{"id":32933,"date":"2023-05-10T19:23:23","date_gmt":"2023-05-10T12:23:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32933"},"modified":"2023-05-10T19:23:23","modified_gmt":"2023-05-10T12:23:23","slug":"chien-luoc-truyen-dich-va-kiem-soat-cac-bien-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/10\/chien-luoc-truyen-dich-va-kiem-soat-cac-bien-chung\/","title":{"rendered":"Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c bi\u1ebfn ch\u1ee9ng"},"content":{"rendered":"<div>\n<section id=\"lzXvG00\" class=\"container-915194668 condensed-hidden\" data-e2e-test-id=\"section-with-header\">\n<div class=\"show--nVz6U sectionContainer--aQ_aq\" data-e2e-test-id=\"section-content-is-shown\">\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<div class=\"table-wrapper condensed-hidden api\">\n<p><b>C\u00e1c chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch th\u01b0\u1eddng d\u00f9ng trong l\u00e2m s\u00e0ng g\u1ed3m h\u1ed3i s\u1ee9c d\u1ecbch, truy\u1ec1n d\u1ecbch theo nhu c\u1ea7u v\u00e0 xu\u1ed1ng thang li\u1ec7u ph\u00e1p d\u1ecbch truy\u1ec1n. Khi s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p d\u1ecbch truy\u1ec1n c\u1ea7n theo d\u00f5i v\u00e0 d\u1ef1 ph\u00f2ng c\u00e1c bi\u1ebfn ch\u1ee9ng do truy\u1ec1n d\u1ecbch nh\u01b0 qu\u00e1 t\u1ea3i d\u1ecbch, toan chuy\u1ec3n h\u00f3a t\u0103ng clo m\u00e1u v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.\u00a0<\/b><\/p>\n<h2>1. Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch cho m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p.<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/xu-tri-cap-cuu-soc-giam-tich\/#:~:text=S%E1%BB%91c%20gi%E1%BA%A3m%20th%E1%BB%83%20t%C3%ADch%20l%C3%A0,oxy%20t%E1%BA%BF%20b%C3%A0o%20to%C3%A0n%20b%E1%BB%99.\">Cho\u00e1ng gi\u1ea3m th\u1ec3 t\u00edch<\/a>: h\u1ed7 tr\u1ee3 huy\u1ebft \u0111\u1ed9ng ngay l\u1eadp t\u1ee9c b\u1eb1ng h\u1ed3i s\u1ee9c d\u1ecbch t\u00edch c\u1ef1c nh\u1eb1m c\u1ee9u m\u1ea1ng b\u1ec7nh nh\u00e2n.<\/li>\n<li>Gi\u1ea3m th\u1ec3 t\u00edch ho\u1eb7c m\u1ea5t n\u01b0\u1edbc kh\u00f4ng cho\u00e1ng: b\u1ed5 sung d\u1ecbch b\u00e0i b\u1ea3n (nh\u01b0 d\u00f9ng test d\u1ecbch truy\u1ec1n) nh\u1eb1m h\u1ed3i s\u1ee9c t\u1ea1ng.<\/li>\n<li>M\u1ea5t d\u1ecbch ti\u1ebfp di\u1ec5n nhi\u1ec1u h\u01a1n d\u1ecbch nh\u1eadp: b\u00f9 d\u1ecbch m\u1ea5t.<\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/chan-doan-va-dieu-tri-tang-natri-mau\/\">T\u0103ng natri m\u00e1u<\/a>: \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng n\u01b0\u1edbc t\u1ef1 do thi\u1ebfu.<\/li>\n<li>Cung c\u1ea5p d\u1ecbch \u0111\u01b0\u1eddng ru\u1ed9t kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 nhu c\u1ea7u h\u1eb1ng ng\u00e0y: truy\u1ec1n d\u1ecbch duy tr\u00ec.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111ang h\u1ed3i ph\u1ee5c: xu\u1ed1ng thang li\u1ec7u ph\u00e1p d\u1ecbch truy\u1ec1n.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<h2>2. Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch 1: h\u1ed3i s\u1ee9c d\u1ecbch.<\/h2>\n<ul>\n<li>\u0110\u1ecbnh ngh\u0129a: s\u1eed d\u1ee5ng d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng kh\u00f4ng glucose bolus t\u0129nh m\u1ea1ch \u0111\u1ec3 b\u1ed3i ph\u1ee5 th\u1ec3 t\u00edch d\u1ecbch n\u1ed9i m\u1ea1ch.<\/li>\n<li>M\u1ee5c ti\u00eau: ph\u00f2ng ng\u1eeba suy t\u1eb7ng v\u00e0 t\u1eed vong (pha h\u1ed3i s\u1ee9c c\u1ee9u m\u1ea1ng b\u1ec7nh nh\u00e2n v\u00e0 h\u1ed3i s\u1ee9c t\u1ea1ng).<\/li>\n<\/ul>\n<\/div>\n<\/section>\n<\/div>\n<div>\n<section id=\"e_1xMj0\" class=\"container-915194668 condensed-hidden\" data-e2e-test-id=\"section-with-header\">\n<div class=\"show--nVz6U sectionContainer--aQ_aq\" data-e2e-test-id=\"section-content-is-shown\">\n<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<ul>\n<li>C\u00e1ch ti\u1ebfp c\u1eadn chung:\n<ul>\n<li>B\u00f9 d\u1ecbch t\u00edch c\u1ef1c cho b\u1ec7nh nh\u00e2n cho\u00e1ng gi\u1ea3m th\u1ec3 t\u00edch.<\/li>\n<li class=\"condensed-hidden\">B\u00f9 d\u1ecbch b\u00e0i b\u1ea3n h\u01a1n cho b\u1ec7nh nh\u00e2n m\u1ea5t n\u01b0\u1edbc ho\u1eb7c gi\u1ea3m th\u1ec3 t\u00edch kh\u00f4ng cho\u00e1ng, m\u1ea5t d\u1ecbch l\u01b0\u1ee3ng v\u1eeba.\u00a0<span id=\"E5fc20b937e289de9a2e032cc82aed62c\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 id=\"Yd5caba1700d6398a292c32f954121190\" class=\"condensed-hidden-step1\">2.1. H\u1ed3i s\u1ee9c d\u1ecbch b\u1ec7nh nh\u00e2n huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/h3>\n<ul class=\"condensed-hidden-step1\">\n<li class=\"condensed-hidden\"><span class=\"leitwort\">Ch\u1ec9 \u0111\u1ecbnh:<\/span>\n<ul>\n<li>Cho\u00e1ng gi\u1ea3m th\u1ec3 t\u00edch<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ban \u0111\u1ea7u cho cho\u00e1ng ph\u00e2n b\u1ed1 v\u00e0 cho\u00e1ng tim, cho\u00e1ng t\u1eafc ngh\u1ebdn ph\u1ee5 thu\u1ed9c ti\u1ec1n t\u1ea3i.<\/li>\n<\/ul>\n<\/li>\n<li><sup data-type=\"Reference\" data-eid=\"kmbmf8\" data-page=\"1795\u20131815\" data-cmt=\"\"><span style=\"font-size: 16px;\">Ti\u1ebfp c\u1eadn truy\u1ec1n d\u1ecbch<\/span><\/sup>\n<ul>\n<li><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\">Bolus d\u1ecbch nhanh (trong <span class=\"nowrap\">10\u201330 p<\/span>)<\/span>\n<ul>\n<li><span class=\"condensed-hidden\">Ng\u01b0\u1eddi l\u1edbn: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/thanh-phan-nuoc-muoi-sinh-ly\/\">N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd<\/a> (NS) <\/span><span class=\"wichtig\"><span class=\"condensed-hidden\">or <a href=\"https:\/\/www.vinmec.com\/vi\/thong-tin-duoc\/su-dung-thuoc-toan\/cong-dung-dich-truyen-ringer-lactate-500ml\/\">Lactate Ringer&#8217;s<\/a> (LR)<\/span><span class=\"condensed-hidden\">\u00a0<\/span><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><span class=\"nowrap\">500\u20131000 mL<\/span><\/span><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"> bolus TM<\/span><\/span><span class=\"condensed-hidden\">\u00a0<\/span><span id=\"Ee6d3f36f64560714e4828db342d4bf9e\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><span class=\"condensed-hidden\">\u00a0<sup data-type=\"Reference\" data-eid=\"CHbqsE\" data-page=\"\" data-cmt=\"\">[2]<\/sup><\/span><\/li>\n<li class=\"condensed-hidden\">Tr\u1ebb em: NS ho\u1eb7c LR\u00a0<span class=\"nowrap\">10\u201320 mL\/kg<\/span> IV bolus<\/li>\n<\/ul>\n<\/li>\n<li>L\u1eb7p l\u1ea1i d\u1ef1a v\u00e0o \u0111\u00e1p \u1ee9ng.<\/li>\n<\/ul>\n<\/li>\n<li><span class=\"leitwort\">N\u1ebfu l\u00e2m s\u00e0ng v\u1eabn x\u1ea5u \u0111i:<\/span>\n<ul>\n<li>Xem x\u00e9t d\u00f9ng v\u1eadn m\u1ea1ch v\u00e0\/ho\u1eb7c thu\u1ed1c t\u0103ng co.<\/li>\n<li class=\"condensed-hidden\">Xem x\u00e9t c\u00e1c nguy\u00ean nh\u00e2n cho\u00e1ng kh\u00e1c ngo\u00e0i gi\u1ea3m th\u1ec3 t\u00edch nh\u01b0 cho\u00e1ng tim, cho\u00e1ng ph\u00e2n b\u1ed1, cho\u00e1ng t\u1eafc ngh\u1ebdn.<\/li>\n<li class=\"condensed-hidden\">Truy\u1ec1n c\u00e1c ch\u1ebf ph\u1ea9m m\u00e1u n\u1ebfu do m\u1ea5t m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\">N\u1ebfu l\u00e2m s\u00e0ng c\u1ea3i thi\u1ec7n: ti\u1ebfp t\u1ee5c h\u01b0\u1edbng h\u1ed3i s\u1ee9c b\u1ec7nh nh\u00e2n huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh nh\u01b0 d\u01b0\u1edbi \u0111\u00e2y.<\/li>\n<\/ul>\n<p>B\u1ec7nh nh\u00e2n cho\u00e1ng c\u1ea7n theo d\u00f5i c\u00e1c th\u00f4ng s\u1ed1 huy\u1ebft \u0111\u1ed9ng nh\u01b0 t\u1ea7n s\u1ed1 tim, huy\u1ebft \u00e1p, \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m (CVP), lactate, th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<h3>2.2. H\u1ed3i s\u1ee9c b\u1ec7nh nh\u00e2n huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh.<\/h3>\n<ul class=\"condensed-hidden-step1\">\n<li class=\"condensed-hidden\"><span class=\"leitwort\">Ch\u1ec9 \u0111\u1ecbnh<\/span>\n<ul>\n<li>M\u1ea5t d\u1ecbch nh\u1eb9 ho\u1eb7c v\u1eeba \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n:\u00a0<span id=\"E7654945c5cbecb8ac118e1d772380560\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span>\n<ul>\n<li>Kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng dung n\u1ea1p \u0111\u01b0\u1eddng ru\u1ed9t.\u00a0<span id=\"E4b5efd0698a4d169930cdf109d177988\" class=\"api explanation\" data-type=\"bonus\" data-content=\"RS5nLiwgZHVlIHRvIGludHJhY3RhYmxlIHZvbWl0aW5nCg==\"><\/span><\/li>\n<li><a id=\"L9e4190452e5ca51fd15529882fefbd8a\" class=\"api\" href=\"https:\/\/next.amboss.com\/us\/article\/Ig0Y92#Zbd78324053c153c16ea5cb2574249398\" data-phrasegroup-id=\"g40FiT\" data-type=\"link\" data-anker=\"Zbd78324053c153c16ea5cb2574249398\" data-learningcard-id=\"Ig0Y92\" data-lxid=\"Ig0Y92\" data-section-id=\"rJXfv_\" data-sxid=\"rJXfv_\" data-title=\"RGVoeWRyYXRpb24gYW5kIGh5cG92b2xlbWlhIOKGkiBPdmVydmlldw==\" data-source=\"L9e4190452e5ca51fd15529882fefbd8a\"><\/a>M\u1ea5t n\u01b0\u1edbc ho\u1eb7c gi\u1ea3m th\u1ec3 t\u00edch th\u1ea5t b\u1ea1i v\u1edbi ORS.<\/li>\n<\/ul>\n<\/li>\n<li>T\u1ed1i \u01b0u h\u00f3a \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n sau cho\u00e1ng.<span id=\"Ec513c02b1d75a1fcbe62bc4f2671e72b\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span class=\"leitwort\">Ti\u1ebfp c\u1eadn truy\u1ec1n d\u1ecbch.<\/span>\n<ul>\n<li>X\u00e1c \u0111\u1ecbnh nguy c\u01a1 qu\u00e1 t\u1ea3i d\u1ecbch v\u00e0 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a t\u0103ng th\u1ec3 t\u00edch.<\/li>\n<li class=\"condensed-hidden\">\u0110\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng d\u1ecbch truy\u1ec1n: nghi\u1ec7m ph\u00e1p n\u00e2ng ch\u00e2n th\u1ee5 \u0111\u1ed9ng ho\u1eb7c test d\u1ecbch truy\u1ec1n.<\/li>\n<li><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\">Truy\u1ec1n d\u1ecbch b\u1ed5 sung cho b\u1ec7nh nh\u00e2n m\u1ed9t c\u00e1ch c\u1ea9n tr\u1ecdng: <span class=\"nowrap\">500 mL<\/span> \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c <span class=\"nowrap\">5\u201310 mL\/kg<\/span> \u1edf tr\u1ebb em.<\/span><\/li>\n<li class=\"condensed-hidden\">T\u0103ng li\u1ec1u d\u1ecbch truy\u1ec1n d\u1ef1a v\u00e0o c\u00e1c th\u00f4ng s\u1ed1 huy\u1ebft \u0111\u1ed9ng theo d\u00f5i, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i test d\u1ecbch truy\u1ec1n.<\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\">Khi l\u00e2m s\u00e0ng x\u1ea5u \u0111i: quay l\u1ea1i chi\u1ebfn l\u01b0\u1ee3c h\u1ed3i s\u1ee9c ng\u01b0\u1eddi b\u1ec7nh huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/li>\n<li class=\"condensed-hidden\"><span class=\"leitwort\">Khi l\u00e2m s\u00e0ng c\u1ea3i thi\u1ec7n:<\/span>\n<ul>\n<li>Qu\u1ea3n l\u00fd nhu c\u1ea7u d\u1ecbch ti\u1ebfp theo c\u1ee7a b\u1ec7nh nh\u00e2n. Bao g\u1ed3m:\n<ul>\n<li>B\u00f9 l\u01b0\u1ee3ng d\u1ecbch m\u1ea5t ti\u1ebfp di\u1ec5n.<\/li>\n<li>B\u00f9 l\u01b0\u1ee3ng n\u01b0\u1edbc t\u1ef1 do thi\u1ebfu h\u1ee5t.<\/li>\n<li><span class=\"linksuggest\"><a id=\"L23e6f273d7e9567ae6db621d57adfe86\" class=\"api link--same-article\" href=\"https:\/\/next.amboss.com\/us\/article\/fM0kLg#Z6f58ed1b8e7110c8ddaacdeb63da3c0e\" data-type=\"link\" data-anker=\"Z6f58ed1b8e7110c8ddaacdeb63da3c0e\" data-learningcard-id=\"fM0kLg\" data-lxid=\"fM0kLg\" data-section-id=\"U_1bnj0\" data-sxid=\"U_1bnj0\" data-title=\"SW50cmF2ZW5vdXMgZmx1aWQgdGhlcmFweSDihpIgQ29udGludWVkIGZsdWlkIG5lZWRz\" data-source=\"L23e6f273d7e9567ae6db621d57adfe86\"><\/a>Truy\u1ec1n d\u1ecbch duy tr\u00ec.<\/span><\/li>\n<\/ul>\n<\/li>\n<li>Chuy\u1ec3n sang b\u00f9 d\u1ecbch \u0111\u01b0\u1eddng ru\u1ed9t s\u1edbm khi dung n\u1ea1p.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>3. Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch 2: truy\u1ec1n d\u1ecbch theo nhu c\u1ea7u ti\u1ebfp theo c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/h2>\n<h3>3.1. B\u00f9 d\u1ecbch \u0111ang m\u1ea5t ti\u1ebfp di\u1ec5n.<\/h3>\n<p>D\u1ecbch truy\u1ec1n c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh cho giai \u0111o\u1ea1n sau h\u1ed3i s\u1ee9c, khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f2n gi\u1ea3m th\u1ec3 t\u00edch n\u1eefa nh\u01b0ng v\u1eabn c\u00f2n m\u1ea5t d\u1ecbch ti\u1ebfp di\u1ec5n m\u00e0 kh\u00f4ng th\u1ec3 b\u00f9 \u0111\u1ee7 b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<div>\n<section id=\"U_1bnj0\" class=\"container-915194668 condensed-hidden\" data-e2e-test-id=\"section-with-header\">\n<div class=\"show--nVz6U sectionContainer--aQ_aq\" data-e2e-test-id=\"section-content-is-shown\">\n<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<ul class=\"condensed-hidden-step1\">\n<li class=\"condensed-hidden\">M\u1ee5c ti\u00eau: b\u00f9 t\u01b0\u01a1ng x\u1ee9ng v\u1ec1 l\u01b0\u1ee3ng v\u00e0 t\u1ed1c \u0111\u1ed9 d\u1ecbch \u0111ang m\u1ea5t ti\u1ebfp di\u1ec5n.<span id=\"Ef3ac2286dbbdbedd32def48cd40db1fa\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<li>Ch\u1ec9 \u0111\u1ecbnh: c\u00e1c b\u1ec7nh l\u00fd c\u00f3 m\u1ea5t d\u1ecbch ti\u1ebfp di\u1ec5n nh\u01b0:\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/cac-cap-do-cua-bong\/\">B\u1ecfng<\/a><\/li>\n<li class=\"condensed-hidden\">Vi\u00eam t\u1ee5y c\u1ea5p<\/li>\n<li>M\u1ea5t n\u01b0\u1edbc \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 \u00f3i, ti\u00eau ch\u1ea3y.<\/li>\n<li>D\u1eabn l\u01b0u ph\u1eabu thu\u1eadt ho\u1eb7c d\u00f2.<\/li>\n<li>\u0110a ni\u1ec7u: suy th\u1eadn giai \u0111o\u1ea1n \u0111a ni\u1ec7u ho\u1eb7c \u0111\u00e1i th\u00e1o nh\u1ea1t.<\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\"><span class=\"leitwort\">Ti\u1ebfp c\u1eadn truy\u1ec1n d\u1ecbch:<\/span>\n<ul>\n<li>X\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n n\u1ec1n.<\/li>\n<li>B\u00f9 d\u1ecbch t\u01b0\u01a1ng x\u1ee9ng v\u1ec1 th\u1ec3 t\u00edch v\u00e0 th\u00e0nh ph\u1ea7n trong d\u1ecbch m\u1ea5t (nh\u01b0 K, HCO3).\n<ul>\n<li>C\u1ea7n xem x\u00e9t d\u1ecbch m\u1ea5t kh\u00f4ng nh\u1eadn bi\u1ebft.<\/li>\n<li>Theo d\u00f5i \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 m\u00e1u v\u00e0 ni\u1ec7u.<span id=\"E1f9a3fe82f83a726e8ac758152833a6f\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\">B\u01b0\u1edbc k\u1ebf ti\u1ebfp: truy\u1ec1n d\u1ecbch duy tr\u00ec ho\u1eb7c xu\u1ed1ng thang.<\/li>\n<\/ul>\n<h3>3.2. \u0110i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng n\u01b0\u1edbc t\u1ef1 do m\u1ea5t.<\/h3>\n<p>B\u00f9 n\u01b0\u1edbc t\u1ef1 do ch\u1ec9 \u0111\u1ecbnh trong t\u0103ng natri m\u00e1u.<\/p>\n<ul>\n<li>Dung d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean n\u1ebfu c\u1ea7n truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch (nh\u01b0 NaCl nh\u01b0\u1ee3c tr\u01b0\u01a1ng ho\u1eb7c dextrose 5%).<\/li>\n<li>N\u01b0\u1edbc t\u1ef1 do c\u00f3 th\u1ec3 b\u00f9 qua \u0111\u01b0\u1eddng ru\u1ed9t (c\u00e2n nh\u1eafc \u0111\u1eb7t sonde d\u1ea1 d\u00e0y khi c\u1ea7n).<\/li>\n<li>C\u00f3 m\u1ed9t s\u1ed1 ph\u1ea7n m\u1ec1m t\u00ednh to\u00e1n \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng n\u01b0\u1edbc m\u1ea5t trong t\u0103ng natri m\u00e1u.<\/li>\n<\/ul>\n<h3 class=\"condensed-hidden paragraph\">3.3. Truy\u1ec1n d\u1ecbch duy tr\u00ec.<\/h3>\n<ul>\n<li class=\"condensed-hidden\">M\u1ee5c ti\u00eau: duy tr\u00ec l\u01b0\u1ee3ng d\u1ecbch v\u00e0 t\u01b0\u1edbi m\u00e1u t\u1ea1ng \u0111\u1ea7y \u0111\u1ee7.<\/li>\n<li>Ch\u1ec9 \u0111\u1ecbnh cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 d\u1ecbch b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<span id=\"E2a80ac91767a8f7bd50d693cd9c06fc6\" class=\"api explanation\" data-type=\"bonus\" data-content=\"UGF0aWVudHMgd2hvIGhhdmUgYmVlbiBhZGVxdWF0ZWx5IHJlc3VzY2l0YXRlZCBtYXkgYmUgbWFuYWdlZCB3aXRoIDxzcGFuIGNsYXNzPSJhcGkiIGRhdGEtdHlwZT0ibGluayIgZGF0YS1hbmtlcj0iWjZmNThlZDFiOGU3MTEwYzhkZGFhY2RlYjYzZGEzYzBlIiBkYXRhLWxlYXJuaW5nY2FyZC1pZD0iZk0wa0xnIiBkYXRhLWx4aWQ9ImZNMGtMZyIgZGF0YS1zZWN0aW9uLWlkPSJVXzFibmowIiBkYXRhLXN4aWQ9IlVfMWJuajAiIGRhdGEtdGl0bGU9IlNXNTBjbUYyWlc1dmRYTWdabXgxYVdRZ2RHaGxjbUZ3ZVNEaWhwSWdRMjl1ZEdsdWRXVmtJR1pzZFdsa0lHNWxaV1J6IiBpZD0iTGVmOWUxYmIxYmU0MmUxMWI3NDc4Zjg1YzlhOTNjNTlmIiBkYXRhLXNvdXJjZT0iTGVmOWUxYmIxYmU0MmUxMWI3NDc4Zjg1YzlhOTNjNTlmIj5tYWludGVuYW5jZSBmbHVpZHM8L3NwYW4+IGFsb25lLCBwcm92aWRlZCB0aGV5IGFyZSBubyBsb25nZXIgZXhwZXJpZW5jaW5nIG9uZ29pbmcgbG9zc2VzLiAK\"><\/span><\/li>\n<li class=\"condensed-hidden-step1\"><span class=\"leitwort\">Ti\u1ebfp c\u1eadn ch\u1ec9 \u0111\u1ecbnh<\/span>\n<ul class=\"condensed-hidden-step1\">\n<li class=\"condensed-hidden\">D\u1ecbch \u0111\u1ea7u tay cho m\u1ecdi nh\u00f3m tu\u1ed5i: d\u1ecbch tinh th\u1ec3 \u0111\u1eb3ng tr\u01b0\u01a1ng v\u1edbi dextrose.<\/li>\n<li>Chuy\u1ec3n sang d\u1ecbch tinh th\u1ec3 \u0111\u1eb3ng tr\u01b0\u01a1ng n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7.<\/li>\n<li>T\u0103ng nhu c\u1ea7u d\u1ecbch duy tr\u00ec trong s\u1ed1t, th\u1edf nhanh.<\/li>\n<li>Gi\u1ea3m nhu c\u1ea7u d\u1ecbch duy tr\u00ec khi c\u00f3 nguy c\u01a1 qu\u00e1 t\u1ea3i nh\u01b0 suy tim sung huy\u1ebft, suy th\u1eadn l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u th\u1ea5p.<\/li>\n<\/ul>\n<\/li>\n<li>M\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t.\n<ul>\n<li>Th\u00eam \u0111i\u1ec7n gi\u1ea3i v\u00e0o d\u1ecbch duy tr\u00ec\n<ul>\n<li>N\u1ebfu c\u00f3 thi\u1ebfu \u0111i\u1ec7n gi\u1ea3i: b\u00f9 \u0111i\u1ec7n gi\u1ea3i.<\/li>\n<li><span class=\"nowrap\">Xem x\u00e9t th\u00eam KCl 40 mEq\/L v\u00e0o d\u1ecbch duy tr\u00ec \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o nhu c\u1ea7u v\u00e0 theo d\u00f5i kali m\u00e1u th\u01b0\u1eddng xuy\u00ean.<\/span><span id=\"Ea73737394f5204de6990a321c0b14771\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li>B\u1ec7nh nh\u00e2n truy\u1ec1n d\u1ecbch duy tr\u00ec h\u01a1n 3 ng\u00e0y c\u1ea7n nu\u00f4i \u0103n.<\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\">B\u01b0\u1edbc k\u1ebf ti\u1ebfp: khi b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh v\u1edbi nu\u00f4i \u0103n \u0111\u01b0\u1eddng ru\u1ed9t, c\u00f3 th\u1ec3 xu\u1ed1ng thang d\u1ecbch truy\u1ec1n.<\/li>\n<\/ul>\n<div class=\"table-wrapper condensed-hidden api\">\n<table class=\"api\" data-table=\"dGglM0UlMjAlM0MvdHIlM0UlMEElM0MvdGJvZHklM0UlMEElM0MvdGFibGUlM0U=26396\">\n<thead>\n<tr>\n<th colspan=\"2\" scope=\"row\">D\u1ecbch duy tr\u00ec theo nh\u00f3m tu\u1ed5i<\/th>\n<\/tr>\n<tr>\n<th scope=\"row\"><span class=\"leitwort\">Nh\u00f3m tu\u1ed5i<\/span><\/th>\n<th scope=\"col\">G\u1ee3i \u00fd l\u01b0\u1ee3ng d\u1ecbch duy tr\u00ec<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<th scope=\"row\">Tr\u1ebb s\u01a1 sinh<\/th>\n<td>\n<ul>\n<li>T\u00ednh t\u1ed1c \u0111\u1ed9 truy\u1ec1n theo gi\u1edd d\u1ef1a tr\u00ean nhu c\u1ea7u h\u1eb1ng ng\u00e0y\u00a0<span id=\"E3bfbf205b32854a60f7c8515ab04307d\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span>\n<ul>\n<li>M\u1edbi sinh t\u1edbi ng\u00e0y<span class=\"nowrap\">\u00a01<\/span>:\u00a0<span class=\"nowrap\">40\u201360 mL\/kg\/d<\/span><\/li>\n<li>Ng\u00e0y 2: <span class=\"nowrap\">50\u201370 mL\/kg\/d<\/span><\/li>\n<li>Ng\u00e0y 3: <span class=\"nowrap\">60\u201380 mL\/kg\/d<\/span><\/li>\n<li>Ng\u00e0y 4: <span class=\"nowrap\">60\u2013100 mL\/kg\/d<\/span><\/li>\n<li>Ng\u00e0y 5\u201328: <span class=\"nowrap\">100\u2013140 mL\/kg\/d<\/span>\u00a0<span id=\"Ea949766208d75e4706c53c306b217e4f\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Tr\u1ebb em t\u1eeb 28 ng\u00e0y t\u1edbi 18 tu\u1ed5i<\/th>\n<td>\n<ul>\n<li><span class=\"nowrap\"><span id=\"Z1ab3e133da147cf3baea6f209cd82ed8\" class=\"api\" data-type=\"anker\"><span class=\"js-relevance-term step-1-imppact0 step-2-imppact0 imppact0 usmle-gs-imppact0\" data-type=\"highlight\" data-qxids=\"KP0UfT;\">Theo c\u00f4ng th\u1ee9c Holliday-Segar, quy t\u1eafc 4,2, 1<\/span><\/span><\/span>\u00a0<span id=\"E7b16b39062ff4a991ec8e37758ed13f3\" class=\"api extraExplanation\" data-type=\"bonus\" data-content=\"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\"><\/span>:\n<ul>\n<li><span class=\"nowrap\">4 mL\/kg\/h cho<\/span>\u00a0<span class=\"nowrap\">10 kg \u0111\u1ea7u<\/span><\/li>\n<li><span class=\"nowrap\">+ 2 mL\/kg\/h cho<\/span>\u00a0<span class=\"nowrap\">10 kg k\u1ebf<\/span><\/li>\n<li><span class=\"nowrap\">+ 1 mL\/kg\/h cho kg c\u00f2n l\u1ea1i<\/span><span id=\"E8c3311243c8d10d195d616ce98089d95\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Ng\u01b0\u1eddi l\u1edbn<\/th>\n<td>\n<ul>\n<li>C\u00f3 th\u1ec3 t\u00ednh theo m\u1ed9t trong hai:\n<ul>\n<li><span class=\"nowrap\">1\u20132 mL\/kg\/h: \u0111i\u1ec1u ch\u1ec9nh theo nguy c\u01a1 qu\u00e1 t\u1ea3i d\u1ecbch.<\/span><span id=\"E3d0f40ba328a68dc66c410d743aaca5d\" class=\"api explanation\" data-type=\"bonus\" data-content=\"RS5nLiwgdXNlIDxzcGFuIGNsYXNzPSJub3dyYXAiPjEgbUwva2cvaG91cjwvc3Bhbj4gZm9yIGZyYWlsIG9yIGVsZGVybHkgcGF0aWVudHMK\"><\/span><\/li>\n<li>Quy t\u1eafc ng\u00f3n tay c\u00e1i: t\u1ed1c \u0111\u1ed9 <span class=\"nowrap\">mL\/h<\/span> = (c\u00e2n n\u1eb7ng b\u1ec7nh nh\u00e2n, kg) <span class=\"nowrap\">+ 40<\/span>\u00a0<span id=\"E47edcc482ff4624b1b282099bbbfb767\" class=\"api explanation\" data-type=\"bonus\" data-content=\"RS5nLiwgPHNwYW4gY2xhc3M9Im5vd3JhcCI+MTEwIG1ML2hvdXI8L3NwYW4+IGZvciBhIDxzcGFuIGNsYXNzPSJub3dyYXAiPjcwLWtnPC9zcGFuPiBwYXRpZW50Cg==\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li>S\u1eed d\u1ee5ng c\u00e2n n\u1eb7ng t\u1ed1i \u01b0u cho b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec.<span id=\"Ea63908b81cfbe3f22e97d8d24d63912c\" class=\"api extraExplanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<th colspan=\"2\" scope=\"row\">C\u1ea7n tr\u1eeb \u0111i l\u01b0\u1ee3ng d\u1ecbch t\u1eeb ngu\u1ed3n kh\u00e1c nh\u01b0 trong thu\u1ed1c truy\u1ec1n, d\u1ecbch nu\u00f4i \u0103n \u0111\u01b0\u1eddng ru\u1ed9t, ch\u1ebf ph\u1ea9m m\u00e1u.<\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<div>\n<section id=\"hgccEb0\" class=\"container-915194668 condensed-hidden condensed-hidden\" data-e2e-test-id=\"section-with-header\">\n<div class=\"headerContainer--rfIL2 headerContainerActive--MANNx\">\n<div class=\"container-2547724898\">\n<h2 data-e2e-test-id=\"particle-header\">4. Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch 3: xu\u1ed1ng thang d\u1ecbch truy\u1ec1n.<\/h2>\n<\/div>\n<\/div>\n<div class=\"show--nVz6U sectionContainer--aQ_aq\" data-e2e-test-id=\"section-content-is-shown\">\n<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<ul class=\"condensed-hidden\">\n<li>M\u1ee5c ti\u00eau: h\u1ed3i ph\u1ee5c c\u01a1 quan\n<ul>\n<li>Cai d\u1ea7n d\u1ecbch truy\u1ec1n.<\/li>\n<li>Huy \u0111\u1ed9ng l\u01b0\u1ee3ng d\u1ecbch t\u00edch tr\u1eef \u0111\u1ec3 \u0111\u1ea1t \u0111\u1eb3ng th\u1ec3 t\u00edch.<\/li>\n<li>D\u1ef1 ph\u00f2ng qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch n\u1eb7ng l\u00ean ho\u1eb7c k\u00e9o d\u00e0i.<\/li>\n<\/ul>\n<\/li>\n<li>Ch\u1ec9 \u0111\u1ecbnh: ng\u01b0\u1eddi b\u1ec7nh giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c.<br \/>\n<span id=\"Edd5c0617937839c410920bb975f35cc7\" class=\"api explanation\" data-type=\"bonus\" data-content=\"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\"><\/span><\/p>\n<ul>\n<li>Huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh, t\u01b0\u1edbi m\u00e1u m\u00f4 \u0111\u1ea7y \u0111\u1ee7.<\/li>\n<li>Nu\u00f4i \u0103n \u0111\u01b0\u1eddng ru\u1ed9t \u0111\u01b0\u1ee3c v\u00e0 \u0111\u1ee7 n\u01b0\u1edbc.<\/li>\n<\/ul>\n<\/li>\n<li>Xu\u1ed1ng thang: ti\u1ebfp t\u1ee5c b\u00f9 n\u01b0\u1edbc \u0111\u01b0\u1eddng mi\u1ec7ng\/ru\u1ed9t v\u00e0 h\u1ea1n ch\u1ebf d\u1ecbch t\u0129nh m\u1ea1ch cho t\u1edbi khi thay th\u1ebf ho\u00e0n to\u00e0n.<span id=\"Ee4d220aa07021c278416367cf075d3eb\" class=\"api explanation\" data-type=\"bonus\" data-content=\"T3Igb25seSBnaXZlbiB3aXRoIG1lZGljYXRpb24K\"><\/span><\/li>\n<li>Tr\u00e1nh qu\u00e1 t\u1ea3i d\u1ecbch.\n<ul>\n<li>Cho ph\u00e9p l\u1ee3i ti\u1ec3u t\u1ef1 nhi\u00ean l\u01b0\u1ee3ng n\u01b0\u1edbc th\u1eeba n\u1ebfu ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>N\u1ebfu kh\u00f4ng l\u1ee3i ti\u1ec3u t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c th\u00ec:\n<ul>\n<li>Xem x\u00e9t d\u00f9ng l\u1ee3i ti\u1ec3u c\u00f3 th\u1ec3 k\u00e8m albumin.<\/li>\n<li>H\u1ed9i ch\u1ea9n b\u00e1c s\u0129 th\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn s\u1edbm n\u1ebfu qu\u00e1 t\u1ea3i kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/li>\n<li>\u0110\u1eb7t m\u1ee5c ti\u00eau v\u00e0 theo d\u00f5i c\u1ea9n th\u1eadn \u0111\u1ec3 tr\u00e1nh th\u1ea3i d\u1ecbch qu\u00e1 nhi\u1ec1u (g\u00e2y t\u1ee5t huy\u1ebft \u00e1p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<div>5. C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a truy\u1ec1n d\u1ecbch.<\/div>\n<div>5.1. Qu\u00e1 t\u1ea3i d\u1ecbch.<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<div>\n<section id=\"3gcSEb0\" class=\"container-915194668 condensed-hidden-step1\" data-e2e-test-id=\"section-with-header\">\n<div class=\"show--nVz6U sectionContainer--aQ_aq\" data-e2e-test-id=\"section-content-is-shown\">\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<ul class=\"condensed-hidden\">\n<li>Y\u1ebfu t\u1ed1 nguy c\u01a1 qu\u00e1 t\u1ea3i d\u1ecbch.\n<ul>\n<li>Ng\u01b0\u1eddi cao tu\u1ed5i, tr\u1ebb em, ph\u1ee5 n\u1eef mang thai.<\/li>\n<li>B\u1ec7nh c\u1ea5p t\u00ednh: b\u1ec7nh nguy k\u1ecbch, suy dinh d\u01b0\u1ee1ng, ph\u00f9 (suy tim, x\u01a1 gan,&#8230;).<\/li>\n<li>B\u1ec7nh m\u1ea1n t\u00ednh: b\u1ec7nh th\u1eadn m\u1ea1n, b\u1ec7nh tim ph\u1ed5i (b\u1ec7nh c\u01a1 tim, COPD).<\/li>\n<li>Do \u0111i\u1ec1u tr\u1ecb: thu\u1ed1c, d\u1ecbch th\u1eeba t\u1eeb c\u00e1c ch\u1ebf ph\u1ea9m m\u00e1u, thu\u1ed1c truy\u1ec1n t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n<\/li>\n<li>Kh\u00e1m t\u00ecm c\u00e1c d\u1ea5u t\u0103ng th\u1ec3 t\u00edch: ph\u00f9, ran ph\u1ed5i.<\/li>\n<li><span class=\"leitwort\">X\u1eed tr\u00ed<\/span>\n<ul>\n<li>Gi\u1ea3m t\u1ed1c \u0111\u1ed9 truy\u1ec1n (xu\u1ed1ng thang) v\u00e0 h\u1ea1n ch\u1ebf d\u1ecbch nh\u1eadp \u0111\u01b0\u1eddng mi\u1ec7ng.<\/li>\n<li>H\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/li>\n<li>Th\u1ea3i d\u1ecbch.\n<ul class=\"additional\">\n<li>L\u1ee3i ti\u1ec3u: l\u1ee3i ti\u1ec3u quai<\/li>\n<li>Ch\u1ec9 \u0111\u1ecbnh thay th\u1ebf th\u1eadn:\n<ul>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i kh\u00e1ng tr\u1ecb.<\/li>\n<li>T\u00edch t\u1ee5 d\u1ecbch \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/li>\n<li>Thi\u1ec3u ni\u1ec7u kh\u00e1ng tr\u1ecb.<\/li>\n<li>\u0110ang d\u00f9ng ECMO.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 id=\"Y1ba788867e9cae25140243970dcc7f58\" class=\"condensed-hidden-step1 condensed-hidden-step2\">5.2. Toan chuy\u1ec3n h\u00f3a t\u0103ng clo m\u00e1u.<\/h3>\n<ul class=\"additional condensed-hidden\">\n<li>Th\u01b0\u1eddng g\u00e2y ra do truy\u1ec1n nhi\u1ec1u d\u1ecbch ch\u1ee9a clo (NS).<\/li>\n<li>X\u1eed tr\u00ed.\n<ul>\n<li>Gi\u1ea3m t\u1ed1c \u0111\u1ed9 truy\u1ec1n.<\/li>\n<li>Chuy\u1ec3n sang d\u1ecbch c\u00e2n b\u1eb1ng (LR).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 id=\"Ya016cf9b6bf439d0c787e3e618b721c0\" class=\"condensed-hidden-step1\">5.3. R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.<\/h3>\n<ul class=\"condensed-hidden\">\n<li>H\u1ea1 natri m\u00e1u n\u1ed9i vi\u1ec7n:\n<ul class=\"additional\">\n<li>Nguy\u00ean nh\u00e2n do truy\u1ec1n d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng, SIADH, h\u1ea1 natri m\u00e1u t\u0103ng th\u1ec3 t\u00edch, l\u1ee3i ti\u1ec3u.<a id=\"La90aa602e00e7f5eb674f47829f182bb\" class=\"api\" href=\"https:\/\/next.amboss.com\/us\/article\/zT0rt2#Z849dca7797cad193a13bd0c4d86128bc\" data-phrasegroup-id=\"uP0pgT\" data-type=\"link\" data-anker=\"Z849dca7797cad193a13bd0c4d86128bc\" data-learningcard-id=\"zT0rt2\" data-lxid=\"zT0rt2\" data-title=\"U3luZHJvbWUgb2YgaW5hcHByb3ByaWF0ZSBhbnRpZGl1cmV0aWMgaG9ybW9uZSBzZWNyZXRpb24=\" data-source=\"La90aa602e00e7f5eb674f47829f182bb\"><\/a><\/li>\n<li>D\u1eebng d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng.<\/li>\n<\/ul>\n<\/li>\n<li>T\u0103ng natri m\u00e1u n\u1ed9i vi\u1ec7n.\n<ul class=\"additional\">\n<li>Do thi\u1ebfu n\u01b0\u1edbc t\u1ef1 do v\u00e0 truy\u1ec1n d\u1ecbch \u01b0u tr\u01b0\u01a1ng.<\/li>\n<li>Truy\u1ec1n d\u1ecbch nh\u01b0\u1ee3c tr\u01b0\u01a1ng v\u00e0 b\u00f9 n\u01b0\u1edbc \u0111\u01b0\u1eddng mi\u1ec7ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<div><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/strong><\/div>\n<div>\n<p class=\"headerTitle--o3A1Z\" data-e2e-test-id=\"articleHeader\">Intravenous fluid therapy, Amboss<\/p>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch th\u01b0\u1eddng d\u00f9ng trong l\u00e2m s\u00e0ng g\u1ed3m h\u1ed3i s\u1ee9c d\u1ecbch, truy\u1ec1n d\u1ecbch theo nhu c\u1ea7u v\u00e0 xu\u1ed1ng thang li\u1ec7u ph\u00e1p d\u1ecbch truy\u1ec1n. Khi s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p d\u1ecbch truy\u1ec1n c\u1ea7n theo d\u00f5i v\u00e0 d\u1ef1 ph\u00f2ng c\u00e1c bi\u1ebfn ch\u1ee9ng do truy\u1ec1n d\u1ecbch nh\u01b0 qu\u00e1 t\u1ea3i d\u1ecbch, toan chuy\u1ec3n h\u00f3a t\u0103ng clo m\u00e1u [&hellip;]<\/p>\n","protected":false},"author":69,"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>Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c bi\u1ebfn ch\u1ee9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Ba chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch cho ng\u01b0\u1eddi b\u1ec7nh g\u1ed3m: h\u1ed3i s\u1ee9c d\u1ecbch, truy\u1ec1n d\u1ecbch theo nhu c\u1ea7u v\u00e0 xu\u1ed1ng thang li\u1ec7u ph\u00e1p d\u1ecbch truy\u1ec1n.\" \/>\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=\"Chi\u1ebfn l\u01b0\u1ee3c truy\u1ec1n d\u1ecbch v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c bi\u1ebfn ch\u1ee9ng - 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