UNyango lwe-Intravenous, iiNkqubo zokuHambisa ulwelo lokuVuselela, kunye nezixhobo zokuhlangula iiseli
UVanessa G. Henke, uWarren S. Sandberg, kwi-MGH Textbook ye-Anesthetic Equipment, ngo-2011
Isishwankathelo seeNkqubo zokufudumeza ulwelo
Eyona njongo iphambili yezifudumezi zolwelo lwe-IV kukufudumala ulwelo olufakelwe kufutshane nobushushu bomzimba okanye ngaphezulu kancinci ukunqanda i-hypothermia ngenxa yokugalelwa ulwelo olubandayo. Iingozi ezinxulumene nokusetyenziswa kokufudumala kwamanzi ziquka i-air embolism, i-hemolysis ebangelwa ukushisa kunye nokulimala kwenqanawa, ukuvuza kwangoku kwindlela yamanzi, ukusuleleka, kunye nokungena ngoxinzelelo.42
Ukufudumala kwamanzi kubonakaliswe ngokupheleleyo ukunyuswa ngokukhawuleza kweemveliso zegazi elibandayo, ngenxa yeengozi zokubanjwa kwentliziyo kunye ne-arrhythmia (ingakumbi xa i-node ye-sinoatrial ipholile ukuya ngaphantsi kwe-30 ° C). Ukubanjwa kwe-cardiac kubonakaliswe xa abantu abadala befumana igazi okanye i-plasma kumazinga angaphezu kwe-100 mL / min kwimizuzu ye-30. I-40 Umda wokunyanzelwa ukubanjwa kwenhliziyo uphantsi kakhulu ukuba utofelo-gazi luhanjiswa phakathi kunye nakubantwana babantwana.
Izifudumezi zolwelo zinokuhlelwa ngokubanzi zibe zizixhobo eziyilelwe ukufudumeza ulwelo kumatyala esiqhelo kunye nezixhobo ezintsonkothileyo eziyilelwe ukuvuselela umthamo omkhulu. Ngelixa zonke izifudumezi zolwelo ziqulethe i-heater, ulawulo lwe-thermostatic, kwaye, kwiimeko ezininzi, ukufundwa kweqondo lokushisa, ukufudumala kwamanzi okufudumeza kulungiselelwe ukuhamba okuphezulu, kunye nokuyeka ukuhamba kwisigulane xa kufunyenwe umoya obalulekileyo kwi-tubing. Izifudumezi ezilula zolwelo zihambisa ulwelo olufudumeleyo kumazinga ukuya kuthi ga kwi-150 mL/min (kwaye ngamanye amaxesha kumazinga aphezulu, kunye neeseti ezikhethekileyo ezilahlwayo kunye noxinzelelo olucinezelayo), ngokungafaniyo nezifudumezi zokuvuselela ulwelo olusebenza ngempumelelo ulwelo olufudumeleyo kumazinga okuqukuqela ukuya kuthi ga kwi-750 ukuya kwi-1000 mL / min (i-resuscitation fluid warmer ide isuse imfuno yoxinzelelo).
Ukufudumeza kwe-IV fluids kunokufezekiswa ngokutshintshiselana kobushushu obomileyo, ukutshintshiselana kobushushu, ukucwiliswa kwamanzi, okanye (ngaphantsi ngokufanelekileyo) ngokubeka inxalenye yesiphaluka se-fluid kwindawo ekufutshane ne-heater ehlukeneyo (njengesixhobo somoya onyanzeliswayo okanye i-mattress yamanzi ashushu).
Ixesha lokuposa: Jan-17-2025