小儿液体疗法（Pediatric fluid therapy）.docVIP

小儿液体疗法（Pediatric fluid therapy） 1 pediatric fluid therapy Pediatric fluid therapy 1: fluid type, physiological quantity, accumulated loss, continuous loss, total supply Mild: 60-80ml/kg 50, ml/kg, 10-40ml/kg 90-120 Fluid infusion: moderate: 60-80ml/kg, 50-100ml/kg, 10-40ml/kg 120-150 Severe; 60-80ml/kg, 100-120ml/kg, 10-40ml/kg 150-180 2 dehydration properties Accumulated losses; 2/3, Zhang or isotonic Hypotonic dehydration; [ Continue loss and physiology; 1/3- 1/5 Zhang Isotonic dehydration: 1/2 or 2/3 sheets Hypertonic dehydration; 1/3 or 1/4 sheets (above for the first day) The second day of meeting; Physiological quantity; 60-80ml/kg, 1/5; Continue volume; 1/3 or 1/2 sheets 3 liquid preparation; 5%-10% sugar, 10% salt water, 5%S, B Isotonic liquid; 2:10; 9% brine 6; 5ml 9; 8ml 2:3:1 100ml 3ml 4? 7ml 1/2 fluid; [ 1:1 100ml 4? 5ml? 2/3 Zhang fluid; 4:3:2 100ml 4ml 6; 1ml 1/3 Zhang fluid; 1:2 100ml 3.4ml 1/5 fluid; 100ml 1.8ml 4 speed and time of fluid infusion: Cumulative loss supplement speed: 8-10ml/kg.h? 2/3 total first replenishment Cumulative loss replenishment time; 8-12 hours Physiological quantity continued: 5ml/kg.h time: 12-16 hours Moderate, severe, and with peripheral circulatory disturbances; first dilation, and rapid supplementation with 2:1 and isotonic 10-20ml/kg 0.5-1 hours. 5 what are the instructions?: 1 points above method suitable for infants, preschool children with 1/4 reduction, 1/3 reduction. 2 malnourished children: total fluid intake decreased by 1/3, according to the actual weight count, the amount of liquid per day is not more than 100ml/kg. Within 2-3 days, the liquid properties were mainly 4:3:2. 3 pneumonia children; total fluid intake is reduced by 1/3-1/4, and the rate is slow and repeated. 3-5ml/kg? H?. 4 septic shock: dilatation within 24 hours from shock. The first 2 hours quickly make up for the effective circulation. Crystals, colloids, liquids and uses. The quality is mainly 4:3:2. After stabilization, maintain with 3:2:1: 3