After major abdominal surgery in the prevention of hypokalemia.docVIP

 PAGE \* MERGEFORMAT 6 After major abdominal surgery in the prevention of hypokalemia [Keywords:] surgery, postoperative hypokalemia, prevention In recent years, major abdominal surgery perioperative fluid therapy has made great progress. But there are still many doctors postoperative fasting patients do not have enough understanding of how potassium, postoperative potassium deficiency, often leads to hypokalemia . our hospital from 2000 to 2007 after major abdominal surgery on 45 patients to be fasting after 1 day using the method of potassium, to obtain good results, are as follows. 1 Materials and Methods 1.1 Clinical data A total of 45 patients in this group of patients, 31 males and 14 females, aged 41 to 75 years, mean 51 years. 28 cases of gastric resection, colon resection in 11 cases, 6 cases of rectal cancer. Preoperative patients with colorectal cancer 3 d that started bowel preparation. preoperative serum potassium in 45 patients with normal renal function, intraoperative and postoperative blood transfusion 400 ~ 1 200 mL. 1.2 Methods 1 day after intravenous supplement of potassium chloride 0.5 ~ 1 mmol kg-1 d-1, while giving 50% glucose 200 ~ 300 mL and regular insulin 10 ~ 20 U, the total input of liquid to 2 500 ~ 3 500 mL / d, a daily morning check serum potassium levels, electrocardiogram, blood magnesium, sodium, calcium. 2 Results After 39 patients the serum potassium concentration remained at 3.5 ~ 5.5 mmol / L, 6 cases of colorectal cancer patients with a continuous 4 ~ 6 d in serum potassium below 3.5 mmol / L, and have varying degrees of muscle weakness, abdominal distension and other symptoms, no 1 patient with hyperkalemia. 3 Discussion Potassium is the major intracellular cation, its concentration is 150 ~ 160 mmol / L, serum potassium concentration of only 3.5 ~ 5.5 mmol / L. rely mainly on body sodium and potassium on the cell membrane to maintain cellular ATP activity inside and outside the K +, Na