北野成昭(キタノナルアキ) 作『獣医志Wiki』はクリエイティブ・コモンズ 表示 - 非営利 - 継承 4.0 国際 ライセンスで提供されています。
輸液
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==ICF,ECF,血管ごとの分類==
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</head>
<td colspan="2" valign="top" class="td18">
<p class="p2"><span class="s1">5%ブドウ糖</span></p>
</td>
</tr>
</tbody>
</table>
<p class="p1"><br></p>
</html>
==輸液を必要とする病態==
<html>
<p class="p1"><br></p>
<table cellspacing="0" cellpadding="0" class="t1">
<tbody>
<tr>
<td valign="top" class="td19">
<p class="p4"><span class="s1"><b>脱水の種類</b></span></p>
</td>
<td valign="top" class="td20">
<p class="p4"><span class="s1"><b>状態</b></span></p>
</td>
<td valign="top" class="td21">
<p class="p4"><span class="s1"><b>【Eｘ】</b></span></p>
</td>
<td valign="top" class="td22">
<p class="p4"><span class="s1"><b>補正</b></span></p>
</td>
</tr>
<tr>
<td valign="top" class="td23">
<p class="p5"><span class="s1"><b>高張性脱水</b> </span></p>
<p class="p5"><span class="s1">水欠乏性（水分喪失あるいは摂取異常）：軽度の脱水</span><span class="s2"> </span><span class="s1">水分喪失＞塩分喪失</span></p>
</td>
<td valign="top" class="td24">
<p class="p5"><span class="s1">初期は</span><span class="s2">ECF</span><span class="s3">↓</span><span class="s1">だが経過の進行につれて</span><span class="s2">ICF</span><span class="s1">（細胞内水分）の脱水著明に</span></p>
<p class="p5"><span class="s1">口渇感があり、尿の濃縮が起こり</span><span class="s2">PCV</span><span class="s1">の上昇は軽度</span></p>
</td>
<td valign="top" class="td25">
<p class="p5"><span class="s1">日射病 </span></p>
<p class="p5"><span class="s1">熱射病 </span></p>
<p class="p5"><span class="s1">飲水不足 </span></p>
<p class="p5"><span class="s1">発汗 </span></p>
<p class="p5"><span class="s1">尿崩症 </span></p>
<p class="p5"><span class="s1">糖尿病</span></p>
</td>
<td valign="top" class="td26">
<p class="p5"><span class="s2">5%</span><span class="s1">ﾌﾞﾄﾞｳ糖液</span></p>
</td>
</tr>
<tr>
<td valign="top" class="td27">
<p class="p5"><span class="s1"><b>低張性脱水</b> </span></p>
<p class="p5"><span class="s1">食塩欠乏</span></p>
<p class="p5"><span class="s1">重篤な脱水症＋重篤な低</span><span class="s2">Na</span><span class="s1">血症</span></p>
<p class="p5"><span class="s1">塩分喪失＞水分喪失</span></p>
</td>
<td valign="top" class="td28">
<p class="p5"><span class="s1">電解質中心の脱水 </span><span class="s2">Na</span><span class="s1">喪失にともなう水分の喪失</span></p>
<p class="p5"><span class="s2">ECF</span><span class="s1">が著しく減少し症状は重篤</span></p>
<p class="p5"><span class="s1">口渇感は乏しく尿の濃縮起こらない </span><span class="s2">PCV</span><span class="s1">著しく上昇</span></p>
</td>
<td valign="top" class="td29">
<p class="p5"><span class="s1">アジソン </span></p>
<p class="p5"><span class="s1">腎尿細管異常</span></p>
<p class="p5"><span class="s1">重度の下痢</span></p>
<p class="p5"><span class="s1">脱水等張性脱水のときの不適切な補液</span></p>
</td>
<td valign="top" class="td30">
<p class="p5"><span class="s1">生食</span></p>
<p class="p5"><span class="s1">リンゲル</span></p>
</td>
</tr>
<tr>
<td valign="top" class="td31">
<p class="p5"><span class="s1"><b>等張性脱水</b> </span></p>
<p class="p5"><span class="s1">混合性</span></p>
<p class="p5"><span class="s1">軽度の脱水症＋低</span><span class="s2">Na</span><span class="s1">血症</span></p>
</td>
<td valign="top" class="td32">
<p class="p5"><span class="s1">水分喪失＝塩分喪失 ほとんどの脱水がこのタイプ</span></p>
<p class="p6"><span class="s1">ECF</span><span class="s3">↓</span><span class="s4"> </span><span class="s1">ICF</span><span class="s4">は</span><span class="s1">Na</span><span class="s3">↑</span><span class="s4"> </span><span class="s1">K</span><span class="s3">↓</span></p>
</td>
<td valign="top" class="td33">
<p class="p5"><span class="s1">軽度の下痢・嘔吐</span></p>
<p class="p5"><span class="s2">Ope</span><span class="s1">時の出血 </span></p>
<p class="p5"><span class="s1">熱傷など</span></p>
</td>
<td valign="top" class="td34">
<p class="p5"><span class="s1">リンゲル</span></p>
<p class="p5"><span class="s1">乳酸加リンゲル</span></p>
</td>
</tr>