儿科学Pediatrics(1)的课件.pptxVIP

Fluid Therapy;I fluid balance in child;:.The dis;The distribution of Body fluids in all ages (accounted for Weight %);3. Wat;II Electrolyte Component;Ill balance and adjustment;IVacid-base balance marker;Disturbance of acid-base balance;Treatment;Purpose of Fluid Therapy;II The way of Fluid Therapy;Ill Fluid therapy;(I) Cumulative loss supplement According to the degree of dehydration, decision rehydration volume, composition, speed;Isotonic dehydration： 2/3~1/2张 Hypotonic dehydration：等张~2/3张 Hypertonic dehydration：卜/3~1/8张;(II) Continued loss supplement;Common: 1/5 张;（Ill） To correct acidosis;IV Principles of Therapy;Supplement Potassium Notes;Conversion the solution used;Oral Rehydration Salts (ORS) ■ sodium chloride： 3.5g Br sodium bicarbonate(sodium citrate)： 2.5g(2.9g) potassium chloride： 1.5g glucose： 20g Add water to 1000ml, to become2/3张.;ORS机制;_ Characteristics of ORS Advantage: —— -Close to plasma osmolality .一 Content of the concentration of Na+、 K+、 Clcan correct the amount of loss 一 Children easily accept the taste 一 Sodium citrate to correct metabolic acidosis 一 2°/o glucose to promote sodium and water absorption maximum;Disadvantage: - Liquid Tension higher (2/3张) 一 Can not be used as supplementary to maintain the liquid -For newborns and infants, concentration of sodium is higher (Should be an appropriate dilution)