补钾补钠（Potassium supplementation and sodium supplementation）.docVIP

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补钾补钠（Potassium supplementation and sodium supplementation）.doc

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补钾补钠（Potassium supplementation and sodium supplementation）

补钾补钠（Potassium supplementation and sodium supplementation） Formula of potassium supplementation Formula for supplying potassium: (expected value - measured value) * weight (kg) * 0.3/1.34 The resulting value is the number of milliliters required for 10% KCl Potassium conversion: kcl=13.4mmol/l. per gram, 20mmol/l, kcl=10%kcl, 15ml Clinical potassium supplement: usually 10% potassium chloride, daily 1 ~ 3ml (100 ~ 300mg) /kg supplement The principle of potassium supplementation: (1) see urinary potassium supplementation; (2) the concentration of static point is less than 0.3% (usually 0.1% ~ 0.3%); (3) liquid containing potassium can not be intravenously injected; (4) the amount of potassium needed for daily use is 6~8 hours; (5) can take orally orally as far as possible Be careful： (1) potassium per liter of solution should not exceed 40mmol/l (equivalent to 3 grams) (2) speed less than 20mmol/h (3) the amount of urine is 40ml/h and then potassium is added (or children have urine within 6 hours) (4) the daily dose of potassium is not more than 15 grams, [ft=, +0,] the average child should be supplemented by 3 to 4mmol/kg daily, and the symptoms of potassium deficiency can be increased to 4 ~ 6mmol/kg [ft=, +0, [) formula of sodium supplementation, normal range of blood sodium: 135 ~ 148mmol/L (3.15 ~ 3.4g/L) Intake of sodium salt: 7 ~ 12g/d Urinary sodium: normal adults 70 ~ 90mmol/24h, or about 4.1 to 5.3g sodium chloride. If the urine is Na+ 34.19mmol/L or absent, there is no Na+ in the body Sodium supplementation: sodium supplementation is usually required at Na+125 mmol/L, otherwise by water control to correct it Blood sodium lifting speed: 8-10 24h within mmol/L According to the calculation of blood sodium 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) =[1