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胰岛素泵调糖笔记

时间:2019-05-22  来源:胰岛素泵调糖笔记  浏览次数: 936次

1.胰岛素泵原理

虎途国际YIDAOSUBENGTONGGUOCHIXUFENMIDEJICHUYIDAOSU(JICHULV)HEJINCANSHIZHUSHECANSHIDAJILIANG(DAJILIANG)XIANGJIEHE,MONIZHENGCHANGRENTIYIDAOFENMIFANGSHIMAICHONGZHUSHEYIDAOSU,CONGERDADAOKONGZHIXUETANGDESHEBEI。LEISILINCHUANG3SU(DUAN)+ZHANG(GANJINGHUODITE)DEFANGAN。YEJIUSHIJICHUYIDAOSU+CANSHIYIDAOSU。

2.YIDAOSUBENGSHIYINGZHENG

XUYAOYIDAOSUZHILIAOZHEJUNKECAIQUYIDAOSUBENGZHILIAO,YIXIAQINGKUANGGENGHAOBUYAOSHIYONGYIDAOSUBENG:TANGNIAOBINGTONGZHENGSUANZHONGDUJIXINGQI、GAOSHENXINGHUNMIJIXINGQI。TANGNIAOBINGTONGZHENGSUANZHONGDUTONGZHENGJIECHU、GAOSHENXINGHUNMISHISHUIJIECHUHOUKEYISHIYONGYIDAOSUBENG。

3.YIDAOSUBENGSHIYONGSHENMEYIDAOSU?

1)LEIXING:SUXIAORENYIDAOSULEISIWUHUODUANXIAORENYIDAOSU。

2)PINPAI:SUXIAOYIDAOSU:NUOHERUIR、YOUMILER 、SUXIULINRDENG;DUANXIAOYIDAOSU:NUOHELINGR 、YOUMILINR 、GANSHULINR、YOUSILINGRDENG。

3)NONGDU:CHANGGUINONGDUWEIU-100(100U/ml)。

虎途国际4)ZHONG、ZHANGXIAO、YUHUNYIDAOSUBUNENGYONGYUYIDAOSUBENGZHILIAO。

4.CHUSHIYIDAOSURIZONGLIANGHUANSUAN

1)QINGKUANGYI:YIJIESHOUYIDAOSUZHILIAODEHUANZHE:

GAOXUETANG、JISHAOHUOWUDIXUETANG    YONGBENGQIANDEYIDAOSUZONGLIANG×100%

虎途国际XUETANGKONGZHILIANGHAO、WUDIXUETANG    YONGBENGQIANDEYIDAOSUZONGLIANG×(80%)

虎途国际JINGCHANGFASHENGDIXUETANG                 YONGBENGQIANDEYIDAOSUZONGLIANG×(70%)

2)QINGKUANGER:WEIJIESHOUGUOYIDAOSUZHILIAODEHUANZHE:

虎途国际CHUSHIRIYIDAOSUZONGLIANG=TIZHONG(kg)x 0.4 (GENJUHUANZHEKOUFUYAOQINGKUANGHEXUETANGSHUIPINGDIAOZHENGXISHU)

3)GERENJINGYANJIANYI:

虎途国际(1)XUANZELIANGZHONGSUANFADEDIZHIHUOPINGJUNZHI 

(2)BUGUANNAZHONGSUANFADOUBUYAOCHAOGUOTIZHONG(QIANKE)x 0.8


5.CANQIANDAJILIANGHEJICHULVLIANGDEFENPEI?

JICHULIANG=CHUSHIYIDAOSURIZONGLIANG x 50 %

CANQIANDAJILIANG=CHUSHIYIDAOSURIZONGLIANG x 50 % (SANCANGENJUHUANZHEYINSHIQINGKUANGZIYOUFENPEI)

BEIZHU:WEILEANQUANKAOLVGERENJINGYANJIANYI:JICHULIANGZHANCHUSHIYIDAOSURIZONGLIANG40%;CANQIANDAJILIANGZHANCHUSHIYIDAOSURIZONGLIANG x 60 %


6.YIZHUZENMEXIA?

虎途国际YIDAOSUBENGCHIXUPIXIAZHUSHEYIDAOSU

ZAOCANQIANDAJILIANG:6 U

WUCANQIANDAJILIANG:7 U

WANCANQIANDAJILIANG:7 U

虎途国际JICHULVZONGLIANG:20U  (YEKEYIBAMEIGESHIJIANDUANDEJICHULIANGXIEQINGCHU)


7.ZENYANGPANDUANYIDAOSUJILIANGSHIFOUHELI?

1)PANDUANJICHULVHEBUHESHIDEFANGFA?HEPANDUANZHANGXIAOYIDAOSUHEBUHELIFANGFAYIYANG。

JULI:

ZAOCANQIAN   ZAOCANHOU  WUCANQIAN  WUCANHOU  WANCANQIAN  WANCANQIAN    SHUIQIAN   YEJIAN3DIAN   ZAOCHENKONGFU 

6          15        5.8         8          6         6         10        10            9.5

虎途国际YEJIANXUETANGCHIPING,YINGPANDUANJICHULVSHIHELIDE;DANKONGFUGAOSHENMEYUANYIN?QISHISHIWANCANQIANDAJILIANGPIANSHAO,SHUIQIANXUETANGPIANGAO,DAOZHIKONGFUXUETANGYEGAO。

PANDUANBIAOZHUN:SHUIQIAN、YEJIAN3DIAN、ZAOCHEN,ZHEI3GEDIANDEXUETANGCHIPINGHUOLUOWEIXIAJIANG。

虎途国际2)PANDUANCANSHIDAJILIANGHEBUHESHIDEFANGFA?HEPANDUAN3DUAN+1ZHANGFANGANZHONG,DUANXIAOHEBUHELIYIYANG。

JULI:

虎途国际ZAOCANQIAN   ZAOCANHOU  WUCANQIAN  WUCANHOU  WANCANQIAN  WANCANQIAN    SHUIQIAN   YEJIAN3DIAN   ZAOCHENKONGFU 

虎途国际6         15          5.8        8         6          6          10        10            9.5

虎途国际LIANGGECANQIANXUETANGCHIPING,CANSHIDAJILIANGSHIHELIDE,DANCANHOUPIANGAO,YONGAKABOTANGYANHUANTANGXISHOUJIKEJIEJUE。

虎途国际PANDUANBIAOZHUN:XIAYICANQIANXUETANGYUSHANGYICANQIANDATIXIANGDANG。LIRUZAOCANSHIDAJILIANGHEBUHELI?KANWUCANQIANXUETANGHEZAOCANQIANXUETANGSHIFOUCHIPING。


8.HUIFUDAZHENJILIANGCANKAO

虎途国际FANGANYI. 3SU + 1ZHANG

ZAOCAN(MENDONGHUOLAIPU):YONGBENGSHIZAOCANQIAN

ZHONGCAN(MENDONGHUOLAIPU):YONGBENGZHONGCANQIANLIANG

虎途国际WANCAN(MENDONGHUOLAIPU):YONGBENGWANCANQIANLIANG

SHUIQIAN(GANJINGHUODITE):24XIAOSHIJICHUZONGLIANG

FANGANER. 3DUAN + 1ZHONG

ZAOCANDUANXIAOYIDAOSU:YONGBENGSHIZAOCANQIAN+(6:00-12:00)  SHANGWUDEJICHULIANGZONGHE

虎途国际ZHONGCANDUANXIAOYIDAOSU:YONGBENGZHONGCANQIANLIANG+(12:00-18:00)XIAWUDEJICHULIANGZONGHE  

WANCANDUANXIAOYIDAOSU:YONGBENGWANCANQIANLIANG+(18:00-22:00)DEJICHULIANGZONGHE

SHUIQIANZHONGXIAOYIDAOSU:YEJIANDEJICHULIANG (22:00-6:00)

FANGANSAN(GENGDUODEFANGAN):ZAOCANQIANHEWANCANQIANLIANGCIYUHUNYIDAOSU

ZAOCANQIANYUHUNYIDAOSUDELIANG:= YONGBENGSHIZAOCANQIANDAJILIANG + ZHONGCANQIANDAJILIANG + BAITIANDEJICHULIANG(6:00-18:00YIDAOSUDELIANG,DAYUEDENGYUJICHULVZONGLIANGDEYIBAN。)         

WANCANQIANYUHUNYIDAOSUDELIANG:= YONGBENGSHIWANCANQIANLIANG + YEJIANDEJICHULIANG(18:00-6:00YIDAOSUDELIANG,DAYUEDENGYUJICHULVZONGLIANGDEYIBAN。)

虎途国际SIKAO:ZENYANGYONGNAYIZHONGYUHUNYIDAOSU?25R、30R、40R、50R ?     

虎途国际ZHU:ZAOCANQIANYUHUNYIDAOSUXUANZE:YONGBENGSHIZAOCANQIANDAJILIANGZHANZAOCANQIANYUHUNYIDAOSUDELIANGBILI,JIEJIN30%YONG30R, JIEJIN50%YONG50R。

WANCANQIANYUHUNYIDAOSUXUANZE:YONGBENGSHIWANCANQIANDAJILIANGZHANWANCANQIANYUHUNYIDAOSUDELIANGBILI,JIEJIN30%YONG30R, JIEJIN50%YONG50R。

虎途国际JULI:YIGEHUANZHEJICHULV20IU,SANCANFENBIEWEI8IU、6IU、5IU    

ZAOCANQIANYUHUNYIDAOSUDELIANG:=8+6+10=24IU   

WANCANQIANYUHUNYIDAOSUDELIANG:= 5+10=15IU       

8/24=0.3   5/15=0.3   XUANZE30RHESHI


虎途国际9.LIYONGYIDAOSUMINGANYINZI,JIUZHENGYIWAIGAOXUETANG

虎途国际DINGYI: YIDAOSUMINGANYINZI:BIAOSHI1DANWEIYIDAOSU2-5XIAOSHIZHINEINENGJIANGDUOSHAODANWEIXUETANG。

虎途国际GONGSHI:YIDAOSUMINGANYINZI=100/YIDAOSURIZONGLIANG(SHIYONGCHAODUANXIAOYIDAOSU)

虎途国际          YIDAOSUMINGANYINZI=83/YIDAOSURIZONGLIANG(SHIYONGDUANXIAOYIDAOSU)

SIKAO:

JIARUYIGEHUANZHEYONGNUOHERUIJICHULV20 IU,ZAOZHONGWANSANCANDAJILIANGDOUWEI10 IU,KONGFUXUETANG15mmol/L,YINGGAIZENMECHULI?RUOCANHOUXUETANG15mmol/L,YINGGAIZENMECHULI?


虎途国际10.HELIJIEJUEDIXUETANG,WEIKUAISUDIAOZHENGXUETANGYINGQUSHIJIAN

DAYUEMEI5KETANSHUIHUAHEWUSHENGGAO1mmol/LXUETANG,DIXUETANGYIBAN3ZUOYOU,XUYAOCHI15-20KETANG。JIZHU: CHI15KETANG,15FENZHONGHOUCEXUETANG。QIEJI:DIXUETANGCHIMIFAN、MANTOU、BINGGANDENG,WANGWANGDIXUETANGJIEJUELE,JIEJUEHOU,XUETANGYOUGAOLE。



JINANQUANXINSHIYIJIAYIYIDAOSUBENGXIAOSHOUHESHOUHOUFUWUWEIZHUXIAN,WEIRAONEIFENMIZHUANYEJINGYINGDUOKUANCHANPIN,YIYOUSHIYUNIANDEJINGYINGLISHI,XIANGLEJIEGENGDUOCHANPINZIXUNQINGBODA18866129122(SHANDONGSHENGNEIYEWU)、13325120629(SHANDONGSHENGYIWAIDEYEWU)HUOSAOMIAOXIAMIANDEWEIXINHAOZIXUN。

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