntawm cov kev daws teeb meem (xws li sodium, calcium, thiab chloride) rau cov kuab tshuaj (piv txwv, dej).

Kev ua isotonic kuj txhais tau tias thaum koj tau txais IV lactated Ringer's, txoj kev daws teeb meem yuav tsis ua rau lub hlwb ploj zuj zus lossis loj dua. Hloov chaw, txoj kev daws teeb meem yuav ua rau kom muaj dej ntau hauv koj lub cev.

Lawv sib txawv li cas

Cov tshuab ua kua dej tso cov khoom sib txawv me ntsis hauv cov dej qab ntsev li qhov sib piv rau lub txiv mis Ringer. Qhov sib txawv ntawm cov hais tau txhais tau tias Lactated Ringer tsis ntev li ntev li hauv lub cev ib txwm yog cov ntsev ua cawv. Qhov no tuaj yeem muaj txiaj ntsig zoo ua kom tsis txhob muaj dej ntau dhau.

Thiab, lactated Ringer's muaj cov kua ntxiv lactate. Lub cev hloov kho rau cov khoom siv no rau qee yam hu ua bicarbonate. Qhov no yog "pib" uas tuaj yeem pab ua kom lub cev tsis muaj kua qaub.

Vim li no, qee cov kws kho mob siv cov lactated Ringer thaum kho cov mob xws li mob sepsis, hauv lub cev ua cov kua qaub heev.

Qee qhov kev tshawb fawb qhia tias qhov lactated Ringer's tuaj yeem nyiam dua cov ntsev ua lub cev ib txwm rau kev hloov cov kua dej hauv cov neeg mob.

Tsis tas li, cov dej qab ntsev li qub muaj cov tshuaj chloride ntau dua. Qhov no qee zaum tuaj yeem ua rau lub raum vasoconstriction, cuam tshuam ntshav ntws mus rau lub raum. Cov nyhuv no feem ntau tsis yog kev txhawj xeeb tshwj tsis yog tias ib tus neeg tau txais ntau ntau ntawm cov tshuaj ua kom muaj qab ntsev.

Lactated Ringer's tsis sib xyaw zoo nrog qee qhov kev daws teeb meem IV. Cov chaw muag tshuaj hloov sib xyaw cov dej qab ntsev nrog cov kev daws teeb meem hauv qab no IV:

• methylprednisone
• nitroglycerin
• nitroprusside
• norepinephrine
• propanolol

Vim tias qhov lactated Ringer's calcium muaj nyob hauv nws, qee cov kws kho mob tsis pom zoo kom siv nws thaum ib tus neeg ntxiv ntshav. Cov calcium ntxiv tuaj yeem khi nrog cov tshuaj tiv thaiv ntxiv rau hauv cov ntshav los ntawm cov txhab tso nyiaj rau kev khaws cia. Qhov no uas yuav ua tau muaj feem ntshav txhaws.

Raws li daim ntawv sau rau ib sab, lactated Ringer's kuj sib txawv me ntsis los ntawm qhov uas tsuas yog hu ua Ringer cov kev daws teeb meem xwb. Ringer cov kev daws teeb meem feem ntau muaj sodium bicarbonate es tsis txhob siv sodium lactate nyob hauv. Qee lub sij hawm cov tshuaj Ringer kuj tseem muaj ntau cov piam thaj (qab zib) hauv nws dua li Ringer's lactated.

Cov ntsiab lus ntawm kev daws

Txoj cai daws teeb meem Ringer muaj ntau cov roj ntsha zoo sib xws uas cov ntshav ib txwm siv.

Raws li B. Braun Kev Kho Mob, ib qho ntawm cov tuam txhab ua lag luam uas tsim lub lactated Ringer's, txhua 100 milliliters ntawm lawv cov kev daws teeb meem suav nrog cov hauv qab no:

• calcium chloride: 0.02 grams
• poov tshuaj tshuaj dawb: 0.03 grams
• sodium tshuaj dawb: 0.6 grams
• sodium lactate: 0.31 grams
• dej

Cov khoom ua ke no tuaj yeem sib txawv me ntsis los ntawm cov neeg tsim khoom.

Kev siv tshuaj kho mob ntawm lactated Ringer's

Ob tus neeg laus thiab menyuam yaus puav leej tuaj yeem tau txais txoj kev daws teeb meem Ringer. Qee qhov laj thawj uas yog vim li cas ib tus neeg yuav tuaj yeem siv cov tshuaj IV no:

• los kho lub cev qhuav dej
• los pab txhawb kev khiav ntawm IV tshuaj thaum phais mob
• kom rov qab tso kua dej rov qab tom qab lub teeb meem ntshav lossis kub hnyiab
• txhawm rau kom txoj hlab ntshav nrog nrog IV catheter qhib

Lactated Ringer's feem ntau yog IV txoj kev xaiv yog tias koj mob sepsis lossis mob hnyav heev koj lub cev cov kua qaub-acid tshuav nyiaj li cas tau muab pov tseg.

Cov kws kho mob kuj tseem yuav siv tau lactated Ringer's los ua ib qho kev daws teeb meem. Cov tshuaj yog tsis huv (tsis muaj cov kab mob hauv nws thaum khaws cia zoo). Nws thiaj li siv tau los ntxuav cov qhov txhab.

Nws kuj tseem tuaj yeem siv lub sijhawm phais mob siv los ua paug rau zais zis lossis thaj chaw phais. Qhov no pab kom ntxuav tau cov kab mob lossis ua rau thaj chaw phais kom pom kev yooj yim.

Cov chaw tsim khoom tsis txhob cia siab rau tib neeg haus cov dej muaj tshuaj Ringer's daws. Nws tsuas yog txhais rau kev siv dej lossis IV siv xwb.

Ua li cas txoj kev daws teeb meem ua haujlwm

Koj tau txais Lactated Ringer's cov kev daws teeb meem hauv ib qho IV. Thaum cov tshuaj tov rau hauv cov leeg, nws nkag mus rau hauv lub hlwb zoo li sab nraud. Qhov tsim nyog, kev daws teeb meem pab tswj hwm lossis ua kom tiav cov dej hauv koj lub cev.

Muaj kev phiv ntau

Kev muab tshuaj ntau dhau rau Ringer's tuaj yeem ua rau o thiab o. Qee tus neeg muaj mob uas txhais tau tias lawv lub cev tsis tuaj yeem tuav cov dej ntxiv. Cov mob no suav nrog:

• mob raum
• congestive plawv tsis ua haujlwm
• hypoalbuminemia
• mob ntsws

Yog tias cov neeg muaj cov mob no tau txais kev lactated Ringer's (lossis lwm yam dej IV), tus kws kho mob yuav tsum saib xyuas lawv kom paub meej tias lawv tsis tau haus dej ntau dhau.

Ntxiv rau kev ua kua ntau dhau, dhau lactated Ringer cov kev daws teeb meem yuav cuam tshuam rau koj cov qib electrolyte. Qhov no suav nrog sodium thiab potassium. Vim tias muaj ntsev tsawg nyob rau hauv Lactated Ringer's ntau dua li qhov muaj hauv cov ntshav, koj cov qib ntsev yuav tsawg dua yog tias koj tau txais ntau dhau.

Qee qhov kev daws teeb meem ringers suav nrog dextrose, ib hom piam thaj. hauv cov neeg muaj pob kws ua xua.

Ib txwm koob ntawm lactated Ringer's

Cov koob tshuaj rau cov txiv neej Ringer's nyob ntawm qhov xwm txheej. Tus kws kho mob yuav txiav txim siab txog qee yam xws li koj lub hnub nyoog, koj hnyav npaum li cas, koj qhov kev noj qab haus huv tag nrho, thiab dej haus koj lub cev tsawg npaum licas.

Qee zaum tus kws kho mob tuaj yeem xaj cov dej IV rau tus nqi ntawm "KVO". Qhov no sawv cev rau "qhib txoj leeg ntshav," thiab feem ntau yog li 30 millilitres ib teev twg. Yog tias koj lub cev qhuav dej dhau heev, kws kho mob yuav xaj cov dej haus ntawm tus nrawm heev, xws li 1,000 millilitres (1 liter).

Cov nqa mus

Yog tias koj yuav tsum muaj IV, koj yuav pom tias koj lub hnab IV nyeem "Ringer's lactated." Nov yog lub sij hawm sib tw xaiv seb puas hloov tau cov kua dej uas cov kws kho mob tau sau tseg. Yog tias koj tau txais nws, koj yuav raug saib xyuas kom paub tseeb tias koj tsis tau txais ntau dhau los ntawm koj IV.