透析液和置换液的选择以及电解质和酸碱紊乱的管理。

Selection of dialysate and replacement fluids and management of electrolyte and Acid-base disturbances.

作者信息

Kraus Michael A

机构信息

Department of Medicine, Division of Nephrology, Indiana University Medical School and Clarian Health, Indianapolis, IN 46202, USA.

出版信息

Semin Dial. 2009 Mar-Apr;22(2):137-40. doi: 10.1111/j.1525-139X.2008.00558.x.

DOI:10.1111/j.1525-139X.2008.00558.x

PMID:19426416

Abstract

Often, too little consideration is given to the fluids used in all forms of continuous renal replacement therapy (CRRT). However, errors in fluid prescription, delivery, or creation can be rapidly fatal; in addition, fluid associated expenses can be the overriding cost in continuous renal replacement therapies. While a standard solution is frequently acceptable in most clinical circumstances, specific electrolyte and acid-base disturbances may direct changes in fluid delivery and composition. Decisions regarding fluids, whether dialysate versus replacement, including generation and composition of therapy are discussed in this review.

摘要

通常，人们对各种形式的连续性肾脏替代治疗（CRRT）中所使用的液体考虑得太少。然而，液体处方、输送或配制过程中的失误可能会迅速致命；此外，与液体相关的费用可能是连续性肾脏替代治疗中的首要成本。虽然在大多数临床情况下，标准溶液通常是可以接受的，但特定的电解质和酸碱紊乱可能会指导液体输送和成分的改变。本综述讨论了有关液体的决策，包括透析液与置换液的选择，以及治疗的产生和成分。