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Se eee ied laitelo Galg!l GUabiadI - pladuw)l - lost! (PARENTERAL | 0) SOLUTIONS | New Edited By -~ | Atmed EL Shobary - - — | i= DAW aqui dy " permeability "um £ Go pgicty Mandell On5 sighs 5S Hla! | | i Gj ds23- | lacloul sais Uuloo MA Ringer = "lactate, acetate, injection" | taeloity Gulla Julso BA Saline © " isotonic, hypotonic, hypertonic " | lacigt jeSgla Uutao | Glucose "5%, 10%,, 25%" | " Dextrose" jojimisa Jono Jel Bl, Vessels.) 3 9353 Jb y URI S5> JS ads ote ® Ringer J] Jolae > Ji tins Sl asna es dud pall BaHSS ga AG 9 WWI b> Lbs nw tiy “© Glucose I] Joins & Bleeding )) Vie 5 sane ee | teil goles YUILE ASL dpe Lens Leg jhe ge ei ude aS lee OS gos | Sigendl ial & sky paren) Balj La BAS 9 Lee gs pe Ub lg» nd La ( osmotic pressuresalj& leas) | ( Expansion of blood volume) UJ! lls! esl ye aS olale pull EZ mannitol EZ volven EZ aminoleban EZ panamine G Gf albumin $AY pasa shy iS 5 Sh in pl J |e dG si pS ally Gla) jaya Le al thy. PQ*e * AIT Ih A ala a gat ® Samira feed oat eat > Dehydration iia!) o¥ls. & Burns Bsa! % Molomic Shock @usasl5y lh bya ite ¢ X Solvent for antibiotics aM gh es GSS GA Seg egal scala Lag ake ste I cy a TG Collapse © CIR CAe gs brah oh COG SC gw tN OU SAY eee a pal Jot MW sleet @ ( New born ) sell giiss JULY go Kats see 5 Sag, Se Ste ay All 1 2 pie lta Citrate g dele. ° Renal olf ar side yin 3 Renta a . Alani NK? iusip se -4 in vitro experiments anally pi yall sylaill ine panians paul id de tasal Erss EL gla! nul wAleaig Ella SAALN gh Hiprid! Sealey gia) CS elas ib us arthroscopic Lavage avsuall asa cil! pain ® septic arthritis SoA & Las seu Se clea oe ad httos://www.medicines org. uk/eme/pre S/sm medbishovary - B Stamscanrer= ip S Fad % Mild acidosis chants Bicarbonate 4 Js y Liver! USS lym SEs 2 5 Lactate ys ( Correction of acidosis ) Jama it Bicarbonate Lactate tI Jai jail ase aye te LS OY Hyperglycemia Jan: Seas « Lactic acidosis Ua 4d ys -3 Pisco oo og Sh Eat cla Gi etl @ a all tad pk 8 Sg HSI all > 2) oacninus Sybauall ball wo @ poe dyes bilge! Soiike Ule Bland ASU yous Ugino pariay Us aogade@ e92q0l Spi JV Ady maintenance therapy alo! La le pgausbiglly Wao abet ios aio Say das tee 2 tu: ged Bicarbonate 4 Usa% 3 Liver tI Wis pp peg WS Si pS Gy Acetate F ge (Correction of acidosis ) Jaan lite 5... PH ini dass | Win Cale fae os ial do toy Acie as | ae (ait 9 I Se cctas paki nip US ns Lactate J oe ue | | Redan cn Book > https://www facebook com/Di Elshobary ae AED SI) Gh Di pall et Gage % Saver Vomiting tl ase a yz) | ® Sever diarrhea 2 Sel) 5 stl) Dyudl > Dahydration Gia oye > Burns G2! Shock Vlas 26 Hypolealemin ppl pl ghee oat % Mild hyponatremia (120-130 Mee/L ) aa al” lh ge pall yee rams va 2 Sterilization of Wounds & Burns, Bypass aes hy ( coll) sae Ll) cy pall ain te Solvent for antibiotics Bagh ot ebay oie SM My galy Aig! lsacaall ST Leal ete Yl ay] AaaeRIERoEEaERS | | HIN le Sh eee Beg Asst gl g 90) Op ast ( PE) gail alaaty) pln 9 ( CHF ) lll) Mise a th casa 2 (Cerebral edema ) Seal Ais atte ge 3 Liver Cirrhosis Gs Gare ge = %m Ssh ste @ chy Sis & Valium ti Jace 5 | Giese he MS SsSele ge Na HODg eel ote 3-6 Hypertonic Saline 1 J 4 Normal saline I oY ~ Blond product 2 exAsbe otee yt sat os = || CRY! pee Normal Saline is Jzlne alae pace y Packed RBCs 86 Si) i pie + Al a Dan le! ew cll ys ae 2 sda 5 Stopcenck 45 Shen ystaaly YS i vines ae Aiyh yak NOY Memento ye Hsp, al le ped Ath an La = | FSSC hana wadtichaiay Sever hyponatramia ( <120 Meq/L) 120 Meq/L co US) aot Stl A pl a ON tas 2 Nebulization in acute bronchiolitis $235. lll edema i 5 Jlsd Hypertonic UY — UGbY) Gis GA's ay 4h 5% Wee 80 ee OF A (Central pontin myelinolysis * CPM” ) 3} ( Brain edema ) i Was pl Soa chen chile -2 ‘ead ad Ceti ine Mois (CPM) eal eae Jenttly cy dinee Hyponatremia, eee Broxin Edema hanes > 1s) dala (Brainsem) ee wens y Coal Pine an cay Dad Prognosis ical) Demyctination Seay Myclin Sheath 2 y= a) Se Death is Common 342 58 Qusrparsis.) Shs nee a ‘4g Intracellular dehydration. quis!) U3Al Gti. Guat % Diabetic ketoacidosis (DKA) & Hyperasmolar nonrketatic state "1 (4S8 sal) tase RNG es — Sa pi) ev 6 Hpparinatvareta pl 3 pss gall ig acs tly te ye AL og! Hopatic 4 aye (Burn) dsl -2 Ascites hey yall Souk USN) [gn Ste Sheall JG 5 BI, Vessels! \ss osmotic Pressure i ce dike AY = PRT ws AI A% 020r 033 ET Hoporanie Saline eT |) | 150 + BT Osmotarity lee aii Li Us Bet StamScanner a "Facebook > d¢ Hypoglycemia all ull 5 gue yatt A >< Nutrition Sy sb te lane Sate 5 yS stall eee yen tall RS GD Hepatic Coma 4S) pall Ye Ste >< Hyperkalemia all ob » pat il pia 5255 Vin > Soluent for antibiotics © Glucose 5% Sa8ste sla S pa de 100 US © Glucose 10% S8sle de 10 ppb de 100 oS © Glucose 25% SS de lm 25 etd 10S Aa sats 4) jist she. 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Voiven * Plasma volume expander | 0 Jay faa) See eae Ve 1) | used in treatement of pulmonary edema | hypovolemia tates 2] | Renal + | Hepatic + History of DVT + ‘2.mannitol: + Osmotic diuretic: Ae eA © Incteased ICT Monitoring ol Na-K « © Brain edema vi ed Jas expansion of ECF Jan osue 2 © Excrotion of toxins St) urine output Jt 039 284) HE © Acuto congostive esse BS pate 3) | glcucoma ene 4 Hyptension <110/70 » ‘A.panaminG |* Protein malnutrition Amineven and dapetic foot ‘hutriianal support Interalipid Emulsion placed © 20% SOYBEAN OIL > Paranteral Nutrition + 1.2% EGG YOLK PHOSPHOLIPIDS © 2.25% GLYCERIN SMOFlipi % Emulsion psc * Soya Oi, © Mediuim-chain Triglycerides, + Olive Oi Fish Oil Dipeptiven { plascudl nylglutamine FaceBook > hitps//wiw facebook com/Dr Abe > (med + Shobar {Sts el ef - == =| juid rat ions: digas Toa od ss gia a alee D thud Das 6 Vaan « SAS pAb Spe See ge at Lee B20 = L1 Kidd ad de S 4060 =L1 Kstuset 2 dem he Sole oe le la Jone ne 500 all ‘|-Shobag AUB 5120 + 20.4500 = Ad A Si oe — ae se 2 TR AT y 5 240 + 20 x500 = AD pL Sete Yg BS Bb 250 Jolee cdl gt Ye 3 BLU 166 +30 + 20x 250 = 4d pL ae Suc + etm 500 sine inj 5 pike ny sce TALE wt rb 0 JV flict 5! stteiey old age she 3) 1 volume (Jes Soy) diastolic dystunction aie jue Jy Wd SY aS iL A overioad and pulmonaty edema et the Urine output Jy ahs aly ioe RATE Jed ot DKA J ee 2 correction of dehydration 2 b= r flui 22-1 adult o UL IS 1d ow wS1.20:child Do peta at phe Sth Se 200 = 10 20 athe aa 10 jy ee el aL A law he Be oe Feld Lod ad A be S3o0 ny Hel 5 Ae ya L200 0 athe ay seks SAL 13-2300 + (20*200) = yp ed one ! Gay pd Sy baseline vital signs Ulajte gS sy pulmonary crackles - gles i ye Go dams FS IY iy) pbedema+i- Sabie c YY atl gees arp poeple © AeA talae skin turgor! 42% © Oliguria (Sita 36 a2 Lu/aaS/le 0.5 Ge il Spl) cy 38 Jaee © easzy overload i i Gina cia pall yhtle ta pals lil alal ple pats Ge Pigalle ad discs ico Taner es SeBaak > hitna//wnww facebook com/br Abmed Elahabary e S| volume expander 32 J plans! aa! | 4S od iy all Glas spall I OEE Gas | + whl Sends anal dl § electrolyte balance Je tails alse pascaw Obs | | SS aye fh bed by polall jaa plas jad cael cgegs oe Ole sortigll 85 (F Jptad blac Ger | aol, | i | ringer lactate -1 Acidosiszt: 3 3 | pray! praia! Soe aAS9.o. VOUS 3 « pga Bll GF Chanady Cokie! Ly! pity daghes Gl a - | Ib gota | Reduction of ca excretion an fe SS GF Geter Ol dates patel G daglas 51 | Cacl2 | |-Shobay Kel Nacl | 12g gell ppl es eerted 4) pata es Opin Lael yiadiee spironalactone is} hyperkalemia Joss 1! 4320p ppealigall GuSe gs ploy pai | + Ppuwlge dab Shea! pall Uliue lag | - Sm Lob | Se fe Wed! oto Ub ug pall Epa il Ups a Lae LOL Lot jpSplel ol caSyle lle | AWE Gay tii he WI all =3sSpbedl Sllascal JsSgle soba Bb jie sie osu! lane) | Aled! ibdaall oy 7 hypervolumia sae) 159 eo jpSpl> ashy ball paro-T Bal Gade -£ intra cranial pressure ost alm 4 jsSglall gine =| daiucl 09339 WEN idee jSpledl Olas hypoglycemic coma sl> 39) Sal al Egiae gays - GUUS | Te plone ol alas 595) lg dla toy g) ety | Jaiple APY i ole Ober Sell urna le gob | oka tape Ge yn tele ly | Edited By :- Facebook > https://www facebook.com/Dr. Ahmed Elshobary [CEpamscamers se: scat ies iu facabcokcemibiabmed ahaa’

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