手術前の体液管理における ... - gakken-mesh.jp

1 = . 2= ORT Oral Rehydration Therapy . ORS : Oral Rehydration Solution . ORS . ORS .. (ORT) ? Na+mEq/LK+mEq/LCl-mEq/LMg2+mEq/L mmo/L mEq/L mEq/L %WHO-ORS(2002 ) * 40 6020 Na ** 9 233 55 136 10 (2 ) KN3 ) : **.

2 = .. 3 clear fluid .= ..= ..4 =1 . =2 = .= 6.

3 = 10 . = .51. 2. 1. EMR 2. BMI-35 3. 80 4. 5. 6. 7.. 1..2. 3. 6=1. =2. =3. =4.

4 OS-1 =5..=6.. 7 = 1. OS-1 ..= 2. 1) : . OS-1 .. 2) *: 9 : 6 : 10 ( 30 ): 6 30 *ASA Clear water 2 . 3 2 .. 16 .3) ..8 OS-1 ( ( ) 500mL x 3 00 6 500mL x 2 10 00 10 500mL x 3 OS-1 30 ( ) 6 BW20kg 500mLx1 BW20kg 200mLx1 :500mL x BW/50 9 00 6 BW20kg 500mLx1 BW20kg 200mLx1.

5 500mL x BW/50 10 BW20kg 500mLx2 BW20kg 200mLx2 :500mL x BW/50 x 2 10 00 9 OS-1 =1..=2..=1..=2..=1..=2. ( ) .10 . OS-1 .. OS-1 ( ) 2 . * 1000mL . ( ) 3 . * 1500mL.

6 OS-1 OS-1 .. OS-1 .. : : :11 . OS-1 .. OS-1 ( ) .( ) . OS-1 ( ) mL .. OS-1 OS-1.

7 OS-1 .. : : : 12