论文部分内容阅读
人工肾透析液是临床常用于急、慢性肾功能衰竭病人的人工透析及药物中毒与电解质紊乱,通过人工肾膜装置,与人体细胞外液之间进行离子、小分子物质的交换,以排除代谢废物和低分子毒物,同时提高对高分子药物的排除率,调节水和电解质平衡作用.本品为35倍浓度,用时经透析机自动调节,以纯水稀释35倍,供人工肾透析用.稀释液的电解质浓度与正常的血液接近.由于其浓度高,制备方法不当,透析液常会出现氯化钠,醋酸钠不完全溶解,发生沉淀,溶液颜色发黄等现象,使疗效降低.现将我们在配制过程中的体会介绍如下.1 配制方法取新鲜热注射用水(72～98°)约配制总量的1/3,置于溶器中,边加氯化钠边加注射用水,约占总量的2/3时停止加注射用水,使氯化钠完全溶解,再加醋酸钠溶解,加氯化钾、氯化镁、氯化钙溶解,待溶液冷至40～50
Artificial kidney dialysis fluid is commonly used in clinical dialysis and drug poisoning and electrolyte imbalance in patients with acute and chronic renal failure, exchange of ions and small molecules through the artificial kidney membrane device with the human extracellular fluid to exclude metabolism Waste and low molecular weight poisons while improving the exclusion rate of polymer drugs to regulate the balance of water and electrolyte.This product is 35 times the concentration, when used by the dialysis machine automatically adjusted to pure water diluted 35 times for artificial kidney dialysis. Dilution of the electrolyte concentration and normal blood close due to its high concentration, improper preparation, often appear in the dialysis solution of sodium chloride, sodium acetate is not completely dissolved, the precipitation occurred, the solution color yellow phenomenon, so that the effect is reduced. We are in the process of preparation of the experience described below .1 preparation method Take fresh hot water for injection (72 ~ 98 °) about the total preparation of 1/3, placed in a solvent, while adding sodium chloride while water for injection, about Accounting for 2/3 of the total stop injection water, make sodium chloride completely dissolved, plus sodium acetate dissolved, add potassium chloride, magnesium chloride, calcium chloride dissolved until the solution cooled to 40 ~ 50