Page 134 - Phòng Và Điều Trị Bệnh Đái Tháo Đường

trtfdng bing diidng glucose 5%. Toe do truyen dich phu
thuoc vao ap ltfc tinh mach trung tam (ALTMTT):
- ALTMTT < 3cm H20: lOOOml/gid.

- ALTMTT 3-8cm H20: 500ml/gid.
- ALTMTT 8-12cm H20: 250mygid.

o Can bang dien giai:
- Na+ : trong khung canh bu ntfdc (xem tren).

- Bu K+ khi K+ < 5mmol/l:
. K+ < 3mmol/l: 20mmol/gid.

. K+ 3-4mmol/l: 15mmol/gid.
. K+ 4-5mmol/l: lOmmol/gid.

lg KCl co 13mmol Kali.

- Tuy theo ham liidng phosphat mau (xem them d
dtfdi): dung phosphatK+ hoac KCl.
- Bu phosphor neu phosphor mau < 1 mmol/1: khoang
40mmol/24 gid cung vdi bu K+ (dung phosphat K+ ).

o Dung insulin: dang insulin nhanh bang bdm tiem
dien. Lieu liidng phu thuoc vao diidng mau.

Bang 11: Lieu insulin nhanh
tuy theo diidng mau

Diidng mau mg/dl Lieu insulin ttfc thi Toe do
(mmol/1) tiem tinh mach truyen

300-400 (16,7-22,2) - 3 ddn vi/gid
400-500 (22-21,8) 8 ddn vi 5 ddn vi/gid
> 500 (27,8) 12 ddn vi 8 ddn vi/gid

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