Transcription of ⽔・Na代謝異常 輸液 考え⽅ - nishikawaclinic.com
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⽔・Na代謝異常 輸液 考え⽅ - nishikawaclinic.com
6 2015/10/161 Na Water & Electrolyte 6 2015 OVERVIEW 0 20 LNaCl 0 500mEqK0 500mEqH0 200mEqCa 0 30gP0 30g 60% Na 140 day 6 2015/10/162 NaCl10g/ NaCl10g/ L 100mEq 100mEq ICFECF 70kg28L14L11L3L (TBW)42L 11L 3L (ICF)28L (ECF)14L2/31/3 3 osmolality 360 mg/dl == 20 mOsm/Lmg/dl x 10mOsm/L360 x 10180= 6 2015/10/163 OsmolalityECF=2Na + += 2x140+ += 290 mOsm/LICF=290 effective osmole(Na, , ) Glucose Urea Tonicity ( osmolality ) (Tonicity)TOTALOSMOLALITY =+INEFFECTIVEOSMOLALITY2 (Na) +Glucose(mg/dl)18 EFFECTIVEOSMOLALITY(TONICITY)BUN(mg/dl) ) 2) Na, : ECF : TBW 3) + 6 2015/10/164 ICFECFGlu 90Na 140urea 14urea 14290 290 Na ECF ICF ICFECFGluWater313 313 (Hypertonicity)350 Glucose 140gICFECFGlu 90Na 140urea 14urea 14290 290 Na ECF ICF 250 ICFECFGluWater277
第6回若⼿医師セミナー 2015/10/16 3 ⾎清浸透圧Osmolality ECF =2Na + + = 2x140+ + = 290 mOsm/L ICF=290 mOsm/L Glu BUN 18 2.8 90 18 14 2.8 有効浸透圧物 …
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