電解質補充 electrolyte supplement 以下內容部分來自經驗,部分來自資料庫,僅供參考 藥物 敘述 低血鈉 Normal saline 一般低血鈉用 500 ml 生理食鹽水即可,盡量不要用 3% saline Sodium chloride 3% 經驗 : 3% saline 50ml and run 8ml/hr ,病人血鈉從 127 爬升到 136 mEq/L ,可用 0.5 ml/kg/day 去補比較安全 *** 注意每天補不得超過 6-8 mEq/L 以防產生 central pontine myelinolysis/osmotic demyelination syndrome Uptodate : l Asymptomatic, acute serum sodium <130 mEq/L —usually treat with a 50 mL bolus of 3 percent saline (ie, hypertonic saline) to prevent the serum sodium from falling further l Symptomatic (seizures, obtundation, coma, respiratory arrest, headache, nausea, vomiting, tremors, gait or movement disturbances, or confusion), acute serum sodium <130 mEq/L —100 mL bolus of 3 percent saline, followed, if symptoms persist, with up to two additional 100 mL doses (to a total dose of 300 mL); each bolus is infused over 10 minutes. ...