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外科腸胃道疾病照護

手術前 NPO
手術後

減壓引流管
Decompression
- NG decompression  pressure:?
- J-P drain
- Hemovac drain

引流管
- Foley-sump drain:一般不用負壓引流,採free drainage
    臨床經驗,負壓引流無特別情況,


術後照護重點:
1. 適當引流及腸胃道減壓
2. 營養建立:需長期靜脈營養? 七天以上無法給予腸胃道。
                        PPNLP\PPNNP\TPN

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[Phsiology] 溶液滲透度osmolaluty & osmolarity

Osmolarity is a measure of the osmoles of solute per liter of solution, while the osmolality is a measure of the osmoles of solute per kilogram of solvent . from http://en.wikipedia.org/wiki/Osmolarity Plasma osmolality Plasma osmolality is a measure of the concentration of substances such as sodium , chloride , potassium , urea , glucose , and other ions in human blood . It is calculated as the osmoles of solute per kilogram of solvent. Normal osmolality in plasma is about 280 - 303 milli-osmoles per kilogram. It is affected by changes in water content. To calculate plasma osmolarity (osmolality) use the following equation: P osm = 2[Na + ] + [Glucose]/18 + [ BUN ]/2.8 The above equation holds true if the glucose & ureas blood chemistry units are given as: mg/dL. If the units are given as: mmol/l; then the calculated osmolality is given by: P .OSM = 2[NA] + 2[K+] + [Urea] + [Glucose] Osmolality can be measured on an analytical instrument called an Osmometer....