Precise sodium adjusting method for displacement liquid formula

Abstract

The invention relates to the technical field of clinical medicine, in particular to a precise sodium adjusting method for a displacement liquid formula. For patients with metabolic acidosis or withoutacid-base balance disorders, the amount I1 of 10% sodium chloride solution added to an initial displacement liquid can be obtained by a formula 1 and a formula 2, and for patients with metabolic alkalosis, the amount I6 of 10% sodium chloride solution added to the initial displacement liquid can be obtained by a formula 7 and a formula 8. The simple and easy-to-master formulas are adopted, the sodium ion concentration of the displacement liquid is precisely adjusted to achieve a controlled sodium reduction effect, the sodium reduction effect is accurate, the sodium reduction is balanced and stable every hour, and the sodium is adjusted individually according to different patients, the anti-coagulation problem in CRRT treatment for severe hypernatronemia accompanied by active bleeding patients is solved, meanwhile, the occurrence of complications during the anticoagulation process is prevented, balanced and stable sodium reduction is realized, and the occurrence of cerebral edema is reduced.

Description

technical field [0001] The invention relates to the technical field of clinical medicine, in particular to a precise sodium adjustment method for a replacement fluid formula. Background technique [0002] Hypernatremia is a serious clinical complication that is common and easily overlooked. Studies have shown that the incidence of hypernatremia in critically ill patients is 4% to 26%, and the incidence of severe hypernatremia (serum sodium ≥ 160mmol / L) is only 0.6% to 1.0%. The short-term fatality rate is 58% to 87%. Hypernatremia can cause dysfunction of multiple systems, including nerves, immunity, endocrine, and circulation. Smooth sodium reduction is crucial to maintaining a stable internal environment and reducing the occurrence of cerebral edema. Traditional treatment is mainly to restrict sodium intake and supplement non-salt fluid according to the degree of dehydration and continuous dehydration. Acute severe hypernatremia requires rapid supplementation of 5% gluc...

AI Technical Summary

Problems solved by technology

This formula is not for sodium citrate anticoagulant CRRT treatment, nor does it take into account the factors of metabolic acid-base balance imbalance, but simply considers the relationship between the sodium ion concentration of the replacement fluid and the addition of sodium chloride, and the calculated result is 3% The dosage of sodium chloride, 3% sodium chloride is not commonly used clinically

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