生理盐水250ml加10ml氯化钾....有事么。本身低钾的,输之前3.2mmol, 250ml生理盐水最多能加多少毫升氯化钾
\u6709\u4e4f\u529b\u8868\u73b0\uff0c\u68c0\u67e5\u4e0d\u7f3a\u94be\uff0c\u533b\u751f\u5f00250ml\u751f\u7406\u76d0\u6c34\u52a010ml\u6c2f\u5316\u94be \u6ef4\u901f\u5e94\u8be5\u8c03\u8865\u94be\u5242\u91cf\u3001\u6d53\u5ea6\u548c\u901f\u5ea6\u6839\u636e\u4e34\u5e8a\u75c5\u60c5\u548c\u8840\u94be\u6d53\u5ea6\u53ca\u5fc3\u7535\u56fe\u7f3a\u94be\u56fe\u5f62\u6539\u5584\u800c\u5b9a\u3002\u94be\u6d53\u5ea6\u4e0d\u8d85\u8fc7 3.4 g/L\uff0845 mmol/L\uff09\uff0c\u8865\u94be\u901f\u5ea6\u4e0d\u8d85\u8fc7 0.75 g/\u5c0f\u65f6\uff0810mmol/\u5c0f\u65f6\uff09\uff0c\u6bcf\u65e5\u8865\u94be\u91cf\u4e3a 3\uff5e4.5 g\uff0840\uff5e60mmol\uff09
\u6700\u591a\u52a07.5ml\uff0c\u56e0\u4e3a\u8865\u94be\u6d53\u5ea6\u4e0d\u5f97\u8d85\u8fc70.3%
\u5982\u679c\u94be\u79bb\u5b50\u6d53\u5ea6\u8fc7\u9ad8\uff0c\u5e76\u4e14\u8f93\u6ce8\u901f\u5ea6\u8fc7\u5feb\uff0c\u5f88\u53ef\u80fd\u4f1a\u51fa\u73b0\u4e00\u8fc7\u6027\u9ad8\u94be\u8840\u75c7\uff0c\u5bfc\u81f4\u75c5\u4eba\u5fc3\u7387\u52a0\u5feb\uff0c\u5fc3\u614c\uff0c\u4e25\u91cd\u8005\u8fd8\u4f1a\u51fa\u73b0\u5fc3\u810f\u9aa4\u505c\u7684\u60c5\u51b5\u3002\u6240\u4ee5\uff0c\u9759\u8109\u8865\u94be\u65f6\uff0c\u94be\u79bb\u5b50\u6d53\u5ea6\u4e0d\u80fd\u8fc7\u9ad8\uff0c\u901f\u5ea6\u4e5f\u4e0d\u80fd\u8fc7\u5feb\uff0c\u540c\u65f6\u8fd8\u8981\u53ca\u65f6\u76d1\u6d4b\u8840\u94be\u7684\u6c34\u5e73\u3002
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\u6269\u5c55\u8d44\u6599
\u7528\u751f\u7406\u76d0\u6c34\u6cbb\u7597\u65e0\u6548\u7684\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2
1\u3001\u76d0\u7c7b\u76ae\u8d28\u6fc0\u7d20\u5206\u6ccc\u8fc7\u591a\uff1a\u539f\u53d1\u6027\u76d0\u7c7b\u76ae\u8d28\u6fc0\u7d20\u8fc7\u591a\u65f6\uff0c\u53ef\u4ee5\u589e\u52a0\u80be\u810f\u8fdc\u66f2\u5c0f\u7ba1\u548c\u96c6\u5408\u7ba1\u5bf9Na+\u548cH2O\u7684\u91cd\u5438\u6536\uff0c\u5e76\u4fc3\u8fdbK+\u548cH+\u7684\u6392\u51fa\u3002
\u56e0\u6b64\uff0c\u919b\u56fa\u916e\u8fc7\u591a\u80fd\u5bfc\u81f4H+\u7ecf\u80be\u7684\u4e22\u5931\u548cNaHCO3\u91cd\u5438\u6536\u589e\u52a0\uff0c\u5f15\u8d77\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\uff0c\u540c\u65f6\u8fd8\u53ef\u5f15\u8d77\u4f4e\u94be\u8840\u75c7\u3002\u6b64\u65f6\uff0c\u8865\u5145\u751f\u7406\u76d0\u6c34\u90fd\u4e0d\u80fd\u4e88\u4ee5\u7ea0\u6b63\uff0c\u6240\u4ee5\u79f0\u4e3a\u201c\u5bf9\u6c2f\u65e0\u53cd\u5e94\u6027\u78b1\u4e2d\u6bd2\u201d\u3002
2\u3001\u7f3a\u94be\uff1a\u673a\u4f53\u7f3a\u94be\u53ef\u5f15\u8d77\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\u3002\u8fd9\u662f\u7531\u4e8e\u4f4e\u94be\u8840\u75c7\u65f6\uff0c\u7ec6\u80de\u5916\u6db2K+\u6d53\u5ea6\u964d\u4f4e\uff0c\u7ec6\u80de\u5185K+\u5411\u7ec6\u80de\u5916\u8f6c\u79fb\uff0c\u800c\u7ec6\u80de\u5916\u6db2\u4e2d\u7684H+\u5411\u7ec6\u80de\u5185\u79fb\u52a8\uff1b\u540c\u65f6\uff0c\u80be\u5c0f\u7ba1\u4e0a\u76ae\u7ec6\u80deK+\u7f3a\u4e4f\u53ef\u5bfc\u81f4H+\u6392\u6ccc\u589e\u591a\u3002
\u56e0\u800cH+\u4e00Na+\u4ea4\u6362\u589e\u52a0\uff0cHCO3-\u91cd\u5438\u6536\u589e\u52a0\uff0c\u4e8e\u662f\u5c31\u53d1\u751f\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\u3002\u6b64\u65f6\uff0c\u75c5\u4eba\u5c3f\u6db2\u4ecd\u5448\u9178\u6027\uff0c\u79f0\u4e3a\u53cd\u5e38\u6027\u9178\u6027\u5c3f\u3002\u6cbb\u7597\u65f6\u9700\u8865\u5145\u94be\u76d0\uff0c\u5355\u72ec\u5e94\u7528\u6c2f\u5316\u94a0\u6eb6\u6db2\u4e0d\u80fd\u7ea0\u6b63\u8fd9\u7c7b\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\u3002
3\u3001\u78b1\u6027\u7269\u8d28\u8f93\u5165\u8fc7\u91cf\uff1a\u89c1\u4e8e\u6e83\u75a1\u75c5\u60a3\u8005\u957f\u671f\u670d\u7528\u8fc7\u591aNaHCO3\uff0c\u73b0\u5df2\u5f88\u5c11\u5e94\u7528\u8fd9\u7c7b\u836f\u7269\u6cbb\u7597\u6d88\u5316\u6027\u6e83\u75a1\uff0c\u6545\u8fd9\u79cd\u539f\u56e0\u6240\u81f4\u7684\u78b1\u4e2d\u6bd2\u5df2\u8f83\u5c11\u89c1\u3002\u8f93\u5165\u5927\u91cf\u78b3\u9178\u6c22\u94a0\u548c\u5e93\u5b58\u8840\u6db2\u53ef\u4ee5\u9020\u6210\u533b\u6e90\u6027\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\uff0c\u56e0\u8f93\u5165\u8840\u6db2\u4e2d\u7684\u67b8\u6a7c\u9178\u76d0\u6297\u51dd\u5242\u7ecf\u4ee3\u8c22\u53ef\u4ea7\u751f\u8fc7\u591a\u7684HCO3-\u3002
正常
绛旓細濡傛灉鍔犲叆鐨勬隘鍖栭捑婧舵恫涔熸槸绛夋笚婧舵恫锛屾槸娌℃湁闂鐨勩傞鐩腑鐨3.2mmol,鏄敊璇殑锛屽簲璇ユ槸320mmol/L.杩欎釜娴撳害璇存槑鏄瓑娓楁憾娑层
绛旓細10ml瀵逛簬姝e父浜烘潵璇翠笉浼氶犳垚褰卞搷锛屽浜庨珮閽捐鐥囩梾浜轰細鍔犻噸鐥呮儏锛屽浜庡皬鍨嬪姩鐗╂潵璇翠細閫犳垚蹇冭剰楠ゅ仠
绛旓細瀹屽叏娌′簨銆傚彛鏈嶆隘鍖栭捑鐨勬瘨鎬ц窡鏅氱洂宸笉澶氾紝鍗婃暟鑷存閲忕害涓2500 mg/kg銆傝岄潤鑴夋敞灏勫氨瑕佸帀瀹冲緱澶氬崐鏁拌嚧姝婚噺绾︿负100 mg/kg銆備綘閭10ML鐨勬憾娑茶兘鏈夊嚑鐐癸紵7ml娌′簨涓嶄細10ml灏辨鐨勶紝鍩烘湰姣棤褰卞搷
绛旓細琛ラ捑鍓傞噺銆佹祿搴﹀拰閫熷害鏍规嵁涓村簥鐥呮儏鍜岃閽炬祿搴﹀強蹇冪數鍥剧己閽惧浘褰㈡敼鍠勮屽畾銆傞捑娴撳害涓嶈秴杩 3.4 g/L锛45 mmol/L锛夛紝琛ラ捑閫熷害涓嶈秴杩 0.75 g/灏忔椂锛10mmol/灏忔椂锛夛紝姣忔棩琛ラ捑閲忎负 3锝4.5 g锛40锝60mmol锛
绛旓細鎸夊父瑙勭敤NaOH鏍囧噯娑叉淮瀹氾紝1姣崌0.1N NaOH婧舵恫鐩稿綋浜1.43鍗$殑鐑鐢熺悊鐩愭按涓隘鍖栭挔鍚噺婊村畾鏃讹紝鐢熺悊鐩愭按椤诲畾閲忕█閲婃垚琚祴鏍峰搧锛屽仛绌虹櫧璇曢獙鏄负娑堥櫎绋閲婃墍鐢ㄦ憾鍓備腑鍙兘鍚湁鐨勫井閲忔隘鍖栭挔瀵规淮瀹氱粨鏋滅殑褰卞搷銆(瀹為檯婊村畾鎵鐢ㄨ瘯鍓傞噺 鈥 绌虹櫧璇曢獙婊村畾鎵鐢ㄨ瘯鍓傞噺 = 鏍峰搧涓隘鍖栭挔娑堣楄瘯鍓傞噺锛...
绛旓細250ml鐢熺悊鐩愭按鍙互鍔30ml娴撴隘鍖栭挔鐐规淮鍚 194ml鐢熺悊鐩愭按+6ml娴撴隘鍖栭挔 涓鐧惧厠姘存渶澶ф憾瑙d笁鍗佸鍏嬫隘鍖栭挔锛岀敓鐞嗙洂姘村啀鍔犳隘鍖栭挔灏变笉鏄敓鐞嗙洂姘翠簡銆 鐢熺悊鐩愭按锛屾槸鎸囩敓鐞嗗瀹為獙鎴栦复搴婁笂甯哥敤鐨勬笚閫忓帇涓庡姩鐗╂垨浜轰綋琛娴嗙殑娓楅忓帇鐩哥瓑鐨勬隘鍖栭挔婧舵恫銆備汉浠钩甯哥偣婊寸敤鐨勬隘鍖栭挔娉ㄥ皠娑叉祿搴︽槸0.9%,鍙互褰撴垚鐢熺悊鐩愭按鏉ヤ娇...
绛旓細琛ラ捑鐨勬祿搴︿笉瓒呰繃0.3%锛屼竴鑸隘鍖栭捑閮芥槸鐧惧垎涔嬪崄鐨勶紝鍋囪闇瑕佺殑閲忔槸X锛屽氨鏄10%X/200+X=0.3%,澶ц嚧灏辨槸6.18ml,浣嗘槸涓轰簡鏂逛究浣跨敤锛屼竴鑸兘鏄敤6ml銆
绛旓細鏈澶氬姞7.5ml锛屽洜涓鸿ˉ閽炬祿搴︿笉寰楄秴杩0.3 濡傛灉閽剧瀛愭祿搴﹁繃楂橈紝骞朵笖杈撴敞閫熷害杩囧揩锛屽緢鍙兘浼氬嚭鐜颁竴杩囨ч珮閽捐鐥囷紝瀵艰嚧鐥呬汉蹇冪巼鍔犲揩锛屽績鎱岋紝涓ラ噸鑰呰繕浼氬嚭鐜板績鑴忛鍋滅殑鎯呭喌銆傛墍浠ワ紝闈欒剦琛ラ捑鏃讹紝閽剧瀛愭祿搴︿笉鑳借繃楂橈紝閫熷害涔熶笉鑳借繃蹇紝鍚屾椂杩樿鍙婃椂鐩戞祴琛閽剧殑姘村钩銆
绛旓細鏈澶氬姞7.5ml锛屽洜涓鸿ˉ閽炬祿搴︿笉寰楄秴杩0.3 濡傛灉閽剧瀛愭祿搴﹁繃楂橈紝骞朵笖杈撴敞閫熷害杩囧揩锛屽緢鍙兘浼氬嚭鐜颁竴杩囨ч珮閽捐鐥囷紝瀵艰嚧鐥呬汉蹇冪巼鍔犲揩锛屽績鎱岋紝涓ラ噸鑰呰繕浼氬嚭鐜板績鑴忛鍋滅殑鎯呭喌銆傛墍浠ワ紝闈欒剦琛ラ捑鏃讹紝閽剧瀛愭祿搴︿笉鑳借繃楂橈紝閫熷害涔熶笉鑳借繃蹇紝鍚屾椂杩樿鍙婃椂鐩戞祴琛閽剧殑姘村钩銆/iknow-pic.cdn.bcebos.com/a686c9177f3e...
绛旓細3ml