常用医学计算公式（Common formulas for medical calculation）.docVIP

常用医学计算公式（Common formulas for medical calculation） 1. calculation of sodium supplementation The following formula may be used for males Total sodium supplementation (mmol), =[142-, Na+ (mmol/L), * weight (kg) * 0.6 The total amount of sodium chloride (g) should be =[142-, the patients blood Na+ (mmol/L)] * weight (kg) * 0.035 Normal saline (ML) =[142- patients should be filled with Na+ (mmol/L)] * weight (kg) * 3.888 3% sodium chloride =[142- patients should be filled with blood Na+ (mmol/L)] * weight (kg) * 1.1666 5% sodium chloride (ML) =[142- patients should be filled with blood Na+ (mmol/L)] * weight (kg) * 0.7 Women may choose the following formula Total sodium supplementation (mmol), =[142-, Na+ (mmol/L), * weight (kg) * 0.5 The total amount of sodium chloride (g) should be =[142-, the patients blood Na+ (mmol/L)] * weight (kg) * 0.03 Normal saline (ML) =[142- patients should be filled with Na+ (mmol/L)] * weight (kg) * 3.311 3% sodium chloride (ML) =[142- patients should be filled with blood Na+ (mmol/L)] * weight (kg) * 3.311 5% sodium chloride (ML) =[142- patients should be filled with blood Na+ (mmol/L)] * weight (kg) * 0.596 Note: in the above formula 142 is the normal blood Na+ value, with mmol/L meter. The results obtained by the formula can generally be 1/2 ~ 1/3 of the total amount, and then adjust the next treatment according to the clinical conditions and the results of the test. Unit conversion: Sodium: mEq/L * 2.299=mg/dlmg/dl * 0.435=mEq/L MEq/L * 1/ =mmol/L valence Sodium chloride: g * 17=mmol or mEq, (mmol) * 0.0585=g/L 2. fluid calculation (1) determine the dehydration properties according to serum sodium: Dehydrated nature blood Na+mmol/L Hypotonic dehydration 130 Isotonic dehydration 130~150 Hypertonic dehydration 150 (2) determine the amount of infusion according to the hematocrit: Infusion volume = normal blood volume * (normal red cell / hematocrit / red blood cell ratio) (3) calculate the volume of fluid infusion according to the body sur