He aha ka Lactated Ringer's: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Lactated Ringer's he wai wai maʻemaʻe i hāʻawi ʻia e nā kauka ma o ka IV e pani i nā wai a me nā electrolytes i nalowale i kou kino. E noʻonoʻo iā ia he hui ʻana i kaulike pono e kūlike me ka mea e pono ai kou kino ke maloʻo ʻoe a i ʻole e nalowale ana nā wai.

Aia i loko o kēia hopena IV ka wai, sodium, potassium, calcium, a me ka lactate i nā mea kikoʻī e like me ke kaulike wai maoli o kou kino. Hoʻohana nā mea mālama ola iā ia i nā haukapila, nā lumi pilikia, a me nā wahi ʻokiʻoki ke pono kou kino i ka pani wai wikiwiki.

No ke aha e hoʻohana ʻia ai ka Lactated Ringer's?

Kōkua ʻo Lactated Ringer's i ka hoʻihoʻi ʻana i ke kaulike wai a me ka electrolyte o kou kino ke nalowale ʻoe i nā mea nui ma o ka maʻi, ke ʻoki ʻana, a i ʻole ka hōʻeha. ʻO ia kekahi o nā wai IV i hoʻohana pinepine ʻia i nā wahi lapaʻau no ka mea hana maikaʻi ia no nā kūlana like ʻole.

Hiki i kāu kauka ke ʻōlelo aku i kēia hopena ke hana ʻoe me kekahi mau maʻi e pili ana i nā pae wai o kou kino. Eia nā kūlana nui kahi e lilo ai ka Lactated Ringer's i mea kōkua:

• Ka maloʻo nui mai ka luaʻi ʻana, ka maʻi maʻi, a i ʻole ka hou nui
• Ka nalowale o ke koko i ka wā o ka ʻoki ʻana a i ʻole ma hope o ka trauma
• ʻO nā wela e hoʻoulu ai i ka nalowale wai nui ma o ka ʻili i hōʻino ʻia
• Nā kūlana haʻalulu kahi e hāʻule ai ke koko i kahi haʻahaʻa weliweli
• Nā pilikia o ka puʻupaʻa e pili ana i ka hiki o kou kino ke kaulike i nā wai
• Hoʻomākaukau no nā kaʻina hana ʻoki nui

I nā hihia liʻiliʻi, hiki i nā kauka ke hoʻohana i ka Lactated Ringer's no nā kūlana e like me ka metabolic acidosis koʻikoʻi a i ʻole kekahi mau ʻano o ka ʻona. Kōkua ka hopena i ka hoʻopaʻa ʻana i kou kino i ka wā e hana ai nā lāʻau lapaʻau ʻē aʻe e hoʻoponopono i ka pilikia ma lalo.

Pehea e hana ai ka Lactated Ringer's?

Hana ʻo Lactated Ringer's ma ka hoʻololi pololei ʻana i nā wai a me nā minerala koʻikoʻi i nalowale i kou kino. Ke komo ka hopena i loko o kou kahe koko ma o ka IV, laha koke ia i loko o kou kino e hoʻihoʻi i ke kaulike wai kūpono.

Hoʻololi ka lactate i loko o ka hopena i bicarbonate i loko o kou ate, e kōkua ana i ka hoʻoponopono ʻana i nā kaulike waikawa-base i loko o kou koko. Hana maoli kēia kaʻina hana a kōkua i kou kino e mālama i nā pae pH kūpono no ka hana maikaʻi loa.

ʻAʻole like me ka wai maʻemaʻe, aia i loko o Lactated Ringer's nā electrolytes e pale ai i kou mau cell mai ka pehu ʻana a i ʻole ka emi ʻana ke hoʻihoʻi ʻia nā wai. ʻO ke ʻano kaulike ʻo ia ka hiki i kou kino ke hoʻohana koke iā ia me ka ʻole e hoʻopilikia i nā hana cellular maʻamau.

Pehea wau e loaʻa ai iā Lactated Ringer's?

Hāʻawi mau ʻia ʻo Lactated Ringer's ma o ka laina IV e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia i nā wahi lapaʻau. ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ka waha, a ʻaʻole i lawelawe ʻia ma ka home me ka ʻole o ka mālama olakino.

E hoʻokomo kāu kahu hānai i kahi paipu plastik liʻiliʻi i loko o kahi vein, maʻamau i kou lima a i ʻole ka lima. E kahe ana ka hopena mai kahi ʻeke sterile ma o ka paipu pololei i loko o kou kahe koko ma kahi helu i hoʻoholo ʻia e kāu kauka ma muli o kāu mau pono kikoʻī.

Aia ka helu infusion ma nā mea he nui me kou makahiki, ke kaumaha, ke kūlana olakino, a me ka nui o ka wai e pono ai kou kino. E nānā pono kāu hui mālama ola iā ʻoe i ka wā o ka infusion e hōʻoia ana e loaʻa ana iā ʻoe ka nui kūpono i ka wikiwiki kūpono.

ʻAʻole pono ʻoe e hoʻomākaukau no ka loaʻa ʻana o Lactated Ringer's ma ka ʻai ʻana a i ʻole ka pale ʻana i kekahi mau meaʻai. Eia naʻe, e haʻi i kāu mea mālama ola e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me nā electrolytes i loko o ka hopena.

Pehea ka lōʻihi e loaʻa ai iaʻu ʻo Lactated Ringer's?

He ʻokoʻa loa ka lōʻihi o ka lāʻau lapaʻau Lactated Ringer ma muli o kou maʻi olakino a me ka wikiwiki o kou kino e pane i ka lāʻau. Pono kekahi poʻe i kekahi mau hola wale nō, aʻo kekahi poʻe e pono paha i kekahi mau lā.

E nānā mau kāu hui mālama ola i kāu pae wai, kaulike electrolyte, a me ke kūlana holoʻokoʻa e hoʻoholo ai i ka wā i loaʻa ai iā ʻoe ka lawa. E nānā lākou i kou koko, ka helu o ka puʻuwai, a me nā hoʻokolohua lab e alakaʻi i kā lākou hoʻoholo.

No ka maloʻo liʻiliʻi, pono paha ʻoe i hoʻokahi a ʻelua paha ʻeke o ka hopena i loko o kekahi mau hola. ʻO nā maʻi koʻikoʻi e like me ke ahi nui a i ʻole ke ʻoki nui ʻana e koi paha i ka hoʻokomo mau ʻana no nā lā i ka wā e hoʻōla ai kou kino a paʻa.

He aha nā hopena ʻaoʻao o Lactated Ringer's?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi iā Lactated Ringer's, akā e like me nā lāʻau lapaʻau, hiki iā ia ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a hoʻoponopono koke ʻia ke pau ka hoʻokomo ʻana.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka ʻoluʻolu maʻalahi ma ka pūnaewele IV, e like me ka ʻeha liʻiliʻi, ka ʻulaʻula, a i ʻole ka pehu ʻana ma kahi e komo ai ka nila i loko o kou vein. He manawa pōkole kēia mau hopena a ʻaʻole pono i ka lāʻau lapaʻau kūikawā.

Eia nā hopena ʻaoʻao ʻoi aku ka ʻike e hiki ke hana i ka wā a ma hope paha o ka loaʻa ʻana o Lactated Ringer's:

• Ka manaʻo o ka piha a i ʻole ka pehu ʻana i ka wā e paʻa ai kou kino i ka wai keu
• ʻO ka nausea maʻalahi a i ʻole ka ʻoluʻolu o ka ʻōpū
• Nā loli manawa pōkole i nā hiʻohiʻona urination
• Nā loli liʻiliʻi i ke koko a i ʻole ka helu o ka puʻuwai
• Nā manaʻo ʻoluʻolu a mahana paha i ka wā e komo ai ka wai i loko o kou kahe koko

ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi, akā pono lākou i ka lāʻau lapaʻau koke. Hiki i kēia ke komo i nā hōʻailona o ka wai nui e like me ka pilikia o ka hanu ʻana, ka loaʻa ʻana o ke kaumaha wikiwiki, a i ʻole ka pehu nui ʻana i kou mau wāwae a i ʻole ka maka.

Hiki i nā pilikia kakaʻikahi akā koʻikoʻi ke komo pū i nā hopena maʻi maʻi koʻikoʻi, nā puʻuwai puʻuwai ʻole ma muli o nā kaulike electrolyte, a i ʻole nā pilikia mai ka loaʻa ʻana o ka nui o ka wai i ka wikiwiki. Mālama kāu hui mālama ola i kēia mau mea i ka wā o kāu lapaʻau.

ʻO wai ka mea ʻaʻole pono e loaʻa iā Lactated Ringer's?

ʻAʻole kūpono ʻo Lactated Ringer's no nā mea a pau, a e loiloi pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia lapaʻau. ʻO kekahi mau maʻi e hana i kēia hopena kūpono ʻole a i ʻole ka pōʻino.

ʻAʻole hiki i ka poʻe me ka maʻi kīkī koʻikoʻi ke hana pono i nā electrolytes i loko o Lactated Ringer's, e alakaʻi ana i nā kūkulu pōʻino i loko o kā lākou ʻōnaehana. Pēlā nō, ʻaʻole hiki i ka poʻe me ka maʻi puʻuwai koʻikoʻi ke mālama pono i ka nui o ka wai.

E pale kāu mea mālama ola iā Lactated Ringer's inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Maʻi ate koʻikoʻi e pale ana i ka hana lactate kūpono
• Nā pae potassium kiʻekiʻe i loko o kou koko (hyperkalemia)
• ʻO ka maʻi kīkī koʻikoʻi a i ʻole ka hana kīkī i hōʻemi ʻia
• ʻO ka maʻi puʻuwai congestive e hana ai i ka mālama wai koʻikoʻi
• Nā maʻi maʻi i ʻike ʻia i kekahi mau mea o ka hopena
• ʻO kekahi mau ʻano o nā maʻi metabolic

I nā hihia kakaʻikahi, pono paha ka poʻe me nā maʻi genetic kikoʻī e pili ana i ke ʻano o ko lākou kino e hana ai i ka lactate a i ʻole kekahi mau electrolytes i nā hopena IV ʻē aʻe. E koho kāu kauka i ke koho palekana loa e pili ana i kāu kiʻi olakino piha.

Nā inoa inoa o Lactated Ringer's

Loaʻa ʻo Lactated Ringer's ma lalo o nā inoa inoa like ʻole, ʻoiai ke ʻano like ka haku ʻana ma waena o nā mea hana. ʻO nā inoa inoa maʻamau e komo pū ana me Lactated Ringer's Injection, Ringer's Lactate, a me Hartmann's Solution.

Hana ʻia kēia ʻano lāʻau lapaʻau e nā hui lāʻau lapaʻau like ʻole ma lalo o nā inoa like ʻole, akā aia nā mea like i loko o nā ʻano like. Koho maʻamau kāu haukapila a i ʻole ke keʻena mālama ola i ka inoa e mālama ai ma muli o ke kumukūʻai a me ka loaʻa.

ʻO kekahi mau inoa inoa e ʻike ai ʻoe, ʻo ia ka Lactated Ringer's Injection a Baxter, Lactated Ringer's a Hospira, a i ʻole B. Braun's Lactated Ringer's Solution. ʻAʻole pili i ka inoa, mau nō nā hopena lapaʻau a me ka palekana.

Nā Koho ʻē aʻe no Lactated Ringer's

Nui nā ʻano IV ʻē aʻe e hiki ke pani i ka Lactated Ringer's ke kūpono ʻole ia no kou maʻi. Koho kāu kauka i ke koho maikaʻi loa ma muli o kāu mau pono olakino kikoʻī a me ke ʻano o ka wai a i ʻole ka pani ʻana o ka electrolyte e pono ai.

ʻO ka saline maʻamau (0.9% sodium chloride) ke koho maʻamau, ʻoi aku hoʻi ke pono ʻoe i ka pani wai me ka ʻole o nā electrolytes hou i loaʻa i ka Lactated Ringer's. He maʻalahi ia i ka haku ʻana a hana maikaʻi no ka maloʻo maʻamau.

ʻO nā koho ʻē aʻe e noʻonoʻo ai kāu mea mālama ola, ʻo ia:

\n
• Plasma-Lyte A, he ʻano ʻokoʻa o ka electrolyte
\n
• Nā hopena dextrose ke pono ʻoe i nā wai a me ka glucose
\n
• Nā hopena albumin no kekahi mau ʻano o ka nalowale wai
\n
• Half-normal saline no nā pono electrolyte kikoʻī
\n
• Nā hopena paʻakai kaulike me nā hui mineral like ʻole
\n

I nā kūlana kūikawā, hiki i kāu kauka ke ʻōlelo aku i nā huahana koko, nā hopena colloid, a i ʻole nā wai pani kikoʻī ʻē aʻe. Aia ke koho i ka mea i nalowale i kou kino a me ka mea e pono ai e ola pono.

ʻOi aku ka maikaʻi o Lactated Ringer's ma mua o ka Saline Maʻamau?

He mau hopena IV maikaʻi loa nā Lactated Ringer's a me ka saline maʻamau, akā he mau pono ko kēlā me kēia i nā kūlana like ʻole. Aia ke koho

Ua like ʻo Lactated Ringer's me ke ʻano wai maoli o kou kino, no laila he mea kūpono ia ke pono ʻoe e pani i nā electrolytes he nui me ka wai. He maʻalahi ka saline maʻamau a ʻoi aku ka maikaʻi ke pono ʻoe e pani i ka wai maʻamau me ka ʻole o nā minerala hou.

Hōʻike ka noiʻi lapaʻau hou e hiki i ka Lactated Ringer's ke kumu i nā pilikia liʻiliʻi i kekahi mau kūlana, ʻoiai i ka wā o nā ʻoki nui a i ʻole ke pono ka nui o ka wai. Eia naʻe, ʻo ka saline maʻamau ka koho i makemake ʻia no nā kūlana kikoʻī e like me nā ʻeha lolo a i ʻole kekahi mau pilikia o ka puʻupaʻa.

Ke noʻonoʻo nei kāu hui mālama ola i nā mea e like me ka hana o kou puʻupaʻa, ke ʻano o kou puʻuwai, a me ke kumu e pono ai ʻoe i nā wai IV i ke koho ʻana ma waena o kēia mau hoʻonā. He palekana a maikaʻi nā mea ʻelua ke hoʻohana pono ʻia no nā kūlana lapaʻau kūpono.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Lactated Ringer's

Q1. He palekana anei ʻo Lactated Ringer's no ka poʻe me ka maʻi diabetes?

ʻAe, palekana ʻo Lactated Ringer's no ka poʻe me ka maʻi diabetes, akā e nānā pono kāu hui mālama ola i nā pae kōpaʻa koko i ka wā o ka mālama ʻana. Aia ka lactate i ka hopena ma mua o ka glucose, no laila ʻaʻole ia e hoʻonui pololei i ke kōpaʻa koko e like me nā hopena i loaʻa i ka dextrose.

Eia naʻe, hiki ke hoʻololi ʻia ka lactate i loko o ka hopena i glucose i loko o kou ate, hiki ke hoʻonui iki i nā pae kōpaʻa koko. E nānā mau kāu hui lapaʻau i kāu mau pae glucose a hoʻoponopono i kāu mau lāʻau lapaʻau diabetes inā pono i ka wā o ka mālama ʻana.

Q2. He aha kaʻu e hana ai inā ʻike au i ka pehu a i ʻole ka ʻeha ma ka pūnaewele IV?

E hoʻomaopopo koke i kāu kahu hānai inā ʻike ʻoe i ka pehu nui, ka ʻeha, a i ʻole ka ʻulaʻula ma kāu pūnaewele IV. Hiki i kēia mau hōʻailona ke hōʻike i ka neʻe ʻana o ka IV mai ka vein a i ʻole ke loaʻa nei iā ʻoe kahi hopena i ka hopena.

E nānā kāu hui mālama ola i ke kahua a pono paha e hoʻoneʻe i ka IV i kahi ʻē aʻe. Mai hoʻāʻo e hoʻoponopono iā ʻoe iho i ka IV, no ka mea, hiki i kēia ke hōʻeha a i ʻole ke hoʻokomo ʻana i ka bacteria i loko o kou kahe koko.

Q3. He aha ka mea e hana ai inā loaʻa iaʻu ka nui o Lactated Ringer's?

ʻO ka loaʻa ʻana o ka nui o Lactated Ringer's hiki ke alakaʻi i ka nui o ka wai, e hana ana i nā hōʻailona e like me ka pilikia o ka hanu ʻana, ka loaʻa ʻana o ke kaumaha wikiwiki, a i ʻole ka pehu ʻana i kou mau wāwae a me kou maka. Mālama pono kāu hui mālama ola iā ʻoe e pale i kēia mai ka hana ʻana.

Inā loaʻa ka nui o ka wai, e hoʻolohi a hoʻōki paha kāu hui lapaʻau i ka hoʻokomo ʻana a hāʻawi paha iā ʻoe i nā lāʻau lapaʻau e kōkua ai i ka wehe ʻana i ka wai nui mai kou kino. E nānā pū lākou i kāu hana puʻuwai a me ka māmā a hiki i ka hoʻi ʻana o kāu kaulike wai i ka maʻamau.

Q4. Hiki iaʻu ke ʻai a inu maʻamau i ka wā e loaʻa ana iaʻu ka Lactated Ringer's?

I ka hapanui o nā hihia, hiki iā ʻoe ke ʻai a inu maʻamau i ka wā e loaʻa ana iā Lactated Ringer's, ke ʻole i hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pale aku i ka meaʻai a i ʻole nā ​​wai. ʻAʻole pili ka hopena IV i ka ʻai maʻamau a i ʻole ka meaʻai.

Eia naʻe, inā e loaʻa ana iā ʻoe ka mālama ʻana no kekahi mau maʻi e like me ka luaʻi nui a i ʻole ma mua o ke ʻoki ʻana, hiki i kāu hui lapaʻau ke kaupalena i kāu ʻai ʻana i ka meaʻai a me ka wai. E hahai mau i nā ʻōlelo kikoʻī a kāu mea mālama ola e pili ana i ka ʻai ʻana a me ka inu ʻana i ka wā o ka mālama ʻana.

Q5. Pehea ka wikiwiki e ʻoi aku ai koʻu maikaʻi ma hope o ka loaʻa ʻana o Lactated Ringer's?

Hoʻomaka ka hapa nui o nā kānaka e ʻoi aku ka maikaʻi i loko o 30 mau minuke a i kekahi mau hola o ka hoʻomaka ʻana i ka mālama ʻana iā Lactated Ringer's, ʻoiai inā ʻo ka dehydration ke kumu o kā lākou mau hōʻailona. Hiki iā ʻoe ke ʻike i ka hoʻomaikaʻi ʻana i nā pae ikehu, ka liʻiliʻi o ka ʻūlū, a me ka ʻoluʻolu maikaʻi ma ke ʻano e hoʻomaikaʻi ai kāu kaulike wai.

Aia ke kikoʻī i ka manawa i ka nui o ka wai ʻole i loaʻa iā ʻoe i ka wā mua a me ka wikiwiki o kou kino e pane i ka lapaʻau. Manaʻo kekahi poʻe i ka hōʻoluʻolu kokoke koke, ʻoiai ʻo nā poʻe ʻē aʻe me ka nalowale wai nui e pono paha i kekahi mau hola a i ʻole mau lā o ka lapaʻau e manaʻo nui ai i ka maikaʻi.