儿科营养INFANTILE_DIARRHEA英文内容ppt课件.pptVIP

* * * * * * 行业处理客户投诉的技巧课件神经内科医疗质量及管理规范神经疾病病情观察及能力培养社区老年痴呆的全科诊疗身边的侵害和保护少先队礼仪文化知识培训 行业处理客户投诉的技巧课件神经内科医疗质量及管理规范神经疾病病情观察及能力培养社区老年痴呆的全科诊疗身边的侵害和保护少先队礼仪文化知识培训 INFANTILE DIARRHEA  * Treatment The principles Adjustment of the diet Prevention and improvement of the dehydration Proper drugs therapy Intensification of the nursing Prevention of the complications * Treatment 1.The therapy of the acute diarrhea (1) Dietotherapy (2) Improvement of the disturbance of the fluids, electrolyte and acid-base balance * Treatment 1) Oral fluid infusion Oral rehydration salts, ORS Component Sod. Chloridi 3.5g Sod. Bicarbonate 2.5g Pat Citrate 1.5g Glucose 20.0g Water 1000ml * Treatment ORS Tonicity 220 mmol/L (2/3 T ) Indication Mild dehydration: 50-80ml/kg Moderate Dehydration: 80-100ml/kg * Treatment 2) Venous transfusion The quality of fluids Isotonic dehydration: 1/2 T Hypotonic dehydration: 2/3 T Hypertonic dehydration: 1/3 T * Treatment 2) Venous transfusion The transfusion rate Dilatation blood capacity phase 20ml/kg (in30-60min) Supplying the cumulative dose phase 8-10ml/kg·h (in8-12h) Supplying the maintenance dose phase 5ml/kg·h (in12-16h ) * Treatment 2) Venous transfusion Improvement of acidosis After transfusion, some patients with acidosis had corrected Severe acidosis 1.4% Sod.bicarbonate 5% Sod.bicarbonate (ml)=(-BE) ×0.5×WT (kg) Sod.bicarbonate(mmol)=(22—CO2cp)mmol x 0.6 x WT(kg) * Treatment 2) Venous transfusion Improvement of the hypokalium 10% KCL Solution 3---6mmol.kg.d (10%kcl 1—3ml.kg.d) Urination in 6 hour Concentration: 0.3% The lasted time of transfusion: 6 hour(Every day) Intravenuos injection is inhibit absolutely * Treatment 2) Venous transfusion Supplying calcium and magnesium 10% Calcii Gluconas 1-2ml/kg iv. drip 25% Magnesium sulfate 0.1mg/kg i.m * Treatment The conclusion of the first-day transfusion The first is f