{"id":27858,"date":"2023-04-24T14:10:39","date_gmt":"2023-04-24T07:10:39","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27858"},"modified":"2023-04-24T16:36:14","modified_gmt":"2023-04-24T09:36:14","slug":"truyen-dich-tinh-mach-va-cac-chi-dinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/truyen-dich-tinh-mach-va-cac-chi-dinh\/","title":{"rendered":"Truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch v\u00e0 c\u00e1c ch\u1ec9\u00a0 \u0111\u1ecbnh"},"content":{"rendered":"<p><strong>\u00a0\u00a0Khi ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch, ta ph\u1ea3i \u0111\u1ed1i di\u1ec7n v\u1edbi r\u1ea5t nhi\u1ec1u c\u00e1c lo\u1ea1i t\u00fai v\u00e0 chai, m\u1ed7i m\u1ed9t trong s\u1ed1 \u0111\u00f3\u00a0 ch\u1ee9a d\u1ecbch v\u1edbi nh\u1eefng t\u00ean g\u1ecdi kh\u00e1c nhau nh\u01b0 0.9% Saline hay D5 0.45% Saline. Nh\u1eefng\u00a0 dung d\u1ecbch n\u00e0y ch\u1ee9a g\u00ec, v\u00e0 ch\u00fang \u0111\u01b0\u1ee3c d\u00f9ng l\u00e0m g\u00ec? M\u1ed7i d\u1ecbch c\u00f3 c\u00f4ng d\u1ee5ng v\u00e0 ch\u1ec9\u00a0 \u0111\u1ecbnh ri\u00eang. B\u00e0i vi\u1ebft n\u00e0y c\u1ed1 g\u1eafng cung c\u1ea5p m\u1ed9t ti\u1ebfp c\u1eadn t\u1ed5ng qu\u00e1t v\u1edbi c\u00e2u h\u1ecfi: Dung\u00a0 d\u1ecbch n\u00e0o cho t\u00ecnh hu\u1ed1ng n\u00e0o.<\/strong><\/p>\n<h2>1. M\u1ed9t v\u00e0i l\u01b0u \u00fd v\u1ec1 truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch:<\/h2>\n<p><strong>1.1 Dung d\u1ecbch natri chloride (saline)<\/strong> c\u00f3 tr\u01b0\u01a1ng l\u1ef1c g\u1ea7n b\u1eb1ng huy\u1ebft t\u01b0\u01a1ng v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi\u00a0 l\u00e0 <strong>\u0111\u1eb3ng tr\u01b0\u01a1ng<\/strong>. V\u00ed d\u1ee5 ph\u1ed5 bi\u1ebfn l\u00e0 saline 0.9% v\u00e0 Ringer\u2019s Lactate. Nh\u1eefng dung\u00a0 d\u1ecbch n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi c\u1ea7n t\u0103ng th\u1ec3 t\u00edch d\u1ecbch ngo\u1ea1i b\u00e0o (ECFV). T\u1ed1t nh\u1ea5t l\u00e0 s\u1eed\u00a0 d\u1ee5ng c\u00e1c d\u1ecbch <strong>\u0111\u1eb3ng tr\u01b0\u01a1ng <\/strong>h\u01a1n l\u00e0 <strong>nh\u01b0\u1ee3c tr\u01b0\u01a1ng <\/strong>\u0111\u1ec3 t\u0103ng ECFV. C\u00e1c d\u1ecbch nh\u01b0\u00a0 D5W (5% Dextrose trong n\u01b0\u1edbc) 0.45% saline v\u00e0 D5 0.45% saline ph\u00e2n ph\u1ed1i n\u01b0\u1edbc\u00a0 t\u1ef1 do. N\u01b0\u1edbc t\u1ef1 do \u0111\u01b0\u1ee3c cung c\u1ea5p trong b\u1ed1i c\u1ea3nh thi\u1ebfu h\u1ee5t ECFV c\u00f3 th\u1ec3 d\u1eabn t\u1edbi h\u1ea1\u00a0 natri m\u00e1u nguy hi\u1ec3m.<\/p>\n<p>Dung d\u1ecbch saline \u0111\u1eb3ng tr\u01b0\u01a1ng c\u00f3 ch\u1ee9a dextrose 5%-, D5 0.9% saline v\u00e0 D5 Ringer\u2019s\u00a0 Lactate ph\u00e2n ph\u1ed1i m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf glucose (50 gr\/l). D\u01b0\u1edbi nh\u1eefng \u0111i\u1ec1u ki\u1ec7n b\u00ecnh\u00a0 th\u01b0\u1eddng, glucose \u0111\u01b0\u1ee3c \u0111\u1ed3ng h\u00f3a v\u00e0o t\u1ebf b\u00e0o v\u00e0 kh\u00f4ng l\u00e0m thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 glucose\u00a0 c\u1ee7a b\u1ec7nh nh\u00e2n. V\u00ed d\u1ee5, n\u1ebfu ta d\u00f9ng 1 l\u00edt D5 0,9% saline, ngh\u0129a l\u00e0 ta \u0111ang ph\u00e2n ph\u1ed1i\u00a0 9.9% saline v\u00e0o th\u1ec3 t\u00edch d\u1ecbch ngo\u1ea1i b\u00e0o (ECVFV) c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 50 gr glucose c\u0169ng\u00a0 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o trong t\u1ebf b\u00e0o. H\u1ec7 qu\u1ea3 l\u00e0 1 l\u00edt saline 0.9% \u0111\u01b0\u1ee3c th\u00eam v\u00e0o d\u1ecbch ngo\u1ea1i\u00a0 b\u00e0o. Tuy nhi\u00ean, \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, glucose kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ed3ng h\u00f3a v\u00e0o t\u1ebf\u00a0 b\u00e0o t\u1ed1t v\u00e0 do \u0111\u00f3 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi dung d\u1ecbch ch\u1ee9a D5.<\/p>\n<p>M\u1ed9t v\u00e0i v\u00ed d\u1ee5 v\u1ec1 c\u00e1c t\u00ecnh hu\u1ed1ng m\u00e0 saline 0.9% l\u00e0 ch\u1ec9 \u0111\u1ecbnh ph\u00f9 h\u1ee3p:<\/p>\n<ul>\n<li>Thi\u1ebfu h\u1ee5t ECFV do c\u00e1c d\u1ecbch g\u00e2y nh\u01b0\u1ee3c tr\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 natri m\u00e1u nguy\u00a0 hi\u1ec3m trong b\u1ed1i c\u1ea3nh thi\u1ebfu h\u1ee5t ECFV<\/li>\n<li>Ki\u1ec3m so\u00e1t d\u1ecbch h\u1eadu ph\u1eabu- c\u00e1c d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 natri m\u00e1u nguy\u00a0 hi\u1ec3m trong b\u1ed1i c\u1ea3nh h\u1eadu ph\u1eabu<\/li>\n<li>Shock do b\u1ea5t k\u00ec nguy\u00ean nh\u00e2n n\u00e0o<\/li>\n<li>Xu\u1ea5t huy\u1ebft<\/li>\n<li>K\u1ebft h\u1ee3p v\u1edbi truy\u1ec1n m\u00e1u- c\u00e1c d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y ti\u00eau h\u1ed3ng c\u1ea7u<\/li>\n<li>B\u1ecfng<\/li>\n<\/ul>\n<p><strong>\u00a01.2 Dung d\u1ecbch saline nh\u01b0\u1ee3c tr\u01b0\u01a1ng<\/strong> nh\u01b0 saline 0.45% c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem nh\u01b0 x\u1ea5p x\u1ec9 1\/2\u00a0 saline 0.9% v\u00e0 1\/2 n\u01b0\u1edbc. Ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng trong nh\u1eefng t\u00ecnh hu\u1ed1ng m\u00e0 mong\u00a0 mu\u1ed1n c\u1ea3 t\u0103ng ECFV v\u00e0 \u0111\u1ec3 ph\u00e2n ph\u1ed1i n\u01b0\u1edbc t\u1ef1 do cho b\u1ec7nh nh\u00e2n \u01b0u tr\u01b0\u01a1ng. M\u1ed9t b\u1ec7nh\u00a0 nh\u00e2n nh\u01b0 th\u1ebf nh\u01b0 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u00f3 c\u1ea3 thi\u1ebfu h\u1ee5t th\u1ec3 t\u00edch v\u00e0 nh\u01b0\u1ee3c tr\u01b0\u01a1ng \u0111\u00e1ng k\u1ec3\u00a0 (th\u01b0\u1eddng t\u0103ng natri m\u00e1u ho\u1eb7c t\u0103ng \u0111\u01b0\u1eddng m\u00e1u \u0111\u00e1ng k\u1ec3 ho\u1eb7c c\u1ea3 hai). Natri trong dung\u00a0 d\u1ecbch l\u00e0m t\u0103ng ECFV, v\u00e0 n\u01b0\u1edbc \u0111i\u1ec1u ch\u1ec9nh t\u00ecnh tr\u1ea1ng \u01b0u tr\u01b0\u01a1ng. C\u00e1c d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng\u00a0 ph\u00e2n ph\u1ed1i n\u01b0\u01a1c t\u1ef1 do, c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 natri m\u00e1u, v\u00e0 do \u0111\u00f3 natri huy\u1ebft thanh ph\u1ea3i \u0111\u01b0\u1ee3c\u00a0 \u0111i\u1ec1u ch\u1ec9nh s\u00e1t sao. \u0110\u00e2y l\u00e0 m\u1ed9t v\u00e0i v\u00ed d\u1ee5 m\u00e0 trong \u0111\u00f3 dung d\u1ecbch saline nh\u01b0\u1ee3c tr\u01b0\u01a1ng l\u00e0\u00a0 ch\u1ec9 \u0111\u1ecbnh ph\u00f9 h\u1ee3p:<\/p>\n<ul>\n<li>T\u0103ng th\u1ea9m th\u1ea5u do t\u0103ng \u0111\u01b0\u1eddng m\u00e1u n\u1eb7ng (saline 0.45% , kh\u00f4ng d\u00f9ng D5\u00a0 0.45% saline)<\/li>\n<li>T\u0103ng natri m\u00e1u v\u1edbi thi\u1ebfu h\u1ee5t ECFV<\/li>\n<\/ul>\n<p><strong>1.3 D5W<\/strong> \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 cung c\u1ea5p n\u01b0\u1edbc t\u1ef1 do v\u00e0 h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb t\u0103ng natri m\u00e1u\u00a0 n\u1eb7ng v\u1edbi \u0111i\u1ec1u ki\u1ec7n l\u00e0 n\u00f3 kh\u00f4ng g\u00e2y glucose ni\u1ec7u. 1 l\u00edt D5W cung c\u1ea5p 1 l\u00edt n\u01b0\u1edbc cho\u00a0 b\u1ec7nh nh\u00e2n, m\u00e0 s\u1ebd ph\u00e2n ph\u1ed1i gi\u1eefa th\u1ec3 t\u00edch d\u1ecbch ngo\u1ea1i b\u00e0o (ECFV) v\u00e0 th\u1ec3 t\u00edch d\u1ecbch n\u1ed9i\u00a0 b\u00e0o (ICFV), v\u00e0 c\u0169ng c\u00f3 50 gr glucose \u0111\u01b0\u1ee3c t\u1ebf b\u00e0o s\u1eed d\u1ee5ng. H\u1ec7 qu\u1ea3 l\u00e0 s\u1ef1 ph\u00e2n ph\u1ed1i c\u1ee7a\u00a0 1 l\u00edt n\u01b0\u1edbc t\u1ef1 do. N\u01b0\u1edbc c\u1ea5t kh\u00f4ng th\u1ec3 \u0111\u01b0a v\u00e0o t\u0129nh m\u1ea1ch v\u00ec n\u00f3 g\u00e2y tan huy\u1ebft. D5W\u00a0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c. M\u1ed9t thu\u1eadn l\u1ee3i c\u1ee7a D5W l\u00e0 n\u00f3 kh\u00f4ng ph\u00e2n ph\u1ed1i\u00a0 natri kh\u00f4ng mong mu\u1ed1n v\u00e0 do \u0111\u00f3 g\u00e2y qu\u00e1 t\u1ea3i ECFV \u00edt h\u01a1n saline. D5W c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c\u00a0 d\u00f9ng v\u1edbi t\u1ed1c \u0111\u1ed9 th\u1ea5p (10- 25 cc\/gi\u1edd) khi mong mu\u1ed1n \u201cgi\u1eef \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch\u201d\u00a0 (KVO) cho c\u00e1c thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch.<\/p>\n<p>M\u1ed9t v\u00e0i t\u00ecnh hu\u1ed1ng m\u00e0 D5W c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0:<\/p>\n<ul>\n<li>\u0110i\u1ec1u ch\u1ec9nh t\u00ecnh tr\u1ea1ng t\u0103ng natri m\u00e1u- tr\u00f4ng nom b\u1ec7nh nh\u00e2n c\u1ea9n th\u1eadn v\u1edbi t\u0103ng\u00a0 \u0111\u01b0\u1eddng m\u00e1u ho\u1eb7c glucose ni\u1ec7u<\/li>\n<li>Ph\u00e2n ph\u1ed1i thu\u1ed1c \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n kh\u00f4ng ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\n<li>Khi KVO trong nh\u1eefng t\u00ecnh hu\u1ed1ng qu\u00e1 t\u1ea3i ECFV- D5W kh\u00f4ng ch\u1ee9a natri v\u00e0 s\u1ebd\u00a0 kh\u00f4ng l\u00e0m t\u0103ng ECFV nhi\u1ec1u nh\u01b0 saline.<\/li>\n<\/ul>\n<ol>\n<li>4 B\u1ed5 sung kali \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ed1t nh\u1ea5t b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng khi thu\u1eadn l\u1ee3i. S\u1eed d\u1ee5ng\u00a0 kali \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng.<\/li>\n<\/ol>\n<ul>\n<li>Nh\u1eefng b\u1ec7nh nh\u00e2n h\u1ea1 kali m\u00e1u n\u1eb7ng, \u0111e d\u1ecda t\u00ednh m\u1ea1ng<\/li>\n<li>Nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 dung n\u1ea1p kali b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng\u00a0 \u2022 Nh\u01b0 l\u00e0 m\u1ed9t li\u1ec1u \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn c\u1ea9n th\u1eadn khi cho v\u00e0o d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch\u00a0 S\u1eed d\u1ee5ng kali \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch l\u00e0 m\u1ed1i nguy hi\u1ec3m ti\u1ec1m t\u00e0ng do nguy c\u01a1 c\u1ee7a t\u0103ng kali\u00a0 m\u00e1u c\u1ea5p. (Ghi nh\u1edb s\u1ef1 th\u0103ng b\u1eb1ng mong manh gi\u1eefa kali n\u1ed9i v\u00e0 ngo\u1ea1i b\u00e0o). Kali \u0111\u01b0\u1ee3c\u00a0 \u0111\u01b0a v\u00e0o t\u0129nh m\u1ea1ch, v\u00e0 n\u1ed3ng \u0111\u1ed9 h\u01a1n 30 mEq\/L v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n h\u01a1n 10 mEq\/ gi\u1edd\u00a0 th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o v\u1edbi nh\u1eefng t\u00ecnh hu\u1ed1ng kh\u00f4ng ph\u1ea3i c\u1ea5p c\u1ee9u.<\/li>\n<\/ul>\n<p>1.5 M\u1ed9t trong nh\u1eefng ph\u00e9p \u0111o h\u1eefu hi\u1ec7u nh\u1ea5t nh\u01b0ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t trong n\u1ed9i\u00a0 khoa l\u00e0 c\u00e2n n\u1eb7ng b\u1ec7nh nh\u00e2n. <strong>B\u1ea5t k\u00ec b\u1ec7nh nh\u00e2n n\u00e0o \u0111ang \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch t\u0129nh\u00a0 m\u1ea1ch n\u00ean \u0111\u01b0\u1ee3c c\u00e2n h\u00e0ng ng\u00e0y n\u1ebfu c\u00f3 th\u1ec3<\/strong>. M\u1ed9t s\u1ef1 t\u0103ng ho\u1eb7c gi\u1ea3m c\u00e2n n\u1eb7ng \u0111\u1ed9t\u00a0 ng\u1ed9t l\u00e0 d\u1ea5u hi\u1ec7u quan tr\u1ecdng cho s\u1ef1 thay \u0111\u1ed5i t\u00ecnh tr\u1ea1ng d\u1ecbch.<\/p>\n<p>1.6 N\u00f3i chung, \u0111i\u1ec7n gi\u1ea3i, ure m\u00e1u, v\u00e0 creatinine (Cr) n\u00ean \u0111\u01b0\u1ee3c \u0111o h\u00e0ng ng\u00e0y \u1edf b\u1ea5t k\u00ec\u00a0 b\u1ec7nh nh\u00e2n n\u00e0o \u0111ang \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch \u0111\u1ec3 ki\u1ec3m so\u00e1t. Trong nh\u1eefng t\u00ecnh\u00a0 hu\u1ed1ng m\u00e0 c\u00e1c d\u1ecbch \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o nhanh ch\u00f3ng ho\u1eb7c s\u1ef1 m\u1ea5t th\u0103ng b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i\u00a0 n\u1eb7ng, th\u00ec \u0111i\u1ec7n gi\u1ea3i, ure m\u00e1u, v\u00e0 creatinine n\u00ean \u0111\u01b0\u1ee3c \u0111o th\u01b0\u1eddng xuy\u00ean h\u01a1n.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-27861 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/image258-300x269.png\" alt=\"truyen-dich-tinh-mach\" width=\"300\" height=\"269\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/image258-300x269.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/image258.png 623w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>2. Ch\u1ec9 \u0111\u1ecbnh duy tr\u00ec truy\u1ec1n t\u0129nh m\u1ea1ch\u00a0\u00a0<\/strong><\/h2>\n<p>Ch\u1ec9 \u0111\u1ecbnh duy tr\u00ec truy\u1ec1n TM l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n h\u00e0ng\u00a0 ng\u00e0y. M\u1ed9t trong nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng nh\u1ea5t c\u1ea7n nh\u1edb l\u00e0 li\u1ec7u ph\u00e1p d\u1ecbch v\u00e0 \u0111i\u1ec7n gi\u1ea3i\u00a0 ph\u1ea3i \u0111\u01b0\u1ee3c \u201cc\u00e2n \u0111o\u201d cho m\u1ed7i b\u1ec7nh nh\u00e2n sau khi \u0111\u00e3 xem x\u00e9t c\u1ea9n th\u1eadn tu\u1ed5i t\u00e1c, gi\u1edbi\u00a0 t\u00ednh, v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n<em>. <\/em>C\u00f3 nhi\u1ec1u c\u00e1ch \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n TM. Ph\u1ea7n n\u00e0y \u0111\u01b0a ra\u00a0 m\u1ed9t s\u1ed1 h\u01b0\u1edbng d\u1eabn gi\u00fap nh\u1eefng ng\u01b0\u1eddi m\u1edbi b\u1eaft \u0111\u1ea7u c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn c\u00f3 h\u1ec7 th\u1ed1ng vi\u1ec7c ch\u1ec9\u00a0 \u0111\u1ecbnh truy\u1ec1n TM. C\u00e1c th\u1ea3o lu\u1eadn d\u01b0\u1edbi \u0111\u00e2y xem nh\u01b0 l\u00e0 v\u1edbi tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 nh\u1eefng\u00a0 r\u1ed1i lo\u1ea1n n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i, v\u00e0 toan- ki\u1ec1m b\u00ean d\u01b0\u1edbi; kh\u00f4ng c\u00f3 ph\u1eabu thu\u1eadt ho\u1eb7c b\u00eanh l\u00fd\u00a0 n\u1ed9i khoa g\u1ea7n \u0111\u00e2y, v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 tim b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p><strong>N\u01b0\u1edbc\u00a0\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong>D\u01b0\u1edbi nh\u1eefng \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng, nhu c\u1ea7u n\u01b0\u1edbc h\u00e0ng ng\u00e0y kho\u1ea3ng 2000- 2500\u00a0 cc\/ng\u00e0y. Nhu c\u1ea7u n\u00e0y cho ph\u00e9p m\u1ea5t kho\u1ea3ng 500- 1000 cc\/ng\u00e0y b\u1edfi ph\u1ed5i, da, v\u00e0 ph\u00e2n,\u00a0 c\u1ed9ng v\u1edbi kho\u1ea3ng 1500 cc\/ng\u00e0y cho n\u01b0\u1edbc ti\u1ec3u. B\u1ec7nh nh\u00e2n v\u1edbi ch\u1ee9c n\u0103ng c\u00f4 \u0111\u1eb7c n\u01b0\u1edbc\u00a0 ti\u1ec3u b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 b\u00e0i ti\u1ebft c\u00e1c d\u1ecbch h\u00e0ng ng\u00e0y kho\u1ea3ng 500 cc, nh\u01b0ng kh\u00f4ng c\u1ea7n\u00a0 thi\u1ebft c\u1ed1 g\u1eafng l\u00e0m h\u1ea1n ch\u1ebf th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u. Th\u00f4ng th\u01b0\u1eddng, m\u1ea5t qua ph\u00e2n \u00edt h\u01a1n\u00a0 150 cc\/ng\u00e0y. Nhu c\u1ea7u n\u01b0\u1edbc c\u00f3 th\u1ec3 t\u0103ng h\u01a1n m\u1ee9c 2000- 2500 cc\/ng\u00e0y trong t\u00ecnh tr\u1ea1ng\u00a0 s\u1ed1t, th\u1edf m\u00e1y , ho\u1eb7c m\u1ea5t qua d\u1ea1 d\u00e0y- ru\u1ed9t. V\u1edbi s\u1ed1t, m\u1ea5t n\u01b0\u1edbc kh\u00f4ng c\u1ea3m th\u1ea5y t\u0103ng\u00a0 kho\u1ea3ng 60- 80 ml\/24h v\u1edbi m\u1ed7i m\u1ed9t \u0111\u1ed9 Fahrenheit (ND: [\u00b0F] = [\u00b0C] \u00d7 9\u20445 + 32)<\/p>\n<p><strong>Natri\u00a0<\/strong><\/p>\n<p>Th\u1eadn c\u00f3 th\u1ec3 thu nh\u1eadn m\u1ed9t gi\u1edbi h\u1ea1n r\u1ed9ng natri \u0111\u01b0a v\u00e0o b\u1eb1ng vi\u1ec7c b\u1ea3o t\u1ed3n ho\u1eb7c b\u00e0i\u00a0 ti\u1ebft natri. Trong nh\u1eefng t\u00ecnh hu\u1ed1ng thi\u1ebfu h\u1ee5t natri, natri n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng\u00a0 nh\u1ecf h\u01a1n 5 mEq\/L. Do \u0111\u00f3, kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i thay th\u1ebf l\u01b0\u1ee3ng l\u1edbn natri khi ta duy tr\u00ec\u00a0 d\u1ecbch truy\u1ec1n. Th\u00f4ng th\u01b0\u1eddng ng\u01b0\u1eddi ta cung c\u1ea5p 50- 100 mEq natri\/ng\u00e0y nh\u01b0 natri\u00a0 chloride, m\u1eb7c d\u00f9 nh\u1eefng b\u1ec7nh nh\u00e2n suy th\u1eadn, suy tim xung huy\u1ebft, x\u01a1 gan n\u00ean nh\u1eadn\u00a0 \u0111\u01b0\u1ee3c c\u00e0ng \u00edt natri c\u00e0ng t\u1ed1t.<\/p>\n<p><strong>Kali\u00a0\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong>Th\u1eadn b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 thu nh\u00e2n nh\u1eefng bi\u1ebfn \u0111\u1ed5i r\u1ed9ng c\u1ee7a natri \u0111\u01b0a v\u00e0o. Trong\u00a0 nh\u1eefng t\u00ecnh hu\u1ed1ng thi\u1ebfu h\u1ee5t kali, b\u00e0i ti\u1ebft kali c\u1ee7a th\u1eadn c\u00f3 th\u1ec3 ch\u1ec9 \u00edt kho\u1ea3ng 10\u00a0 mEq\/ng\u00e0y. B\u1eefa \u0103n h\u00e0ng ng\u00e0y th\u01b0\u1eddng ch\u1ee9a kho\u1ea3ng 1 mEq\/kg\/ng\u00e0y (v\u00ed d\u1ee5, con s\u1ed1 n\u00e0y\u00a0 l\u00e0 50 mEq\/ng\u00e0y v\u1edbi m\u1ed9t ph\u1ee5 n\u1eef 50 kg). D\u01b0\u1edbi nh\u1eefng \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng, ng\u01b0\u1eddi ta\u00a0 cung c\u1ea5p 20- 60 mEq\/ng\u00e0y \u0111\u1ec3 duy tr\u00ec d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch. S\u1eed d\u1ee5ng dung d\u1ecbch saline\u00a0 kh\u00f4ng c\u00f3 kali c\u00f3 th\u1ec3 g\u00e2y t\u0103ng s\u1ef1 ph\u00e2n ph\u1ed1i kali t\u1edbi \u1ed1ng l\u01b0\u1ee3n xa v\u00e0 t\u0103ng trao \u0111\u1ed5i natri kali. \u0110i\u1ec1u n\u00e0y d\u1eabn t\u1edbi t\u0103ng m\u1ea5t kali qua n\u01b0\u1edbc ti\u1ec3u, g\u00e2y h\u1ea1 kali m\u00e1u. M\u1ed9t l\u1ea7n n\u1eefa, ki\u1ec3m\u00a0 so\u00e1t ch\u1eb7t ch\u1ebd li\u1ec7u ph\u00e1p lu\u00f4n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/p>\n<p><strong><em>Th\u1eadn tr\u1ecdng: <\/em><\/strong><strong>S\u1ed1 l\u01b0\u1ee3ng n\u01b0\u1edbc, natri, v\u00e0 kali \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp \u1edf ph\u1ea7n n\u00e0y ch\u1ec9 l\u00e0 nh\u1eefng\u00a0 h\u01b0\u1edbng d\u1eabn chung<\/strong>. Li\u1ec7u ph\u00e1p s\u1eed d\u1ee5ng v\u1edbi m\u1ed7i b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c \u201cc\u00e2n \u0111o\u201d c\u1ea9n\u00a0 th\u1eadn cho m\u1ed7i b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u00e1nh gi\u00e1 l\u1ea1i h\u00e0ng ng\u00e0y. Nh\u00ecn chung, c\u00e2n n\u1eb7ng c\u01a1 th\u1ec3, \u0111i\u1ec7n\u00a0 gi\u1ea3i, ure m\u00e1u, v\u00e0 creatinin n\u00ean \u0111\u01b0\u1ee3c \u0111o h\u00e0ng ng\u00e0y \u1edf b\u1ea5t k\u00ec b\u1ec7nh nh\u00e2n n\u00e0o \u0111ang \u0111\u01b0\u1ee3c\u00a0 truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch. C\u0169ng th\u1ebf, nh\u1eefng t\u00ecnh tr\u1ea1ng nh\u01b0 suy th\u1eadn, suy tim xung huy\u1ebft,\u00a0 v\u00e0 b\u1ec7nh l\u00fd gan s\u1ebd l\u00e0m thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 li\u1ec7u ph\u00e1p d\u1ecbch ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh nh\u00e2n.<\/p>\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0 <span style=\"font-weight: 400;\">\u201c<\/span><b>ACID-BASE, FLUIDS, AND ELECTROLYTES MADE RIDICULOUSLY SIMPLE<\/b><span style=\"font-weight: 400;\">\u201d ,\u00a0 \u00a0Richard A. Preston, M.D. M.B.A.\u00a0\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0Khi ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch, ta ph\u1ea3i \u0111\u1ed1i di\u1ec7n v\u1edbi r\u1ea5t nhi\u1ec1u c\u00e1c lo\u1ea1i t\u00fai v\u00e0 chai, m\u1ed7i m\u1ed9t trong s\u1ed1 \u0111\u00f3\u00a0 ch\u1ee9a d\u1ecbch v\u1edbi nh\u1eefng t\u00ean g\u1ecdi kh\u00e1c nhau nh\u01b0 0.9% Saline hay D5 0.45% Saline. Nh\u1eefng\u00a0 dung d\u1ecbch n\u00e0y ch\u1ee9a g\u00ec, v\u00e0 ch\u00fang \u0111\u01b0\u1ee3c d\u00f9ng l\u00e0m g\u00ec? M\u1ed7i d\u1ecbch c\u00f3 c\u00f4ng [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch v\u00e0 c\u00e1c ch\u1ec9\u00a0 \u0111\u1ecbnh - Vinmec<\/title>\n<meta name=\"description\" content=\"Khi ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch, ta ph\u1ea3i \u0111\u1ed1i di\u1ec7n v\u1edbi nh\u1eefng nh\u1eefng dung d\u1ecbch c\u00f3 t\u00ean g\u1ecdi kh\u00e1c nhau nh\u01b0 0.9% Saline hay D5 0.45% Saline.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch v\u00e0 c\u00e1c ch\u1ec9\u00a0 \u0111\u1ecbnh - 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