Page 134 - Phòng Và Điều Trị Bệnh Đái Tháo Đường
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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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