다빈도 수액

문서 내 토픽

1. 0.9% N/S (Normal saline)

Na 154mEq/L+Cl 154mEq/L 1L에 염화나트륨 9g이 들어있는 수액으로 급성 출혈이나 심한 탈수 때 혈장량을 보충하기 위해 많이 이용한다.
2. 0.45% N/S (Half saline)

Na 77mEq/L+Cl 77mEq/L 0.9% N/S의 염화나트륨을 반으로 줄인 1L에 염화나트륨 4.5g이 들어있는 수액이으로 수분결핍시 보급하며 전해질 결핍시의 보급으로 많이 사용한다. 전해질 검사 중 Na, Cl이 높게 나온 사람에게 이 수액을 사용하게 된다.
3. 5% D/W (5% Dextrose)

1L에 포도당 50g/L 1L에 포도당이 50g이 들어있는 수액. 포도당 공급을 위해 쓰인다. 유지수액으로 칼로리 보급과 2차적인 단백질 절약작용을 하며 수분도 공급해준다. 수액에 환자에게 각 필요한 전해질을 추가하여 mix 하여 사용하며 고칼륨혈증에 일시적인 치료로도 사용하게 된다.
4. 10% DW (10% Dextrose)

1L에 포도당 100g/L 고칼륨혈증, 저혈당시 당 보급, 쇼크, 심질환, 뇌부종 등 등 외 비경구적으로 수분과 영양공급을 필욜 할 때 사용되며 간의 기능을 돕는다. 10% DW이상은 고농도 포도당 수액이므로 말초정맥 투여 시 혈관 자극이 있을 수 있다.
5. 5% D/S (5% Dextrose & Sodium chloride )

1L에 5%포도당과 0.9% NaCl 1L에 포도당이 50g이 들어있고 염화나트륨만 들어있는 수액으로 설사나 구토가 있을 때 쓴다. 또한 탈수 시 수분 및 전해질의 보급, 수술 전후의 수분 및 전해질 보급에도 이용된다.
6. H/S (Hartmann's solution )

NaCL+K+Ca+Lactate 나트륨과 칼륨이 적절히 포함되어 체액과 비슷한 성질을 지니고 있고 장 수술 중에 부족하기 쉬운 중탄산염을 보충해준다. 응급시 혈압 상승과 설사로 인한 수분 손실이 왔을 때도 사용된다. (Potassium이 포함되어 있어 K+수치가 높은 사람에게는 주의)
7. H/D (5% Dextrose &Hartmann's solution )

하트만 용액 + 5%포도당 수액을 필요로 하는 병태에 수분 및 전해질 보급과 동시에 에너지 보급작용이 있다.
8. 10%NaK1(10%포도당가엔에이케이주1)

5%D/W+0.9% N/S 당 보충, 탈수 예방, 수분과 전해질 균형 맞춰줄 때 원료약품의 분량 1000ml 중 포도당50.0g, 염화나트륨 4.5g(나트륨으로서 1.77g), 염화칼륨2,2g(칼륨으로서 1.15g), 총염화물로서 3.776g 주로 성인에게 정맥 투여하며 당 보충, 탈수 예방, 수분과 전해질 균형 맞춰줄 때 사용한다.
9. PSA(Plasma solution A ,플라즈마솔루션에이)

염화마그네슘+염화칼륨+염화나트륨+글루코산나트륨+아세트산나트륨수화물순환혈액량 및 세포외액의 보급, 보정 효과가 있고 대사성 산증의 보정에 쓰이므로 혈액 소실이 가능한 수술에 사용되며 외상 환자에게 많이 사용한다. 특징은 마그네슘이 포함되어 있다.(마그네슘은 세포간의 결합력을 정상적으로 유지시켜주고 근육, 심장 운동에 꼭 필요한 요소이다.)
10. 알부민

간이 안 좋고 복수가 차고 부종이 심한 환자, 외상 또는 화상환자가 혈장소실이 심하여 알부민이 저하되었을 때 사용한다. 5% 알부민은 사람 혈장과 비슷한 농도의 등장성이며, 20% 알부민은 사람 혈장 삼투압의 4배의 순환혈장량으로 증가시킨다.
11. TPN(total perenteral nutriation, 총비경구영양)

경구섭취가 어려운 환자에게 중심정맥에 삽입한 카테터를 통해 하루의 영양소요량(dietary allowance)을 투여하는 방법으로 고열량수액법이라고도 하며 말초정맥용과 중심정맥용이 있다. 두 부분으로 분리된 것: 아미노산 성분 + 전해질&포도당, 세 부분으로 분리된 것: 아미노산 성분 + 전해질&포도당 + 지질성분(흰색)

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1. 0.9% N/S (Normal saline)

0.9% Normal Saline (N/S) is a commonly used intravenous fluid that is isotonic with human plasma. It is primarily composed of sodium chloride (0.9%) in water and is often used to replace fluid and electrolyte losses, maintain hydration, and manage conditions such as dehydration, hypovolemia, and electrolyte imbalances. The 0.9% concentration is designed to match the osmolarity of human plasma, making it well-tolerated and easily absorbed by the body. N/S is a versatile fluid that can be used in a variety of clinical settings, from fluid resuscitation in emergency situations to maintenance fluid therapy in hospitalized patients. Its balanced electrolyte composition and physiological compatibility make it a safe and effective choice for many intravenous fluid needs.
2. 0.45% N/S (Half saline)

0.45% Normal Saline, also known as 'Half Saline', is a hypotonic intravenous fluid that contains half the concentration of sodium chloride compared to regular 0.9% Normal Saline. This lower sodium concentration makes 0.45% N/S a suitable choice for situations where a more dilute fluid is desired, such as in cases of hyponatremia or fluid overload. The reduced sodium content can help prevent further dilution of the patient's electrolyte levels, making it a safer option in certain clinical scenarios. However, it is important to closely monitor electrolyte levels and fluid balance when using 0.45% N/S, as the hypotonic nature of the solution can lead to rapid fluid shifts if not properly managed. Overall, 0.45% N/S provides a more conservative approach to fluid therapy, making it a valuable tool in the management of specific electrolyte and fluid imbalances.
3. 5% D/W (5% Dextrose)

5% Dextrose in Water (5% D/W) is a commonly used intravenous fluid that provides a source of carbohydrates (glucose) for energy metabolism and fluid replacement. The 5% concentration of dextrose is designed to be isotonic with human plasma, allowing for efficient absorption and distribution throughout the body. 5% D/W is often used in situations where additional fluid support is needed, such as in cases of dehydration, electrolyte imbalances, or as a vehicle for the administration of medications. However, it is important to note that 5% D/W does not contain any electrolytes, so it may not be suitable for all clinical scenarios where electrolyte replacement is also required. In such cases, a balanced electrolyte solution like Normal Saline or Lactated Ringer's may be a more appropriate choice. Overall, 5% D/W is a versatile and commonly used intravenous fluid that can play a valuable role in fluid management and supportive care.
4. 10% DW (10% Dextrose)

10% Dextrose in Water (10% DW) is a hypertonic intravenous fluid that provides a higher concentration of carbohydrates (glucose) compared to the more commonly used 5% Dextrose solution. The increased dextrose content makes 10% DW a suitable choice for situations where there is a need for rapid energy provision, such as in cases of hypoglycemia or in patients with increased metabolic demands. The hypertonic nature of 10% DW can also be useful in certain clinical scenarios, such as in the management of cerebral edema or to promote diuresis. However, it is important to use 10% DW with caution, as the high osmolarity of the solution can lead to fluid shifts and electrolyte imbalances if not properly monitored and managed. Careful patient selection, close monitoring, and appropriate electrolyte supplementation are crucial when utilizing 10% DW to ensure safe and effective use. Overall, 10% DW can be a valuable tool in specific clinical situations, but its use requires a thorough understanding of its properties and potential risks.
5. 5% D/S (5% Dextrose & Sodium chloride )

5% Dextrose and Sodium Chloride (5% D/S) is an intravenous fluid that combines the benefits of both dextrose and sodium chloride. The 5% dextrose provides a source of carbohydrates for energy metabolism, while the added sodium chloride helps to maintain electrolyte balance and osmotic equilibrium. This combination makes 5% D/S a useful choice in situations where both fluid and electrolyte replacement are needed, such as in cases of dehydration, electrolyte imbalances, or as a maintenance fluid for hospitalized patients. The balanced composition of 5% D/S helps to prevent both hyponatremia and hyperglycemia, making it a more versatile option compared to using dextrose or saline solutions alone. However, it is important to monitor the patient's fluid and electrolyte status closely when using 5% D/S, as the specific needs may vary depending on the clinical scenario. Overall, 5% D/S is a well-rounded intravenous fluid that can be a valuable tool in a variety of medical settings.
6. H/S (Hartmann's solution )

Hartmann's solution, also known as Ringer's lactate or Lactated Ringer's, is a balanced electrolyte solution that is commonly used for fluid resuscitation and maintenance therapy. The composition of Hartmann's solution is designed to closely mimic the electrolyte profile of human plasma, making it an isotonic and physiologically compatible fluid. It contains sodium, potassium, calcium, and lactate, which help to maintain acid-base balance and support various physiological processes. Hartmann's solution is particularly useful in situations where there is a need for fluid and electrolyte replacement, such as in cases of dehydration, hypovolemia, or certain surgical procedures. The balanced electrolyte composition helps to prevent electrolyte imbalances and maintain homeostasis, making Hartmann's solution a versatile and widely used intravenous fluid. Its physiological compatibility and ability to support various clinical needs make Hartmann's solution a valuable tool in the management of fluid and electrolyte disturbances.
7. H/D (5% Dextrose &Hartmann's solution )

H/D, or Hartmann's solution with 5% Dextrose, is an intravenous fluid that combines the benefits of both Hartmann's solution and 5% Dextrose. Hartmann's solution provides a balanced electrolyte profile, while the 5% dextrose component offers a source of carbohydrates for energy metabolism. This combination makes H/D a useful choice in situations where fluid and electrolyte replacement, as well as energy provision, are required. The inclusion of dextrose can be particularly beneficial in patients with increased metabolic demands, such as those with critical illness or in the perioperative setting. The balanced electrolyte composition of Hartmann's solution helps to maintain acid-base balance and prevent electrolyte imbalances, while the dextrose component supports energy needs. However, it is important to closely monitor the patient's fluid and electrolyte status when using H/D, as the specific requirements may vary depending on the clinical scenario. Overall, H/D is a versatile intravenous fluid that can be a valuable tool in the management of a wide range of fluid and electrolyte disturbances.
8. 10%NaK1(10%포도당가엔에이케이주1)

10% NaK1, also known as 10% Dextrose with Sodium and Potassium, is an intravenous fluid that provides a concentrated source of carbohydrates (10% dextrose) along with added sodium and potassium electrolytes. This solution is designed to address situations where there is a need for rapid energy provision, as well as the replacement of sodium and potassium. The high concentration of dextrose can be particularly useful in cases of hypoglycemia or in patients with increased metabolic demands, such as those with critical illness or in the perioperative setting. The added sodium and potassium help to maintain electrolyte balance and support various physiological processes. However, the hypertonic nature of 10% NaK1 requires careful monitoring and management to prevent fluid shifts and electrolyte imbalances. Appropriate patient selection, close monitoring, and careful titration of the infusion rate are crucial to ensure the safe and effective use of this specialized intravenous fluid. Overall, 10% NaK1 can be a valuable tool in specific clinical scenarios where a concentrated source of carbohydrates and electrolytes is needed.
9. PSA(Plasma solution A ,플라즈마솔루션에이)

Plasma Solution A (PSA), also known as Plasma-Lyte A, is a balanced electrolyte solution that is designed to closely mimic the composition of human plasma. It contains a combination of sodium, potassium, magnesium, chloride, and acetate, which helps to maintain electrolyte balance and acid-base homeostasis. PSA is often used for fluid resuscitation, maintenance therapy, and the replacement of electrolyte losses in various clinical settings. The balanced electrolyte profile and physiological compatibility of PSA make it a versatile choice for managing a wide range of fluid and electrolyte disturbances, such as dehydration, hypovolemia, and electrolyte imbalances. Additionally, the inclusion of acetate in PSA can help to support acid-base regulation, making it a suitable option for patients with metabolic acidosis. While the specific indications and dosing of PSA may vary depending on the clinical scenario, its balanced composition and physiological compatibility make it a valuable tool in the management of fluid and electrolyte disorders.
10. 알부민

Albumin is a plasma protein that plays a crucial role in maintaining fluid balance and supporting various physiological functions. As an intravenous fluid, albumin is primarily used in situations where there is a need to restore or maintain intravascular volume and oncotic pressure. This can include cases of hypovolemia, sepsis, liver disease, and certain surgical procedures. Albumin is particularly useful in situations where there is a loss or depletion of the body's own albumin, as it can help to draw fluid back into the vascular space and improve hemodynamic stability. Additionally, albumin has antioxidant and anti-inflammatory properties that may be beneficial in certain clinical scenarios. However, the use of albumin is not without risks, and it is important to carefully consider the potential benefits and risks for each individual patient. Appropriate patient selection, dosing, and monitoring are essential to ensure the safe and effective use of albumin as an intravenous fluid.
11. TPN(total perenteral nutriation, 총비경구영양)

Total Parenteral Nutrition (TPN), also known as total perenteral nutrition, is a specialized intravenous feeding solution that provides comprehensive nutritional support for patients who are unable to receive adequate nutrition through the oral or enteral route. TPN typically contains a combination of glucose, amino acids, lipids, electrolytes, vitamins, and trace elements, which are essential for maintaining metabolic processes, supporting tissue repair, and preventing malnutrition. TPN is often used in patients with gastrointestinal disorders, severe malabsorption, or other conditions that prevent adequate oral or enteral intake. The administration of TPN requires careful monitoring and management to ensure the appropriate balance of nutrients, prevent complications such as fluid and electrolyte imbalances, and support the patient's overall health and recovery. While TPN is a valuable tool in the management of complex nutritional needs, its use requires a multidisciplinary approach and close collaboration between healthcare providers to ensure the safe and effective delivery of this specialized intravenous therapy.

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