2013年8月8日星期四

Sodium lactate Precautions


1, edema and hypertension, the application should be cautious.
2, delivery speed is not too fast to avoid Ethyl lactate, hypokalemia and hypocalcemia.
3, the following conditions should be used with caution:
① diabetes, especially in patients taking biguanides phenformin, impeding liver lactate utilization, easy to cause lactic acidosis.
② edema associated with sodium retention tendencies.
③ can increase blood pressure in patients with hypertension.
④ cardiac insufficiency.
⑤ liver dysfunction lactic slow degradation.
⑥ hypoxia and shock, tissue ischemia and buffered lactic acid  lactate oxidation of pyruvate into the Krebs cycle metabolic rate slows down, resulting in the delay correction of acidosis speed.
⑦ alcohol, salicylic acid poisoning, Ⅰ-type glycogen deposition disease have occurred lactic acidosis tendencies, sodium lactate and then not correct acid-base balance.
⑧ diabetic ketoacidosis acetyl acetic acid, β-hydroxybutyric acid and lactic acid were increased, and often accompanied by poor circulation or organ insufficiency, lactic slow degradation.
⑨ renal insufficiency, prone to water and sodium retention, increased burden on the heart.

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