静脉输液速度护理探讨（Discussion on nursing care of intravenous infusion speed）.docVIP

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静脉输液速度护理探讨（Discussion on nursing care of intravenous infusion speed）.doc

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静脉输液速度护理探讨（Discussion on nursing care of intravenous infusion speed）

静脉输液速度护理探讨（Discussion on nursing care of intravenous infusion speed） 1 specific measures 1.1 adjust the speed of infusion according to the specific conditions of different patients (L) Infusion speed in septic shock: correction for rapid expansion Acidosis, which improves microcirculation, requires rapid fluid replacement by 60 drops One 100 drops / while the speed of n (Note: the number of infusion drops in this article according to Murphys The dropper specifications are calculated at 20 drops per time) After the paragraph, slow down to 40 drops / while N, child drops / while N or so. (2) Infusion speed of heart, lung, and kidney dysfunction: the principle is caution Slow, slow start, people observe 20, while n one, 30, and N, according to Patient tolerance is adjusted to drip rate. Transfusion in patients with cardiopulmonary dysfunction Too fast, can cause lung mark, blood or pulmonary edema due to a sharp increase in lung circulation, During the infusion, the patients heart rate, respiration and other conditions were closely observed, In order to timely treatment; renal dysfunction, observe the changes in urine volume And strictly control the speed of drip and the amount of transfusion according to the condition of kidney work. (3) the rate of transfusion in elderly patients: glomerular filtration rate in the elderly, The renal blood flow, renal concentrating capacity and hydrogen ion excretion capacity were significantly decreased The tolerance range of the infusion volume and infusion speed is reduced, and the infusion speed is reduced Should be slower than young adults l/2 a 1/3. (4) the transfusion speed of the newborn; Degree: the renal function and other functions of the newborn are not perfect and the infusion rate is fast Slightly faster, can cause heart failure and other infusion complications. For dehydration For newborns with acidosis, the proper infusion rate is the first 8h Drop 7 drops of /min in S. 1.2 for specific drugs given speed of infusion (L