{"id":6964,"date":"2024-05-31T15:47:26","date_gmt":"2024-05-31T08:47:26","guid":{"rendered":"https:\/\/jhasim1.com\/?p=6964"},"modified":"2024-07-24T23:52:27","modified_gmt":"2024-07-24T16:52:27","slug":"canh-bao-khi-tiem-thuoc-calci-tinh-mach","status":"publish","type":"post","link":"https:\/\/jhasim1.com\/canh-bao-khi-tiem-thuoc-calci-tinh-mach.html","title":{"rendered":"C\u1ea3nh b\u00e1o khi ti\u00eam thu\u1ed1c Calci t\u0129nh m\u1ea1ch"},"content":{"rendered":"

Sinh vi\u00ean Khoa D\u01b0\u1ee3c \u0111\u01b0\u1ee3c h\u1ecdc nh\u1eadn bi\u1ebft t\u1ea5t c\u1ea3 c\u00e1c nh\u00f3m thu\u1ed1c \u0111ang d\u00f9ng trong Y t\u1ebf hi\u1ec7n nay. Tu\u1ef3 theo t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd c\u1ee7a thu\u1ed1c, c\u00e1c em s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn theo nhi\u1ec1u g\u00f3c \u0111\u1ed9 kh\u00e1c nhau, k\u1ec3 c\u1ea3 c\u00e1c khuy\u1ebfn c\u00e1o C\u1ea3nh gi\u00e1c D\u01b0\u1ee3c khi d\u00f9ng thu\u1ed1c kh\u00f4ng \u0111\u00fang quy \u0111\u1ecbnh. V\u00ed d\u1ee5 nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c ti\u00eam Calci \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch:<\/strong><\/em><\/span><\/p>\n

Thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch Calci Clorid c\u00f3 ho\u1ea1t ch\u1ea5t l\u00e0 Calci Clorid Dihydrat, th\u01b0\u1eddng d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p: H\u1ea1 calci m\u00e1u v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 c\u01a1n tetani (co qu\u1eafp b\u00e0n tay nh\u01b0 b\u00e0n tay ng\u01b0\u1eddi \u0111\u1ee1 \u0111\u1ebb, t\u00ea b\u00ec b\u00e0n tay, b\u00e0n ch\u00e2n), co th\u1eaft thanh qu\u1ea3n, co gi\u1eadt<\/b>,..Tuy nhi\u00ean, c\u00f3 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u00edt ng\u01b0\u1eddi l\u1ea1i ti\u00eam calci \u0111i\u1ec1u tr\u1ecb ho, lo\u00e3ng x\u01b0\u01a1ng d\u1eabn \u0111\u1ebfn c\u00e1c tai bi\u1ebfn kh\u00f4n l\u01b0\u1eddng: ho\u1ea1i t\u1eed ch\u00e2n tay, h\u1ea1 huy\u1ebft \u00e1p, lo\u1ea1n nh\u1ecbp, tr\u1ee5y tim m\u1ea1ch\u2026<\/p>\n

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Sinh vi\u00ean Y th\u1ef1c h\u00e0nh chu\u1ea9n b\u1ecb xe ti\u00eam \u0111i bu\u1ed3ng, m\u1ed9t thao t\u00e1c quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n t\u1ea1i c\u00e1c c\u01a1 s\u1edf Y t\u1ebf<\/em><\/figcaption><\/figure>\n

Calci d\u1ea1ng ti\u00eam c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch, kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam b\u1eafp hay d\u01b0\u1edbi da, ph\u1ea3i \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng c\u1ea7n thi\u1ebft v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi th\u1ec3 tr\u1ea1ng c\u1ee7a t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. Kh\u00f4ng n\u00ean t\u1ef1 \u00fd ti\u00eam ho\u1eb7c u\u1ed1ng calci n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. N\u00f3 c\u00f3 t\u00e1c \u0111\u1ee5ng h\u1ed7 tr\u1ee3 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t ti\u1ebft da (v\u00ed d\u1ee5: m\u1ec1 \u0111ay c\u1ea5p, ch\u00e0m c\u1ea5p), ng\u1ed9 \u0111\u1ed9c kim lo\u1ea1i ch\u00ec, fluoride, ch\u1ee9ng t\u0103ng kali huy\u1ebft n\u1eb7ng; v\u00e0 ch\u1ec9 ti\u00eam cho c\u00e1c b\u1ec7nh nh\u00e2n thi\u1ebfu calci m\u00e3n t\u00ednh, c\u00f2i x\u01b0\u01a1ng, nhuy\u1ec5n x\u01b0\u01a1ng v\u00e0 lo\u00e3ng x\u01b0\u01a1ng khi vi\u1ec7c s\u1eed d\u1ee5ng calci d\u1ea1ng u\u1ed1ng kh\u00f4ng \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t…<\/p>\n

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M\u1ed9t bu\u1ed5i h\u1ecfi thi c\u1ee7a Sinh vi\u00ean HMC li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt ti\u00eam thu\u1ed1c t\u0129nh m\u1ea1ch cho b\u1ec7nh nh\u00e2n<\/em><\/figcaption><\/figure>\n

Khi d\u00f9ng li\u1ec7u ph\u00e1p calci li\u1ec1u cao c\u1ea7n ph\u1ea3i ki\u1ec3m tra ch\u1eb7t ch\u1ebd calci huy\u1ebft v\u00e0 calci ni\u1ec7u, nh\u1ea5t l\u00e0 \u1edf tr\u1ebb em v\u00e0 b\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng vitamin D. Ng\u01b0ng \u0111i\u1ec1u tr\u1ecb ngay khi calci huy\u1ebft v\u01b0\u1ee3t qu\u00e1 2,625 mmol\/l (105 – 110mg\/l) v\u00e0 khi calci ni\u1ec7u v\u01b0\u1ee3t qu\u00e1 0,125 mmol\/kg (5mg\/kg) trong 24 gi\u1edd.<\/p>\n

Khi ti\u00eam, truy\u1ec1n calci, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c n\u00f4n, m\u1eeda, b\u1ed1c h\u1ecfa, v\u00e3 m\u1ed3 h\u00f4i, h\u1ea1 huy\u1ebft \u00e1p, lo\u1ea1n nh\u1ecbp v\u00e0 tr\u1ee5y m\u1ea1ch, c\u00f3 th\u1ec3 x\u1ea3y ra khi ti\u00eam t\u0129nh m\u1ea1ch qu\u00e1 nhanh. Nhi\u1ec1u ng\u01b0\u1eddi do kh\u00f4ng hi\u1ec3u bi\u1ebft, khi b\u1ecb ho, lo\u00e3ng x\u01b0\u01a1ng\u2026 \u0111i ti\u00eam calci m\u00e0 kh\u00f4ng bi\u1ebft thu\u1ed1c ti\u00eam calci kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 tr\u1ecb c\u1ea3m hay ho ho\u1eb7c lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n

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Sinh vi\u00ean r\u00e8n luy\u00ean thao t\u00e1c ti\u00eam tr\u00ean m\u00f4 h\u00ecnh<\/em><\/figcaption><\/figure>\n

Khi ti\u00eam t\u0129nh m\u1ea1ch, calci \u0111i v\u00e0o \u0111\u01b0\u1eddng m\u00e1u s\u1ebd l\u00e0m gi\u00e3n m\u1ea1ch v\u00e0 g\u00e2y c\u1ea3m gi\u00e1c n\u00f3ng b\u1eebng. Ng\u01b0\u1eddi b\u1ecb c\u1ea3m c\u00fam th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c \u1edbn l\u1ea1nh, nh\u01b0ng khi ti\u00eam thu\u1ed1c ch\u1ee9a calci theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch s\u1ebd c\u00f3 c\u1ea3m gi\u00e1c \u1ea5m ng\u01b0\u1eddi, v\u00ec v\u1eady nhi\u1ec1u ng\u01b0\u1eddi ngh\u0129 l\u00e0… thu\u1ed1c l\u00e0m \u1ea5m ng\u01b0\u1eddi n\u00ean h\u1ebft c\u1ea3m. Th\u1ef1c t\u1ebf \u0111\u00f3 ch\u1ec9 l\u00e0 c\u1ea3m gi\u00e1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh ch\u1ee9 ch\u01b0a \u0111\u01b0\u1ee3c khoa h\u1ecdc ch\u1ee9ng minh, trong khi tai bi\u1ebfn th\u00ec lu\u00f4n lu\u00f4n ch\u1ef1c ch\u1edd. N\u00ean l\u01b0u \u00fd vi\u1ec7c ti\u00eam t\u0129nh m\u1ea1ch calci l\u00e0 vi\u1ec7c b\u1ea5t \u0111\u1eafc d\u0129, ch\u1ec9 th\u1eadt c\u1ea7n thi\u1ebft m\u1edbi d\u00f9ng, n\u1ebfu c\u00f3 th\u1ec3 th\u00ec d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, tr\u00e1nh d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam, \u0111\u1eb7c bi\u1ec7t ti\u00eam t\u0129nh m\u1ea1ch.<\/p>\n

Ti\u00eam calci b\u1eaft bu\u1ed9c ph\u1ea3i ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm, kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam b\u1eafp hay ti\u00eam d\u01b0\u1edbi da v\u00ec ch\u1ec9 c\u1ea7n ti\u00eam t\u0129nh m\u1ea1ch ch\u1ec7ch hay ti\u00eam b\u1eafp n\u00f4ng s\u1ebd g\u00e2y d\u1ecb \u1ee9ng v\u00f9ng ti\u00eam d\u1eabn \u0111\u1ebfn tr\u00f3c v\u1ea3y hay ho\u1ea1i t\u1eed da v\u00e0 ch\u1ec9 ti\u00eam khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a th\u1ea7y thu\u1ed1c.<\/p>\n

ThS L\u00ea Qu\u1ed1c Th\u1ecbnh- Gi\u1ea3ng vi\u00ean Khoa D\u01b0\u1ee3c<\/strong><\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Sinh vi\u00ean Khoa D\u01b0\u1ee3c \u0111\u01b0\u1ee3c h\u1ecdc nh\u1eadn bi\u1ebft t\u1ea5t c\u1ea3 c\u00e1c nh\u00f3m thu\u1ed1c \u0111ang d\u00f9ng trong Y t\u1ebf hi\u1ec7n nay. Tu\u1ef3 theo t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd c\u1ee7a thu\u1ed1c, c\u00e1c em s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn theo nhi\u1ec1u g\u00f3c \u0111\u1ed9 kh\u00e1c nhau, k\u1ec3 c\u1ea3 c\u00e1c khuy\u1ebfn c\u00e1o C\u1ea3nh gi\u00e1c D\u01b0\u1ee3c khi d\u00f9ng thu\u1ed1c kh\u00f4ng \u0111\u00fang quy \u0111\u1ecbnh. 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