{"id":33111,"date":"2023-05-11T18:39:27","date_gmt":"2023-05-11T11:39:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33111"},"modified":"2023-05-11T18:39:27","modified_gmt":"2023-05-11T11:39:27","slug":"bu-dien-giai-trong-hoi-suc-noi-khoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/11\/bu-dien-giai-trong-hoi-suc-noi-khoa\/","title":{"rendered":"B\u00f9 \u0111i\u1ec7n gi\u1ea3i trong h\u1ed3i s\u1ee9c n\u1ed9i khoa"},"content":{"rendered":"<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<div><strong><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nguyen-nhan-va-anh-huong-cua-ha-kali-mau\/\">H\u1ea1 kali m\u00e1u<\/a>, h\u1ea1 calci m\u00e1u, h\u1ea1 magne m\u00e1u, v\u00e0 h\u1ea1 phosphat m\u00e1u l\u00e0 nh\u1eefng r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng g\u1eb7p trong b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa v\u00e0 b\u1ec7nh nguy k\u1ecbch. Hi\u1ec7n nay c\u00f3 nhi\u1ec1u ph\u00e1c \u0111\u1ed3\u00a0 <\/strong><strong>b\u00f9 \u0111i\u1ec7n gi\u1ea3i kh\u00e1c nhau v\u00e0 kh\u00f4ng c\u00f3 khuy\u1ebfn c\u00e1o chu\u1ea9n n\u00e0o cho th\u1ef1c h\u00e0nh. Do \u0111\u00f3,\u00a0<\/strong><strong>b\u00f9 \u0111i\u1ec7n gi\u1ea3i c\u1ea7n xem x\u00e9t d\u1ef1a tr\u00ean c\u00e1c khuy\u1ebfn c\u00e1o v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.\u00a0<\/strong><\/div>\n<\/div>\n<h2>1. B\u00f9 \u0111i\u1ec7n gi\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh h\u1ea1 kali m\u00e1u.<\/h2>\n<\/div>\n<div class=\"css-1x17ya eyueia0\">\n<div class=\"css-1lbpfmz e1tnky2o1\">\n<div class=\"css-139mn3x e1tnky2o0\">\n<div class=\"css-hyaldf e1tnky2o1\">\n<div class=\"css-r8skn2 e1tnky2o0\">\n<div class=\"css-kb7nvz e1vkw3t42\">\n<div class=\"css-rodj39 e1tnky2o1\">\n<div class=\"css-84ablj e1tnky2o0\">\n<div class=\"css-dhmirf e1pr7vjj0\" data-variant=\"inherit\">\n<h3 class=\"condensed-hidden paragraph\">1.1. Ph\u00e1c \u0111\u1ed3 b\u00f9 kali cho b\u1ec7nh nh\u00e2n <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/trieu-chung-ha-kali-mau\/\">c\u00f3 tri\u1ec7u ch\u1ee9ng<\/a> v\u00e0\/ho\u1eb7c <span class=\"leitwort\"><span class=\"nowrap\">&lt; 2.5 mEq\/L.\u00a0<\/span><\/span><\/h3>\n<div>\u00a0Truy\u1ec1n t\u0129nh m\u1ea1ch kali clorid v\u1edbi li\u1ec1u <span class=\"nowrap\">10\u201340 mEq\/h cho \u0111\u1ebfn khi K &gt; 2.5 mEq\/L ho\u1eb7c h\u1ebft tri\u1ec7u ch\u1ee9ng (max 400 mEq\/24 h).<\/span><\/div>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">T\u1ed1c \u0111\u1ed9 truy\u1ec1n K t\u1ed1i \u0111a l\u00e0 <span class=\"nowrap\">40 mEq\/h v\u00e0 n\u00ean \u0111\u01b0\u1ee3c truy\u1ec1n qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch trung t\u00e2m.<\/span><\/div>\n<div>Trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng, c\u00f3 b\u00f9 b\u00f9 \u0111\u1ed3ng th\u1eddi b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 t\u0129nh m\u1ea1ch, nh\u01b0ng ch\u1ec9 khi \u0111\u01b0\u1ee3c theo d\u00f5i c\u1ea9n th\u1eadn.<\/div>\n<div>Theo d\u00f5i khi b\u00f9 kali:<\/div>\n<ul>\n<li>Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 K huy\u1ebft thanh m\u1ed7i gi\u1edd.<\/li>\n<li>\u0110o ECG nhi\u1ec1u l\u1ea7n v\u00e0 theo d\u00f5i ECG li\u00ean t\u1ee5c t\u1eeb xa \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o.<\/li>\n<li>Xem x\u00e9t ch\u0103m s\u00f3c h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<\/ul>\n<h3>1.2. Ph\u00e1c \u0111\u1ed3 b\u00f9 <span class=\"leitwort\"><span class=\"nowrap\">2.5 mEq\/L\u20132.9 mEq\/L ho\u1eb7c kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1eddng u\u1ed1ng.\u00a0<\/span><\/span><\/h3>\n<div>Uu ti\u00ean b\u00f9 K \u0111\u01b0\u1eddng u\u1ed1ng, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 dung n\u1ea1p \u0111\u01b0\u1eddng u\u1ed1ng. Li\u1ec1u kali clorid 40mEq u\u1ed1ng m\u1ed7i 2 &#8211; 4h x3 li\u1ec1u.<\/div>\n<div>Truy\u1ec1n t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean li\u1ec1u: kali clorid <span class=\"nowrap\">10 mEq\/h cho \u0111\u1ebfn khi \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 K m\u1ee5c ti\u00eau. (max 200 mEq\/24 h).<\/span><\/div>\n<div>T\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a cho \u0111\u01b0\u1eddng truy\u1ec1n ngo\u1ea1i bi\u00ean l\u00e0 <span class=\"nowrap\">10\u201320 mEq\/h.\u00a0<\/span><\/div>\n<div>C\u1ea7n theo d\u00f5i:<\/div>\n<ul>\n<li>Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 K huy\u1ebft thanh t\u1ed1i thi\u1ec3u m\u1ed7i ng\u00e0y.<\/li>\n<li>C\u00e2n nh\u1eafc theo d\u00f5i ECG li\u00ean t\u1ee5c.<\/li>\n<\/ul>\n<h3>1.3. Ph\u00e1c \u0111\u1ed3 b\u00f9 K khi K t\u1eeb <span class=\"nowrap\"><span class=\"leitwort\">3.0\u20133.4 mEq\/L.<\/span><\/span><\/h3>\n<p>B\u00f9 kali clorid \u0111\u01b0\u1eddng u\u1ed1ng, li\u1ec1u: kali clorid <span class=\"nowrap\">10\u201340 mEq\/ng\u00e0y ho\u1eb7c cho t\u1edbi khi \u0111\u1ea1t m\u1ee5c ti\u00eau.\u00a0<\/span><\/p>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">\n<p>Xem x\u00e9t kali bicarbonate \u0111\u01b0\u1eddng u\u1ed1ng n\u1ebfu h\u1ea1 kali do toan chuy\u1ec3n h\u00f3a. Li\u1ec1u: <span class=\"nowrap\">25 mEq m\u1ed7i<\/span> \u00a0<span class=\"nowrap\">6\u201312 h<\/span>\u00a0(max.\u00a0<span class=\"nowrap\">25 mEq\/li\u1ec1u)<\/span><\/p>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 kali m\u1ed7i ng\u00e0y.<\/div>\n<div>Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed3ng \u0111\u1ed9 K <span class=\"nowrap\"><span class=\"leitwort\">\u2265 3.5 mEq\/L kh\u00f4ng c\u1ea7n b\u00f9 kali, tuy nhi\u00ean c\u00f3 th\u1ec3 d\u00f9ng kali clorid u\u1ed1ng n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 toan ceton, suy tim sung huy\u1ebft, \u0111ang d\u00f9ng l\u1ee3i ti\u1ec3u.\u00a0<\/span><\/span><\/div>\n<div><\/div>\n<h3>1.4. Nguy\u00ean t\u1eafc chung trong b\u00f9 \u0111i\u1ec7n gi\u1ea3i K.<\/h3>\n<\/div>\n<\/aside>\n<\/div>\n<\/div>\n<\/div>\n<\/aside>\n<\/div>\n<\/div>\n<\/aside>\n<\/div>\n<ul class=\"condensed-hidden-step1\">\n<li><span class=\"leitwort\">M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb<\/span>\n<ul>\n<li><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\">N\u1ed3ng \u0111\u1ed9 kali \u0111\u00edch <span class=\"nowrap\">\u223c 4.0 mEq\/L<\/span><\/span><\/li>\n<li class=\"condensed-hidden\">M\u1ee9c t\u0103ng n\u1ed3ng \u0111\u1ed9 kali mong \u0111\u1ee3i: <span class=\"nowrap\">\u223c 0.1 mEq\/L<\/span> sau truy\u1ec1n m\u1ed9t li\u1ec1u <span class=\"nowrap\">10 mEq<\/span><\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\">\u0110\u01b0\u1eddng b\u00f9 ph\u1ee5 thu\u1ed9c v\u00e0 m\u1ee9c \u0111\u1ed9 h\u1ea1 kali, tri\u1ec7u ch\u1ee9ng v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p\/h\u1ea5p thu thu\u1ed1c u\u1ed1ng.\n<ul>\n<li>\u01afu ti\u00ean b\u1ed5 sung \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 lo\u1ea1n nh\u1ecbp v\u00e0 x\u01a1 t\u0129nh m\u1ea1ch.<\/li>\n<li>C\u00f3 th\u1ec3 k\u1ebft h\u1ee3p \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch v\u00e0 u\u1ed1ng trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/li>\n<li>\u0110\u01b0\u1eddng u\u1ed1ng dung n\u1ea1p t\u1ed1t h\u01a1n khi u\u1ed1ng trong l\u00fac ho\u1eb7c sau b\u1eefa \u0103n.<\/li>\n<\/ul>\n<\/li>\n<li><span class=\"leitwort\">Th\u1eadn tr\u1ecdng<\/span>\n<ul>\n<li class=\"condensed-hidden\">B\u00f9 kali th\u1eadn tr\u1ecdng \u1edf b\u1ec7nh nh\u00e2n gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn tr\u00e1nh t\u0103ng kali m\u00e1u.<\/li>\n<li>Tr\u00e1nh chuy\u1ec3n d\u1ecbch kali n\u1ed9i b\u00e0o b\u1eb1ng c\u00e1ch truy\u1ec1n b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd thay cho glucose 5%.<\/li>\n<li>\u1ede b\u1ec7nh nh\u00e2n nguy c\u01a1 cao ng\u1eebng tim \u0111\u1ed9t ng\u1ed9t (sau nh\u1ed3i m\u00e1u c\u01a1 tim, QT k\u00e9o d\u00e0i).\n<ul>\n<li>Duy tr\u00ec n\u1ed3ng \u0111\u1ed9 kali v\u00e0 magne b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li class=\"condensed-hidden\">\u0110i\u1ec1u tr\u1ecb xo\u1eafn \u0111\u1ec9nh b\u1eb1ng magnesium t\u0129nh m\u1ea1ch.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>1.5. T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a b\u00f9 kali.<\/h3>\n<ul>\n<li>T\u0103ng kali m\u00e1u.<\/li>\n<li>R\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/li>\n<li>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a khi d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng.<\/li>\n<li>Tho\u00e1t m\u1ea1ch khi ti\u00eam truy\u1ec1n.<\/li>\n<li>K\u00edch th\u00edch t\u1ea1i ch\u1ed7 khi truy\u1ec1n.<\/li>\n<\/ul>\n<h2>2. B\u00f9 \u0111i\u1ec7n gi\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/ha-canxi-mau-3185\/\">h\u1ea1 calci m\u00e1u.<\/a><\/h2>\n<h3>2.1. Tr\u01b0\u1eddng h\u1ee3p calci m\u00e1u\u00a0<span class=\"leitwort\">\u2264 7.5 mg\/dL (<span class=\"nowrap\">\u2264 1.9 mmol\/L<\/span>) <\/span><span class=\"unwichtig\">hay Ca ion\u00a0\u2264 3.0 mg\/dL<\/span>\u00a0<span class=\"unwichtig\">(<span class=\"nowrap\">\u2264 0.8 mmol\/L<\/span>) v\u00e0\/ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/span><\/h3>\n<p>D\u00f9ng calcium \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/thong-tin-duoc\/su-dung-thuoc-toan\/cong-dung-thuoc-calci-gluconat\/\">Calcium gluconate<\/a> li\u1ec1u Calcium gluconate\u00a0<span class=\"nowrap\">1\u20132 g<\/span> bolus t\u0129nh m\u1ea1ch (TM) trong <span class=\"nowrap\">10\u201320 ph\u00fat<\/span>\u00a0(max.\u00a0<span class=\"nowrap\">200 mg\/ph\u00fat<\/span>), sau \u0111\u00f3 <span class=\"nowrap\">5.4\u201321.5 mg\/kg\/h TTM.<\/span>\n<div><\/div>\n<div class=\"css-1x17ya eyueia0\">\n<div class=\"css-1lbpfmz e1tnky2o1\">\n<div class=\"css-139mn3x e1tnky2o0\">\n<div class=\"css-hyaldf e1tnky2o1\">\n<div class=\"css-r8skn2 e1tnky2o0\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\"><span id=\"L6a44d31ca7b3a653e934690061eed6d5\" class=\"api dictionary\" data-phrasegroup-id=\"YrWnf50\" data-type=\"bonus\" data-content=\"PHA+QW4gZXNzZW50aWFsIGVsZW1lbnQuIEFzIGFuIGVsZWN0cm9seXRlIChDYeKBusKyKSwgaXQgaXMgaW52b2x2ZWQgaW4gc2lnbmFsaW5nIHBhdGh3YXlzLCBuZXVyb211c2N1bGFyIGZ1bmN0aW9uLCBhbmQgbXVzY2xlIGNvbnRyYWN0aW9uLiBDYWxjaXVtIGFwYXRpdGUgZm9ybXMgYSBzaWduaWZpY2FudCBwb3J0aW9uIG9mIGJvbmUgbWluZXJhbC48L3A+\" data-source=\"L6a44d31ca7b3a653e934690061eed6d5\">Calcium<\/span>\u00a0chloride\u00a0<span class=\"nowrap\">200\u20131000 mg<\/span> TM m\u1ed7i <span class=\"nowrap\">24\u201372 h.<\/span><\/div>\n<div><\/div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">Theo d\u00f5i:<\/div>\n<div>&#8211; Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 calci huy\u1ebft thanh m\u1ed7i 4 &#8211; 8h.<\/div>\n<div>&#8211; Theo d\u00f5i sinh hi\u1ec7u li\u00ean t\u1ee5c.<\/div>\n<div>&#8211; Ch\u0103m s\u00f3c m\u1ee9c \u0111\u1ed9 h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u.<\/div>\n<div><\/div>\n<h3>2.2. Tr\u01b0\u1eddng h\u1ee3p calci 7.6 mg\/dL\u20138.4 mg\/dL (<span class=\"nowrap\">2.0\u20132.1 mmol\/L<\/span>) hay Ca ion 3.1\u20134.3 mg\/dL.<\/h3>\n<\/div>\n<\/div>\n<\/aside>\n<\/div>\n<p>B\u00f9 calci \u0111\u01b0\u1eddng u\u1ed1ng:<\/p>\n<div class=\"css-1x17ya eyueia0\">\n<div class=\"css-1lbpfmz e1tnky2o1\">\n<div class=\"css-139mn3x e1tnky2o0\">\n<div class=\"css-hyaldf e1tnky2o1\">\n<div class=\"css-r8skn2 e1tnky2o0\">\n<div class=\"css-kb7nvz e1vkw3t42\">\n<div class=\"css-rodj39 e1tnky2o1\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>Calcium carbonate li\u1ec1u `1.5g\/ng\u00e0y.<\/li>\n<li>Calcium citrate li\u1ec1u 1.5g\/ng\u00e0y.<\/li>\n<\/ul>\n<p>Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 calci khi c\u1ea7n.<\/p>\n<div><span class=\"leitwort\">Khi n\u1ed3ng \u0111\u1ed9 calci \u2265 8.5 mg\/dL (<span class=\"nowrap\">\u2265 2.2 mmol\/L<\/span>) ho\u1eb7c Ca ion h\u00f3a<\/span><span class=\"unwichtig\">\u2265 4.4 mg\/dL kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh b\u00f9.<\/span><\/div>\n<h3 class=\"table-wrapper condensed-hidden-step1 api\">2.3. M\u1ed9t s\u1ed1 nguy\u00ean t\u1eafc chung trong b\u00f9 \u0111i\u1ec7n gi\u1ea3i Ca.<\/h3>\n<p>S\u1eed d\u1ee5ng calcium t\u0129nh m\u1ea1ch c\u1ef1c k\u00ec th\u1eadn trong n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng glycosid ho\u1eb7c tr\u00e1nh k\u1ebft h\u1ee3p, do c\u00f3 nguy c\u01a1 g\u00e2y rung th\u1ea5t.<\/p>\n<p>N\u1ebfu c\u00f3 k\u00e8m theo h\u1ea1 magnesium, c\u1ea7n b\u00f9 \u0111\u1ed3ng th\u1eddi magnesium do magnesium th\u1ea5p s\u1ebd \u1ee9c ch\u1ebf c\u01a1 ch\u1ebf b\u00f9 tr\u1eeb c\u1ee7a PTH.<\/p>\n<div class=\"additional condensed-hidden\">\n<div class=\"cave content-box red\">&#8211;\u00a0 N\u1ed3ng \u0111\u1ed9 calci huy\u1ebft thanh m\u1ee5c ti\u00eau: th\u1ea5p &#8211; b\u00ecnh th\u01b0\u1eddng <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><span class=\"nowrap\">\u223c 8.5 mg\/dL.\u00a0<\/span><\/span><\/div>\n<div>&#8211; N\u1ed3ng \u0111\u1ed9 calci ion h\u00f3a \u0111\u00e1nh gi\u00e1 l\u01b0\u1ee3ng calci ho\u1ea1t \u0111\u1ed9ng sinh l\u00fd t\u1ed1t h\u01a1n.<\/div>\n<div>&#8211; Khi s\u1eed d\u1ee5ng n\u1ed3ng \u0111\u1ed9 calci huy\u1ebft thanh c\u1ea7n hi\u1ec7u ch\u1ec9nh v\u1edbi albumin.<\/div>\n<\/div>\n<h4 class=\"condensed-hidden-step1\">M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n\u00a0 khi b\u00f9 calci.<\/h4>\n<ul>\n<li>K\u00edch th\u00edch t\u1ea1i ch\u1ed7.<\/li>\n<li>Tho\u00e1t m\u1ea1ch v\u00e0o m\u00f4 m\u1ec1m g\u00e2y v\u00f4i h\u00f3a.<\/li>\n<li>T\u1ee5t huy\u1ebft \u00e1p, nh\u1ecbp ch\u1eadm v\u00e0 ng\u1eebng tim.<\/li>\n<\/ul>\n<h2>3. B\u00f9 \u0111i\u1ec7n gi\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/tong-quan-ve-ha-magie-trong-mau\/\">h\u1ea1 magne m\u00e1u.<\/a><\/h2>\n<h3>3.1. Tr\u01b0\u1eddng h\u1ee3p Mg <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><span class=\"leitwort\">&lt; 1 mEq\/dL v\u00e0\/ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/span><\/span><\/h3>\n<p>D\u00f9ng <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/san-phu-khoa-va-ho-tro-sinh-san\/vai-tro-cua-magie-sulfat-trong-thai-ky\/\">magnesium sulfate<\/a> TM:\u00a0<\/span><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0\/ho\u1eb7c xo\u1eafn \u0111\u1ec9nh. Li\u1ec1u: <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\">magnesium sulfate 2g TMC trong 5 &#8211; 10 ph\u00fat, sau \u0111\u00f3 4 &#8211; 8g TTM (t\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a 1g\/h).<\/span><\/li>\n<li>B\u1ec7nh nh\u00e2n huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 tri\u1ec7u ch\u1ee9ng. Li\u1ec1u:\u00a0 1 &#8211; 2 g TTM trong\u00a0 60 ph\u00fat, sau \u0111\u00f3\u00a0 4 &#8211; 8g TTM\u00a0 trong\u00a0 12\u00a0 &#8211; 24h\u00a0 (t\u1ed1i\u00a0 \u0111a\u00a0 1g\/h).<\/li>\n<li>B\u1ec7nh nh\u00e2n huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng tri\u1ec7u ch\u1ee9ng d\u00f9ng li\u1ec1u: Magnesium sulfate\u00a0<span class=\"nowrap\">4\u20138 g<\/span> TTM trong <span class=\"nowrap\">12\u201324 h<\/span> (max <span class=\"nowrap\">1 g\/h<\/span>).<\/li>\n<\/ul>\n<p><strong>Theo d\u00f5i:\u00a0<\/strong><\/p>\n<\/div>\n<div class=\"css-dhmirf e1pr7vjj0\" data-variant=\"inherit\">\n<ul>\n<li>N\u1ed3ng \u0111\u1ed9 magne huy\u1ebft thanh m\u1ed7i 6 &#8211; 12h\u00a0 sau m\u1ed7i li\u1ec1u TM.<\/li>\n<li>Theo d\u00f5i ECG v\u00e0 sinh hi\u1ec7u li\u00ean t\u1ee5c.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<h3>3.2.\u00a0 Tr\u01b0\u1eddng h\u1ee3p Mg m\u00e1u <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><span class=\"leitwort\">1.0\u20131.5 mEq\/dL.<\/span><\/span><\/h3>\n<div class=\"css-rodj39 e1tnky2o1\">\n<div class=\"css-84ablj e1tnky2o0\">\n<div class=\"css-dhmirf e1pr7vjj0\" data-variant=\"inherit\">\n<ul>\n<li>\u00a0D\u00f9ng magnesium sulfate t\u0129nh m\u1ea1ch li\u1ec1u 1 &#8211; 4g\/l\u1ea7n, l\u1eb7p l\u1ea1i khi c\u1ea7n.<\/li>\n<li>D\u00f9ng magnesium \u0111\u01b0\u1eddng u\u1ed1ng.\n<div>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">Magnesium\u00a0oxide\u00a0<span class=\"nowrap\">400 mg<\/span> u\u1ed1ng m\u1ed7i <span class=\"nowrap\">8\u201324 h.\u00a0<\/span><\/div>\n<div>\n<div>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div>\n<div class=\"content--kLKAu baseStyles-2133108132--disableImagePointerEventOnTutorial-3958995088--anchorLinkStyles-27620709\">Magnesium\u00a0gluconate\u00a0<span class=\"nowrap\">500 mg<\/span> u\u1ed1ng m\u1ed7i <span class=\"nowrap\">8\u201324 h.<\/span><\/div>\n<\/div>\n<\/div>\n<\/aside>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/aside>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<p>Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 Mg huy\u1ebft thanh sau 6 &#8211; 12h m\u1ed7i li\u1ec1u d\u00f9ng ho\u1eb7c t\u1ed1i thi\u1ec3u m\u1ed7i ng\u00e0y.<\/p>\n<p>Khi Mg m\u00e1u <span class=\"leitwort\">\u2265 1.6 mEq\/dL:\u00a0<\/span><\/p>\n<ul>\n<li>Kh\u00f4ng c\u1ea7n thi\u1ebft b\u00f9 Mg.<\/li>\n<li>Xem x\u00e9t b\u00f9 \u0111\u01b0\u1eddng u\u1ed1ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 h\u1ea1 Mg m\u00e1u ho\u1eb7c lo\u1ea1n nh\u1ecbp tim. Magnesium oxide 400mg m\u1ed7i 8 &#8211; 24h ho\u1eb7c magnesium gluconate 500mg m\u1ed7i 8 &#8211; 24h. Ho\u1eb7c truy\u1ec1n TM Mg gluconate 1 &#8211; 2g\/l\u1ea7n.<\/li>\n<\/ul>\n<p>Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 t\u0103ng Mg m\u00e1u khi gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn eGFR <span class=\"nowrap\">&lt; 30 mL\/min\/1.73 m<sup>2\u00a0 <\/sup><\/span>n\u00ean c\u1ea7n gi\u1ea3m 50% li\u1ec1u Mg.<\/p>\n<div class=\"css-dhmirf e1pr7vjj0\" data-variant=\"inherit\">\n<h3 class=\"table-wrapper condensed-hidden-step1 api\">3.3. C\u00e1c nguy\u00ean t\u1eafc chung trong b\u00f9 \u0111i\u1ec7n gi\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh.<\/h3>\n<ul class=\"condensed-hidden-step1\">\n<li>M\u1ee5c ti\u00eau n\u1ed3ng \u0111\u1ed9 Mg huy\u1ebft thanh\n<ul>\n<li><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\">Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n: <span class=\"nowrap\">1.5\u20132.4 mg\/dL<\/span><\/span><\/li>\n<li><span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\">B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh tim m\u1ea1ch ho\u1eb7c r\u1ed1i lo\u1ea1n nh\u1ecbp, m\u1ee5c ti\u00eau <span class=\"nowrap\">&gt; 1.7 mg\/dL<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\"><span class=\"nowrap\">1 g<\/span>\u00a0magnesium sulfate c\u00f3 <span class=\"nowrap\">8 mEq<\/span> Mg nguy\u00ean t\u1ed1.<\/li>\n<li class=\"condensed-hidden\">\u01afu ti\u00ean b\u00f9 \u0111\u01b0\u1eddng u\u1ed1ng khi c\u00f3 th\u1ec3.<\/li>\n<li class=\"condensed-hidden\">B\u00f9 Mg n\u00ean ti\u1ebfp t\u1ee5c 1 &#8211; 2 ng\u00e0y sau khi n\u1ed3ng \u0111\u1ed9 Mg v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p class=\"condensed-hidden\">T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n.<\/p>\n<ul>\n<li>Ti\u00eau l\u1ecfng, ti\u00eau ch\u1ea3y.<\/li>\n<li>Bu\u1ed3n n\u00f4n, n\u00f4n.<\/li>\n<li>M\u1ec7t m\u1ecfi.<\/li>\n<li>Y\u1ebfu c\u01a1, gi\u1ea3m ph\u1ea3n x\u1ea1 c\u01a1.<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p.<\/li>\n<li>Gi\u1ea3m c\u00f4ng th\u1edf, ng\u1eebng tim.<\/li>\n<li>T\u0103ng Mg m\u00e1u.<\/li>\n<\/ul>\n<h2>4. B\u00f9 \u0111i\u1ec7n gi\u1ea3i trong <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nguyen-nhan-gay-ha-phospho-mau\/\">h\u1ea1 Phosphat<\/a> m\u00e1u.<\/h2>\n<h3 class=\"condensed-hidden\">4.1. C\u00e1c b\u01b0\u1edbc ti\u1ebfp c\u1eadn trong b\u00f9 \u0111i\u1ec7n gi\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh.<\/h3>\n<ol class=\"condensed-hidden\">\n<li value=\"1\">Quy\u1ebft \u0111\u1ecbnh b\u00f9 t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u01b0\u1eddng u\u1ed1ng.<\/li>\n<li value=\"2\">T\u00ednh mmol phospho nguy\u00ean t\u1ed1 c\u1ea7n b\u00f9.<\/li>\n<li value=\"3\">L\u1ef1a ch\u1ecdn lo\u1ea1i mu\u1ed1i phosphat.\n<ul>\n<li>N\u1ebfu K <span class=\"nowrap\">&lt; 4.0 mg\/dL<\/span>, truy\u1ec1n kali phosphat.<\/li>\n<li><span class=\"nowrap\">N\u1ebfu K\u2265 4.0 mg\/dL<\/span>, truy\u1ec1n natri phosphat.<\/li>\n<\/ul>\n<\/li>\n<li value=\"4\">L\u00e0m tr\u00f2n t\u1ed5ng li\u1ec1u t\u00ednh to\u00e1n sang li\u1ec1u thu\u1ed1c g\u1ea7n \u0111\u00fang (v\u00ed d\u1ee5 th\u01b0\u1eddng b\u00f9 phosphat li\u1ec1u <span class=\"nowrap\">7.5 mmol<\/span> TM, <span class=\"nowrap\">8 mmol<\/span> \u0111\u01b0\u1eddng u\u1ed1ng).<\/li>\n<\/ol>\n<p>Tr\u00e1nh nh\u1ea7n l\u1eabn gi\u1eefa phospho (P) v\u00e0 phosphat (PO4), c\u00f9ng s\u1ed1 mol nh\u01b0ng t\u1ec9 l\u1ec7 kh\u1ed1i l\u01b0\u1ee3ng phosphat\/phopsho=3\/1.<\/p>\n<div class=\"condensed-hidden\"><\/div>\n<h3 class=\"condensed-hidden-step1\">4.2. B\u1ec7nh nh\u00e2n nguy k\u1ecbch v\u00e0\/ho\u1eb7c \u0111ang nu\u00f4i \u0103n t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n.<\/h3>\n<ul>\n<li>Phospho &lt; 1.6 mg\/dL (&lt; 0.51 mmol\/L): Truy\u1ec1n t\u0129nh m\u1ea1ch phosphat li\u1ec1u Phosphate\u00a0<span class=\"nowrap\">0.48\u20131.00 mmol\/kg<\/span> IV trong <span class=\"nowrap\">4\u20136 h. Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 phospho 6h sau truy\u1ec1n. Xem x\u00e9t theo d\u00f5i li\u00ean t\u1ee5c sinh hi\u1ec7u.\u00a0<\/span><\/li>\n<li>Phospho 1.6\u20132.2 mg\/dL (0.51\u20130.71 mmol\/L): truy\u1ec1n t\u0129nh m\u1ea1ch li\u1ec1u Phosphate\u00a0<span class=\"nowrap\">0.32\u20130.64 mmol\/kg<\/span> IV trong <span class=\"nowrap\">4\u20136 h. Theo d\u00f5i phospho 6h sau truy\u1ec1n.\u00a0<\/span>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<div class=\"children-2286806230--childrenDefault-4239998497\">\n<div><\/div>\n<\/div>\n<\/aside>\n<\/div>\n<\/li>\n<li>Phospho 2.2\u20133.0 mg\/dL(0.71\u20130.96 mmol\/L): li\u1ec1u Phosphate\u00a0<span class=\"nowrap\">0.16\u20130.32 mmol\/kg<\/span> IV trong\u00a0 <span class=\"nowrap\">4\u20136 h. Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 phospho 6h sau truy\u1ec1n.<\/span><\/li>\n<\/ul>\n<\/div>\n<h3>4.3. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng nguy k\u1ecbch v\u00e0 kh\u00f4ng nu\u00f4i \u0103n t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n.<\/h3>\n<ul>\n<li>Phospho <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><span class=\"leitwort\">&lt; 1.0 mg\/dL<\/span><\/span>\u00a0<span class=\"unwichtig\"><span class=\"unwichtig\">(&lt; 0.32 mmol\/L), c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0\/ho\u1eb7c kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c. Truy\u1ec1n t\u0129nh m\u1ea1ch phosphat li\u1ec1u <\/span><\/span>Phosphate\u00a0<span class=\"nowrap\">0.64\u20131 mmol\/kg <\/span>(max: <span class=\"nowrap\">50 mmol\/li\u1ec1u<\/span>) TTM trong <span class=\"nowrap\">2\u20136 h ho\u1eb7c <\/span>phosphate\u00a0<span class=\"nowrap\">15\u201330 mmol TTM trong<\/span>\u00a0<span class=\"nowrap\">6 h <\/span>(max\u00a0<span class=\"nowrap\">4.5 mmol\/h<\/span>,\u00a0<span class=\"nowrap\">90 mmol\/day<\/span>).<\/li>\n<li>Phospho 1.0\u20131.9 mg\/dL (0.32\u20130.64 mmol\/L): N\u1ebfu b\u1ec7nh nh\u00e2n u\u1ed1ng \u0111\u01b0\u1ee3c d\u00f9ng li\u1ec1u Phosphate\u00a0<span class=\"nowrap\">8\u201316 mmol<\/span> u\u1ed1ng m\u1ed7i 6<span class=\"nowrap\"><span class=\"nowrap\">\u20138 h. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c truy\u1ec1n TM li\u1ec1u <\/span><\/span>Phosphate\u00a0<span class=\"nowrap\">0.32\u20130.64 mmol\/kg<\/span> TTM trong <span class=\"nowrap\">2\u20136 h<\/span>\u00a0(max:\u00a0<span class=\"nowrap\">50 mmol\/li\u1ec1u<\/span>) ho\u1eb7c\u00a0 phosphate\u00a0<span class=\"nowrap\">15 mmol<\/span> TTM trong <span class=\"nowrap\">6 h. Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 phospho 6h sau truy\u1ec1n h\u1ecdc m\u1ed7i ng\u00e0y.<\/span><\/li>\n<li>\n<div><span class=\"leitwort\">Phospho \u2265 2.0 mg\/dL\u00a0<\/span><span class=\"unwichtig\">(&gt; 0.64 mmol\/L): kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh b\u00f9.<\/span><\/div>\n<\/li>\n<\/ul>\n<div><\/div>\n<div>\n<aside class=\"tooltipContainer-1547484803--filterShadow-3387428294--visible-2020882705\" data-e2e-test-id=\"tooltip-container\">\n<h3 class=\"children-2286806230--childrenDefault-4239998497\">4.4. Nguy\u00ean t\u1eafc chung.<\/h3>\n<ul>\n<li>M\u1ee5c ti\u00eau phospho m\u00e1u: <span class=\"step-2-imppact2 imppact2 usmle-gs-imppact2 step-2-condensed strongImpactHighlight--qLdOc\"><span class=\"nowrap\">&gt; 2\u20133 mg\/dL<\/span><\/span><\/li>\n<li>N\u1ed3ng \u0111\u1ed9 t\u0103ng mong \u0111\u1ee3i: <span class=\"nowrap\">\u223c 0.5 mg\/dL<\/span> khi d\u00f9ng li\u1ec1u <span class=\"nowrap\">0.10 mmol\/kg.<\/span><\/li>\n<\/ul>\n<\/aside>\n<\/div>\n<div class=\"css-dhmirf e1pr7vjj0\" data-variant=\"inherit\">\n<ul class=\"condensed-hidden-step1\">\n<li class=\"condensed-hidden\">N\u1ed3ng \u0111\u1ed9 phospho m\u00e1u kh\u00f4ng ph\u1ea3n \u00e1nh l\u01b0\u1ee3ng phospho trong c\u01a1 th\u1ec3 do ph\u1ea7n l\u1edbn n\u1eb1m trong x\u01b0\u01a1ng v\u00e0 m\u00f4 m\u1ec1m.<\/li>\n<li class=\"condensed-hidden\">B\u1ec7nh nh\u00e2n nguy k\u1ecbch c\u00f3 nhu c\u1ea7u phospho cao h\u01a1n do t\u0103ng chuy\u1ec3n h\u00f3a v\u00e0 b\u00e0i ti\u1ebft phospho ni\u1ec7u.<\/li>\n<li class=\"condensed-hidden\">Li\u1ec1u:\n<ul>\n<li>Li\u1ec1u TM chu\u1ea9n <span class=\"nowrap\">15\u201330 mmol<\/span> v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n kh\u00f4ng nhanh h\u01a1n <span class=\"nowrap\">4.5\u20137.0 mmol\/h.<\/span><\/li>\n<li>Gi\u1ea3m 1\/2 li\u1ec1u n\u1ebfu b\u1ec7nh nh\u00e2n suy th\u1eadn m\u00e0 kh\u00f4ng l\u1ecdc m\u00e1u.<\/li>\n<\/ul>\n<\/li>\n<li class=\"condensed-hidden\">C\u00e1c ch\u1ebf ph\u1ea9m phospho\n<ul>\n<li>1 mmol of\u00a0<span id=\"L7fb5ccb1c4fae692b6086ef4720790f6\" class=\"api dictionary\" data-phrasegroup-id=\"brWHf50\" data-type=\"bonus\" data-content=\"PHA+VGhlIG1vc3QgYWJ1bmRhbnQgaW50cmFjZWxsdWxhciBtaW5lcmFsLiBJbnZvbHZlZCBpbiBjZWxsdWxhciBlbGVjdHJvbHl0ZSBiYWxhbmNlLCBmbHVpZCBiYWxhbmNlLCBjZWxsdWxhciBtZW1icmFuZSB0cmFuc3BvcnQsIGFuZCBwSCBiYWxhbmNlLjwvcD4=\" data-source=\"L7fb5ccb1c4fae692b6086ef4720790f6\">kali<\/span>\u00a0phosphate ch\u1ee9a <span class=\"nowrap\">\u223c 1.5 mEq K<\/span><\/li>\n<li>1 mmol of natri phosphate ch\u1ee9a <span class=\"nowrap\">\u223c 1.33 mEq Na.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>4.5. C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n khi b\u00f9 phospho:<\/h3>\n<ul>\n<li>H\u1ea1 calci, t\u0103ng natri<\/li>\n<li>L\u1ee3i ni\u1ec7u th\u1ea9m th\u1ea5u.<\/li>\n<li>Suy th\u1eadn.<\/li>\n<li>Lo\u1ea1n nh\u1ecbp.<\/li>\n<li>L\u00fa l\u1eabn, ch\u00f3ng m\u1eb7t, co gi\u1eadt, c\u01a1n tetany.<\/li>\n<li>K\u1ebft t\u1ee7a v\u1edbi calci<\/li>\n<li>T\u0103ng kali m\u00e1u.<\/li>\n<li>Ti\u00eau ch\u1ea3y, ch\u01b0\u1edbng b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n.<\/li>\n<li>\u0110au h\u1ecdng.<\/li>\n<\/ul>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/strong><\/p>\n<div>\n<p class=\"headerTitle--o3A1Z\" data-e2e-test-id=\"articleHeader\">Electrolyte repletion, Amboss.<\/p>\n<\/div>\n<div class=\"updateInfoContainer--ncuiw\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ea1 kali m\u00e1u, h\u1ea1 calci m\u00e1u, h\u1ea1 magne m\u00e1u, v\u00e0 h\u1ea1 phosphat m\u00e1u l\u00e0 nh\u1eefng r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng g\u1eb7p trong b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa v\u00e0 b\u1ec7nh nguy k\u1ecbch. Hi\u1ec7n nay c\u00f3 nhi\u1ec1u ph\u00e1c \u0111\u1ed3\u00a0 b\u00f9 \u0111i\u1ec7n gi\u1ea3i kh\u00e1c nhau v\u00e0 kh\u00f4ng c\u00f3 khuy\u1ebfn c\u00e1o chu\u1ea9n n\u00e0o cho th\u1ef1c h\u00e0nh. Do \u0111\u00f3,\u00a0b\u00f9 \u0111i\u1ec7n gi\u1ea3i [&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>B\u00f9 \u0111i\u1ec7n gi\u1ea3i trong h\u1ed3i s\u1ee9c n\u1ed9i khoa - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00f9 \u0111i\u1ec7n gi\u1ea3i: kali, calci, magnesium, phospho t\u00f9y thu\u1ed9c n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec7n gi\u1ea3i trong m\u00e1u, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 kh\u1ea3 n\u0103ng dung n\u1ea1p \u0111\u01b0\u1eddng u\u1ed1ng.\" \/>\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=\"B\u00f9 \u0111i\u1ec7n gi\u1ea3i trong h\u1ed3i s\u1ee9c n\u1ed9i khoa - 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