Serum Therapy In Anesthesia Nursing

SERUM THERAPY IN ANESTHESIA NURSING

The maintenance of the infusing with basal water needs of the patients within the health care environment and above all in the surgical, must be our priority objective. The knowledge of the characteristics and peculiarities of the different types of Sera, which make up the broad framework that the pharmaceutical industry offers to us, it is essential for itsproper administration by nurses, knowing the reasons for his administration and what we hope to contribute to the patient.

Corella Calatayud, José Manuel
Tarragón Sayas, Mª Ángeles
Mas Vila, Teresa
Corella Mas, José Manuel
Corella Mas, Laura

KEY WORDS: Sure therapy, water replenishment, infusing, basal needs, water deficit.

Within the healthcare environment has called us alwaysattention the different parameters that are used and which vary with the time actually adapting to the needs of the Agency as the breadth of knowledge and studies leads to them. It is curious that not too many years ago, athlete, being in full effort or competition, practically are her restricted liquids so as not to disrupt their performance, today is just the opposite and in fact a good moisturizingwith suitable products tends to improve performance. Something arises in fluids to the sick in the per operative period, until the 1960s restricting you perfusion liquids. From this date several studies have shown that these patients have even higher than the basal requirements. One of the primary objectives is today the maintenance of the infusing thus avoiding shock hypovolemic and acute tubularnecrosis.

Classes of fluid

there are three types of liquids that which only expose two of them in the case of blood derivatives, given its breadth what we deal in future work and for the moment we focus in crystalloids and colloids. The big difference between these two liquids found in the ability to stay in the intravascular space of Colloids and the ability to stay evenly into the extravascular space of crystalloids.

Crystalloids

Mainly consist of inorganic salt of sodium chloride that administered in sufficient quantities can fulfill the Mission of Colloids in the restoration of the intracellular volume, although the predominant effect is the increase the expansion of the extra vascular space. They have a half-life of 20 to 30 minutes. If we look at its osmolarity, i.e.at the concentration of particles osmotic active we will classify them into three groups:


•Isotonic: is within the normal range of the extracellular fluid. Saline, ringer lactate, plasma-lyte and glucosamine. Serum.

•Hypotonic: its osmolarity is lower than that of the extracellular fluid. Dextrose 5% and the hypotonic saline to 0.45%.

•Hypertonic: osmolarity than the extracellularfluid. Saline solution to 3 and 5 per cent. They are often used by the risk of dangerous hypernatremia. We will make a brief description on the particularities and most common use of most common crystalloids:

•Saline physiological: I sodium chloride 0.9% with concentrations of sodium and chlorine higher than the plasma and is often used for dehydrated patients.

Also used as diluents concentratesof red blood cells:

Dextrose: Commonly called glycoside, which provides dextrose equivalent to 50 g. of dextrose 5% per liter administered, with a contribution of 200 Kcal. Per litter. Lack of power the infusing Expander. It should not be given to patients with elevation of intracranial pressure, burned patients, trauma, or with low levels of protein, as well as patients with suspectedischemic neurological damage of any etiology, already anaerobic glucose metabolism releases acids metabolites which could worsen the prognosis.

•Glucosamine: Tends to be composed of two parts of dextrose 5% and a saline 0.9% with a similar to the plasma osmolarity. This composition can vary diluted with saline isotonic. Administered to patients in postoperative neurosurgical until oral tolerance....