Ringer's Lactate Solution: Zomwe Zili Ndi Momwe Amagwiritsidwira Ntchito

Zamkati

• Zikusiyana bwanji ndi mchere?
• Zomwe amafanana
• Momwe iwo amasiyana
• Zamkatimu yankho
• Ntchito zachipatala za Ringer's lactated
• Momwe yankho limayendera
• Zotsatira zoyipa
• Mlingo wabwinobwino wa mkaka wa m'mawere wa Ringer
• Kutenga

Lactated Ringer's solution, kapena LR, ndi intravenous (IV) madzi amadzi omwe mungalandire ngati mwasowa madzi m'thupi, mukuchitidwa opaleshoni, kapena kulandira mankhwala a IV. Nthawi zina amatchedwanso Ringer's lactate kapena sodium lactate solution.

Pali zifukwa zingapo zomwe mungalandirire madzi amtunduwu ngati mukufuna chithandizo chamankhwala.

Zikusiyana bwanji ndi mchere?

Ngakhale mchere wa Ringer wamchere komanso wa lactated uli ndi kufanana pang'ono, amakhalanso ndi kusiyana. Izi zitha kupangitsa kuti kugwiritsa ntchito imodzi ikhale yoyenera kuposa inayo kutengera momwe zinthu zilili.

Zomwe amafanana

Mchere wabwinobwino ndi ma Ringer omwe ali ndi mkaka wamadzi ndimadzimadzi awiri a IV omwe amagwiritsidwa ntchito kwambiri kuchipatala ndi malo azaumoyo.

Onsewo ndi amadzimadzi a isotonic. Kukhala isotonic kumatanthauza kuti madzi amakhala ndi kuthamanga kwa osmotic kofanana ndi magazi. Kupanikizika kwa Osmotic ndiyeso yama solute (monga sodium, calcium, ndi chloride) kwa zosungunulira (mwachitsanzo, madzi).

Kukhala isotonic kumatanthauzanso kuti mukalandira IV lactated Ringer's, yankho silimapangitsa kuti maselo achepetse kapena kukulira. M'malo mwake, yankho liziwonjezera kuchuluka kwa madzimadzi mthupi lanu.

Momwe iwo amasiyana

Opanga madzi amadzimadzi amaika zinthu zingapo mosiyanasiyana munchere wamchere poyerekeza ndi wa Ringer wa lactated. Kusiyanasiyana kwa ma particles kumatanthauza kuti Ringer wa lactated sakhala motalika m'thupi monga saline wabwinobwino. Izi zitha kukhala zopindulitsa popewa kuchuluka kwa madzimadzi.

Komanso, ma Ringer a lactated amakhala ndi zowonjezera zowonjezera sodium lactate. Thupi limagwiritsa ntchito chinthuchi chotchedwa bicarbonate. Ichi ndi "maziko" omwe amatha kuthandiza kuti thupi lisakhale ndi acidic.

Pachifukwa ichi, madotolo ena amagwiritsa ntchito ma Ringer a lactated akamachiza matenda monga sepsis, momwe thupi limakhala losalala kwambiri.

Kafukufuku wina akuwonetsa kuti ma Ringer a lactated atha kusankhidwa kuposa saline wabwinobwino m'malo mwa madzi amwazi omwe adwala.

Komanso mchere wambiri umakhala ndi mankhwala enaake apamwamba. Izi nthawi zina zimayambitsa vasoconstriction yaimpso, yomwe imakhudza magazi kupita ku impso. Izi nthawi zambiri sizidandaula pokhapokha munthu atapeza mchere wambiri wambiri.

Lactated Ringer's sasakanikirana bwino ndi mayankho ena a IV. Ma Pharmacies m'malo mwake amasakaniza saline wabwinobwino ndi zotsatirazi IV:

• methylprednisone
• mankhwala
• kapulitsidwe
• norepinephrine
• mankhwala

Chifukwa chakuti Ringer's yoyamwitsa ili ndi calcium, madokotala ena samalimbikitsa kugwiritsa ntchito munthu akathiridwa magazi. Kashiamu wowonjezera amatha kumangirira ndi zotetezera zomwe zimaphatikizidwa m'mwazi ndi malo osungira magazi kuti zisungidwe. Izi zitha kuwonjezera ngozi yamagazi.

Monga cholembera cham'mbali, ma Ringer a lactated nawonso ndi osiyana pang'ono ndi omwe amangotchedwa yankho la Ringer chabe. Yankho la Ringer nthawi zambiri limakhala ndi sodium bicarbonate m'malo mwa sodium lactate mmenemo. Nthawi zina yankho la Ringer limakhalanso ndi shuga (shuga) wochulukirapo kuposa Ringer's lactated.

Zamkatimu yankho

Yankho la Lactated Ringer lili ndi maelekitirodi ambiri ofanana omwe magazi mwachilengedwe amachita.

Malinga ndi a B. Braun Medical, imodzi mwamakampani omwe amapanga mawere a Ringer's, mamililita 100 aliwonse amtunduwu amakhala ndi izi:

• calcium chloride: 0.02 magalamu
• potaziyamu mankhwala enaake: 0.03 magalamu
• sodium kolorayidi: 0.6 magalamu
• sodium lactate: 0,31 magalamu
• madzi

Zida izi zimatha kusiyanasiyana pang'ono ndi wopanga.

Ntchito zachipatala za Ringer's lactated

Onse akulu ndi ana atha kulandira yankho la Ringer loyamwa. Zina mwazifukwa zomwe munthu angalandire yankho la IV ndi izi:

• kuchiza kutaya madzi m'thupi
• kuti athe kuyendetsa mankhwala a IV panthawi ya opaleshoni
• Kubwezeretsanso madzi amadzimadzi pambuyo pochepetsa magazi kapena kuwotcha
• kusunga mtsempha wokhala ndi katemera wa IV wotseguka

Lactated Ringer's nthawi zambiri amakhala njira yankho la IV ngati muli ndi sepsis kapena matenda oopsa kwambiri omwe thupi lanu limakhala ndi asidi limaponyedwa.

Madokotala amathanso kugwiritsa ntchito Ringer's lactated ngati yothirira yankho. Yankho lake ndilosabala (lilibe mabakiteriya momwe amasungidwa bwino). Itha kugwiritsidwa ntchito kutsuka bala.

Itha kugwiritsidwanso ntchito popanga opaleshoni kuthirira chikhodzodzo kapena malo ochitira opareshoni. Izi zimathandiza kutsuka mabakiteriya kapena kupangitsa kuti malo ochitira opaleshoni azioneka.

Opanga samafuna kuti anthu amwe yankho la Ringer loyamwa. Zimangotanthauza kuthirira kapena kugwiritsa ntchito IV.

Momwe yankho limayendera

Mumalandira yankho la lactinger Ringer mu IV. Yankho likalowa mumtsempha, limalowa mkati mwa maselo komanso kunja. Momwemo, yankho limathandizira kusunga kapena kukwaniritsa bwino madzi m'thupi lanu.

Zotsatira zoyipa

Kupatsa Ringer wa mkaka wambiri kungayambitse kutupa ndi edema. Anthu ena ali ndi matenda omwe amatanthauza kuti matupi awo sangathe kusamalira madzi owonjezerawo. Izi ndi monga:

• matenda a impso
• congestive mtima kulephera
• hypoalbuminemia
• matenda enaake

Ngati anthu omwe ali ndi matendawa akupeza Ringer's lactated (kapena madzi ena aliwonse a IV), katswiri wazachipatala ayenera kuwayang'anitsitsa kuti atsimikizire kuti sakupeza madzi ambiri.

Kuphatikiza pa kuchuluka kwamadzimadzi, yankho la Ringer loyamwa kwambiri lingakhudze kuchuluka kwamagetsi anu. Izi zikuphatikizapo sodium ndi potaziyamu. Chifukwa pali sodium wocheperako mu Ringer wa lactated kuposa momwe muliri m'magazi, kuchuluka kwanu kwa sodium kumatha kutsika kwambiri mukakhala wochuluka.

Njira zina zothetsera mavitaminiwa ndi dextrose, mtundu wa shuga. mwa anthu omwe ali ndi chifuwa cha chimanga.

Mlingo wabwinobwino wa mkaka wa m'mawere wa Ringer

Mlingo wa Ringer wa lactated zimatengera momwe zinthu zilili. Dokotala adzawona zinthu monga msinkhu wanu, kuchuluka kwanu, kulemera kwanu konse, komanso momwe mumakhalira kale ndi madzi.

Nthawi zina dokotala amatha kuyitanitsa madzi amtundu wa IV pamlingo wa "KVO". Izi zikuyimira "khalani otseguka," ndipo nthawi zambiri amakhala pafupifupi mamililita 30 pa ola limodzi. Ngati mwasowa kwambiri madzi, dokotala atha kuyitanitsa madzi omwe amalowetsedwa mwachangu kwambiri, monga mamililita 1,000 (1 litre).

Kutenga

Ngati mukuyenera kukhala ndi IV, mutha kuwona kuti chikwama chanu cha IV chimati "Lated's Ringer's." Imeneyi ndi njira yoyeserera kwakanthawi yosinthira madzi omwe madokotala amapereka. Ngati mungalandire, mudzayang'aniridwa kuti muwonetsetse kuti simukupeza zambiri kudzera mu IV yanu.