Sunday, September 7, 2014

Fluid and electrolyte disturbances and imbalances clean bottle preoperative evaluation of the patie

Fluid and electrolyte disturbances and imbalances clean bottle preoperative evaluation of the patient's state of consciousness, received and remove the liquid amount, sit down and supine blood pressure, heart rate, skin turgor, urine output carefully questioning the intravascular fluid volume and electrolyte changes about the rather provides detailed information. Serum electrolytes and serum osmolality should be measured sometimes. Extracellular fluid volume, concentration and composition intraoperative directs fluid and electrolyte therapy. Volume and extracellular fluid volume of fluid and electrolyte balance, determine the best bedside. Almost all of anesthetic techniques and drugs in patients with extracellular fluid volume deficits cause significant circulatory depression. Normal blood pressure, even if it was ta-chicane and dryness of mucous membranes shows a moderate degree of volume. This type of volume deficits; preoperative oral intake should be restricted in patients who underwent views (eg, diagnostic radiologic procedures) or for various laboratory tests may occur in patients who received clean bottle a lot of blood. Orthostatic hypotension though the detection of intravascular volume deficit shows that more serious. While the patient in the supine position clean bottle when sitting or standing clean bottle up more than 20 mmHg systolic blood pressure clean bottle falls of 6-8% of body weight as fluid volume deficit has. However, orthostatic hypotension, heart rate is observed in the differential diagnosis is very important. Volume deficits occur when orthostatic hypotension depends on the com-pahzasyo mechanism increases the heart rate. Despite the fall in blood pressure increased clean bottle heart rate if the autonomic nervous system that nonfonksiyo (eg an-tihipertansif drug use) should clean bottle be considered. Extracellular volume deficit in cases where the heavy-Nitori clean bottle in urine output mode to better bladder kateterizas-tion is required. Significant reduction in hourly clean bottle urine output or no urine prevent severe extracellular clean bottle volume deficit shows. Concentration and volume concentration of the extracellular fluid and electrolyte imbalance broadly reflects clean bottle the concentration of total body water content. The normal osmolarity of the extracellular liquid plasma, i.e. 285 to 295 mOsm / L. Only water loss from the body without loss of electrolytes, when the serum sodium and serum osmolarity increases. This usually in cases where water intake is restricted, or, as in case of high fever or yanıkh if dehydration is improved and the amount of hypovolemia hypernatremia is defined as A-. If there is water in the body more than the normal serum sodium concentration and decreases serum osmolarity. Electrolyte-rich fluid loss is (vomiting, diarrhea, fistula drainage, etc.) in cases replacement is done only with water table hypervolemic hyponatremia may occur. Therefore, rich in electrolytes, such as Ringer's clean bottle lactate solution with crystalloid replacement should be done. This water uptake was excessive or excreted from the body of water, in which case the exposed (i.e., transurethral resection of the prostate-cular during or intravas degree of volume upon treatment clean bottle with 5% Dextrose). Normovolemic hyponatremia if water intake is proceeding normally, but that restriction of sodium intake and kidney develops in sodium clean bottle can not be kept. Fluid and electrolyte therapy ppt composition and the composition of extracellular fluid determines the presence of various electrolytes. The distribution of the liquid electrolyte compartments of the body are different. The main cation in the extracellular fluid sodium, while the main cation in intracellular fluid is potassium. Inducible electro-physiology of the cells and the extracellular intracellular sodium, potassium and calcium is dependent clean bottle on the concentration. Hypernatremia; serum sodium concentration> J45 mEq / L is. Usually not more than total body sodium, total body water content is reduced. clean bottle Kidney function in disorders such as renal disorders, liver cirrhosis and congestive heart failure may increase the total body sodium clean bottle
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