{"id":23923,"date":"2024-02-29T12:55:26","date_gmt":"2024-02-29T20:55:26","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/"},"modified":"2024-12-12T16:43:46","modified_gmt":"2024-12-12T23:43:46","slug":"understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/","title":{"rendered":"Hi\u1ec3u v\u1ec1 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN: Duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng quan tr\u1ecdng trong dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 dung d\u1ecbch c\u00f4 \u0111\u1eb7c, v\u00f4 tr\u00f9ng ch\u1ee9a c\u00e1c kho\u00e1ng ch\u1ea5t thi\u1ebft y\u1ebfu, bao g\u1ed3m natri clorua, kali clorua, magie clorua, canxi clorua v\u00e0 natri axetat. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Gi\u1ea3i ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c d\u1ef1 \u0111\u1ecbnh s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ch\u1ea5t b\u1ed5 sung trong <\/span><a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/what-is-in-a-tpn-solution\/\"><span style=\"font-weight: 400;\">dung d\u1ecbch \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 TPN<\/span><\/a><span style=\"font-weight: 400;\"> (dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n ho\u00e0n to\u00e0n). TPN l\u00e0 d\u1ea1ng dinh d\u01b0\u1ee1ng c\u00f4 \u0111\u1eb7c, bao g\u1ed3m nhi\u1ec1u lo\u1ea1i axit amin (protein), lipid (ch\u1ea5t b\u00e9o) v\u00e0 dextrose (carbohydrate) kh\u00e1c nhau \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n.&nbsp;&nbsp;<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-5e100bfeb7036be1409813ef5931dad0\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tD\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch c\u1ee7a b\u1ea1n, lu\u00f4n c\u00f3 s\u1eb5n\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tH\u00e0ng t\u1ed3n kho \u0111\u1ea7y \u0111\u1ee7, truy c\u1eadp d\u1ec5 d\u00e0ng\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ee5c \u0111\u00edch c\u1ee7a vi\u1ec7c b\u1ed5 sung ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 duy tr\u00ec c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i trong c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n. Vi\u1ec7c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong qu\u00e1 tr\u00ecnh truy\u1ec1n TPN s\u1ebd ng\u0103n ng\u1eeba c\u00e1c tri\u1ec7u ch\u1ee9ng thi\u1ebfu h\u1ee5t c\u00f3 th\u1ec3 x\u1ea3y ra.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">B\u00e0i vi\u1ebft n\u00e0y cung c\u1ea5p h\u01b0\u1edbng d\u1eabn ng\u1eafn g\u1ecdn v\u1ec1 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN, bao g\u1ed3m t\u1ea7m quan tr\u1ecdng, ch\u1ee9c n\u0103ng v\u00e0 l\u01b0\u1ee3ng c\u1ea7n thi\u1ebft m\u00e0 c\u01a1 th\u1ec3 b\u1ea1n c\u1ea7n.&nbsp;<\/span><\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Chuy\u1ec3n \u0111\u1ed5i m\u1ee5c l\u1ee5c\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Chuy\u1ec3n \u0111\u1ed5i<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#What_Are_Electrolytes_and_Why_Are_They_Added_to_TPN_Solutions\" >Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i l\u00e0 g\u00ec v\u00e0 t\u1ea1i sao ch\u00fang \u0111\u01b0\u1ee3c th\u00eam v\u00e0o dung d\u1ecbch TPN?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#Function_of_Electrolytes\" >Ch\u1ee9c n\u0103ng c\u1ee7a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#What_Is_the_Required_Concentration_of_TPN_Electrolytes\" >N\u1ed3ng \u0111\u1ed9 c\u1ea7n thi\u1ebft c\u1ee7a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 bao nhi\u00eau?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#Dosage_and_Administration\" >Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#Usual_Concentration_of_Electrolytes_in_TPN_Mixture\" >N\u1ed3ng \u0111\u1ed9 th\u00f4ng th\u01b0\u1eddng c\u1ee7a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong h\u1ed7n h\u1ee3p TPN<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#What_Are_the_Risks_of_TPN_Electrolyte_Imbalance\" >Nguy c\u01a1 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 g\u00ec?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/#What_Precautions_Should_You_Follow_While_Receiving_TPN_Electrolytes\" >B\u1ea1n n\u00ean th\u1ef1c hi\u1ec7n nh\u1eefng bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba n\u00e0o khi s\u1eed d\u1ee5ng ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN?<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-what-are-electrolytes-and-why-are-they-added-to-tpn-solutions\"><span class=\"ez-toc-section\" id=\"What_Are_Electrolytes_and_Why_Are_They_Added_to_TPN_Solutions\"><\/span>Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i l\u00e0 g\u00ec v\u00e0 t\u1ea1i sao ch\u00fang \u0111\u01b0\u1ee3c th\u00eam v\u00e0o dung d\u1ecbch TPN?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u00ecn chung, c\u01a1 th\u1ec3 b\u1ea1n \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb 50 \u2013 60% n\u01b0\u1edbc, trong \u0111\u00f3 c\u00f3 nhi\u1ec1u ch\u1ea5t kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK541123\/#:~:text=Electrolytes%20are%20essential%20for%20basic,calcium%2C%20phosphate%2C%20and%20bicarbonates.\"><span style=\"font-weight: 400;\">Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i<\/span><\/a><span style=\"font-weight: 400;\"> l\u00e0 c\u00e1c kho\u00e1ng ch\u1ea5t ion mang \u0111i\u1ec7n t\u00edch (d\u01b0\u01a1ng ho\u1eb7c \u00e2m) c\u00f3 trong c\u01a1 th\u1ec3 b\u1ea1n.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">H\u00e0ng ng\u00e0y, ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN gi\u00fap duy tr\u00ec c\u00e2n b\u1eb1ng sinh l\u00fd nh\u01b0 c\u00e2n b\u1eb1ng axit-baz\u01a1 v\u00e0 c\u00e2n b\u1eb1ng n\u01b0\u1edbc trong c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n. C\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i ch\u00ednh trong c\u01a1 th\u1ec3 l\u00e0 natri, kali, magie, canxi, photphat v\u00e0 clorua. M\u1ed9t s\u1ed1 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y b\u00ean trong t\u1ebf b\u00e0o (n\u1ed9i b\u00e0o), v\u00e0 m\u1ed9t s\u1ed1 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y b\u00ean ngo\u00e0i t\u1ebf b\u00e0o (ngo\u1ea1i b\u00e0o).&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-function-of-electrolytes\"><span class=\"ez-toc-section\" id=\"Function_of_Electrolytes\"><\/span>Ch\u1ee9c n\u0103ng c\u1ee7a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed7i ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i \u0111\u1ec1u c\u00f3 ch\u1ee9c n\u0103ng quan tr\u1ecdng trong c\u01a1 th\u1ec3 b\u1ea1n nh\u01b0 sau:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b>Natri (Na):<\/b><span style=\"font-weight: 400;\"> Natri gi\u00fap \u0111i\u1ec1u h\u00f2a huy\u1ebft \u00e1p b\u1eb1ng c\u00e1ch duy tr\u00ec c\u00e2n b\u1eb1ng n\u01b0\u1edbc. N\u00f3 c\u0169ng d\u1eabn truy\u1ec1n xung th\u1ea7n kinh v\u00e0 h\u1ed7 tr\u1ee3 co c\u01a1.<\/span><\/li>\n\n\n\n<li><b>Kali (P)<\/b><span style=\"font-weight: 400;\">:Kali g\u00f3p ph\u1ea7n duy tr\u00ec ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a th\u1eadn, gi\u00fap \u0111i\u1ec1u h\u00f2a nh\u1ecbp tim, ch\u1ee9c n\u0103ng c\u1ee7a t\u1ebf b\u00e0o th\u1ea7n kinh v\u00e0 c\u01a1, \u0111\u1ed3ng th\u1eddi duy tr\u00ec m\u1ee9c pH m\u00e1u kh\u1ecfe m\u1ea1nh.<\/span><\/li>\n\n\n\n<li><b>Clorua (Cl<\/b><b>\u2013<\/b><b>)<\/b><span style=\"font-weight: 400;\">:Ch\u1ee9c n\u0103ng ch\u00ednh c\u1ee7a Clorua l\u00e0 gi\u00fap c\u00e2n b\u1eb1ng ch\u1ea5t l\u1ecfng trong c\u01a1 th\u1ec3.<\/span><\/li>\n\n\n\n<li><b>Magi\u00ea (Mg):<\/b><span style=\"font-weight: 400;\"> Magi\u00ea l\u00e0 m\u1ed9t cofactor quan tr\u1ecdng cho ho\u1ea1t \u0111\u1ed9ng c\u1ee7a enzyme v\u00e0 g\u00f3p ph\u1ea7n duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a h\u1ec7 th\u1ea7n kinh v\u00e0 qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a axit amin (protein).&nbsp;<\/span><\/li>\n\n\n\n<li><b>Canxi (Ca):<\/b><span style=\"font-weight: 400;\"> Canxi gi\u00fap duy tr\u00ec ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u01a1 th\u00edch h\u1ee3p v\u00e0 tham gia v\u00e0o <\/span><a href=\"https:\/\/www.hematology.org\/education\/patients\/blood-clots#:~:text=Blood%20clotting%2C%20or%20coagulation%2C%20is,a%20clot%20over%20the%20injury.\"><span style=\"font-weight: 400;\">\u0111\u00f4ng m\u00e1u<\/span><\/a><span style=\"font-weight: 400;\"> v\u00e0 co c\u01a1.&nbsp;<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">L\u01b0\u1ee3ng ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n theo nhu c\u1ea7u h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><br>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-the-required-concentration-of-tpn-electrolytes\"><span class=\"ez-toc-section\" id=\"What_Is_the_Required_Concentration_of_TPN_Electrolytes\"><\/span>N\u1ed3ng \u0111\u1ed9 c\u1ea7n thi\u1ebft c\u1ee7a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 bao nhi\u00eau?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"420\" height=\"314\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1.jpg\" alt=\"Supplies and tubing for total parenteral nutrition\" class=\"wp-image-23925\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1.jpg 420w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1-300x224.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1-86x64.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1-167x125.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1-280x209.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/02\/tpn-supplies-1-370x277.jpg 370w\" sizes=\"auto, (max-width: 420px) 100vw, 420px\" \/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\" id=\"h-dosage-and-administration\"><span class=\"ez-toc-section\" id=\"Dosage_and_Administration\"><\/span>Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u01a1 th\u1ec3 b\u1ea1n y\u00eau c\u1ea7u \u1edf n\u1ed3ng \u0111\u1ed9 th\u1ea5p h\u01a1n so v\u1edbi dung d\u1ecbch dextrose v\u00e0 axit amin. M\u1ed7i l\u00edt dung d\u1ecbch axit amin\/dextrose \u0111\u01b0\u1ee3c b\u1ed5 sung th\u00eam m\u1ed9t th\u1ec3 t\u00edch 20 ml ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN (ph\u1ee5 gia \u0111i\u1ec7n gi\u1ea3i \u0111a n\u0103ng).<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1eeb hai \u0111\u1ebfn ba l\u00edt dung d\u1ecbch TPN m\u1ed7i ng\u00e0y, c\u00f9ng v\u1edbi ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN b\u1ed5 sung.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Dung d\u1ecbch TPN c\u00f3 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i \u0111\u01b0\u1ee3c truy\u1ec1n v\u1edbi t\u1ed1c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh, t\u1eeb 83 \u0111\u1ebfn 125 ml\/gi\u1edd, trong v\u00f2ng 24 gi\u1edd. Dung d\u1ecbch TPN c\u00f3 ch\u1ee9a dextrose v\u00e0 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN \u0111\u01b0\u1ee3c ti\u00eam t\u0129nh m\u1ea1ch qua \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch trung t\u00e2m.&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-usual-concentration-of-electrolytes-in-tpn-mixture\"><span class=\"ez-toc-section\" id=\"Usual_Concentration_of_Electrolytes_in_TPN_Mixture\"><\/span>N\u1ed3ng \u0111\u1ed9 th\u00f4ng th\u01b0\u1eddng c\u1ee7a ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong h\u1ed7n h\u1ee3p TPN<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd t\u00ednh to\u00e1n nhu c\u1ea7u \u0111i\u1ec7n gi\u1ea3i h\u00e0ng ng\u00e0y c\u1ee7a b\u1ea1n d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN. N\u1ed3ng \u0111\u1ed9 (ho\u1eb7c l\u01b0\u1ee3ng) \u0111i\u1ec7n gi\u1ea3i tr\u00ean m\u1ed7i l\u00edt dung d\u1ecbch truy\u1ec1n TPN nh\u01b0 sau:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Natri: L\u01b0\u1ee3ng c\u1ea7n thi\u1ebft l\u00e0 100 \u0111\u1ebfn 150 mEq.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Kali: L\u01b0\u1ee3ng c\u1ea7n thi\u1ebft l\u00e0 50 \u0111\u1ebfn 100 mEq.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Magi\u00ea: L\u01b0\u1ee3ng c\u1ea7n thi\u1ebft l\u00e0 8 \u0111\u1ebfn 24 mEq.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Canxi: L\u01b0\u1ee3ng c\u1ea7n thi\u1ebft l\u00e0 10 \u0111\u1ebfn 20 mEq.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ph\u1ed1t pho: L\u01b0\u1ee3ng c\u1ea7n thi\u1ebft l\u00e0 15 \u0111\u1ebfn 30 mEq.<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng v\u1ec1 l\u01b0\u1ee3ng kho\u00e1ng ch\u1ea5t TPN c\u00f3 th\u1ec3 g\u00e2y ra r\u1ee7i ro \u0111\u00e1ng k\u1ec3 cho s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, t\u1eeb kh\u00f3 ch\u1ecbu nh\u1eb9 \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, \u0111e d\u1ecda t\u00ednh m\u1ea1ng.&nbsp;<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-d15ffbbc117ff017efead67647777f89\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tN\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean gia v\u1ec1 h\u1ed7 tr\u1ee3 \u0111\u1ed3ng thanh to\u00e1n\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">L\u00ean l\u1ecbch t\u01b0 v\u1ea5n<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-are-the-risks-of-tpn-electrolyte-imbalance\"><span class=\"ez-toc-section\" id=\"What_Are_the_Risks_of_TPN_Electrolyte_Imbalance\"><\/span>Nguy c\u01a1 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 g\u00ec?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Nguy c\u01a1 li\u00ean quan \u0111\u1ebfn m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i TPN ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i kho\u00e1ng ch\u1ea5t b\u1ecb m\u1ea5t c\u00e2n b\u1eb1ng. V\u00ed d\u1ee5, m\u1ea5t c\u00e2n b\u1eb1ng canxi c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 canxi m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. T\u01b0\u01a1ng t\u1ef1, m\u1ea5t c\u00e2n b\u1eb1ng natri c\u00f3 th\u1ec3 g\u00e2y ra <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/hyponatremia\/symptoms-causes\/syc-20373711\"><span style=\"font-weight: 400;\">h\u1ea1 natri m\u00e1u<\/span><\/a><span style=\"font-weight: 400;\">, trong khi m\u1ea5t c\u00e2n b\u1eb1ng kali c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 h\u1ea1 kali m\u00e1u ho\u1eb7c t\u0103ng kali m\u00e1u.&nbsp;&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i c\u0169ng d\u1eabn \u0111\u1ebfn nhi\u1ec1u t\u00ecnh tr\u1ea1ng kh\u00e1c nh\u01b0 lo\u1ea1n nh\u1ecbp tim, m\u1ea5t c\u00e2n b\u1eb1ng d\u1ecbch, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn, bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh c\u01a1 nh\u01b0 y\u1ebfu c\u01a1 ho\u1eb7c co th\u1eaft c\u01a1 v\u00e0 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe th\u01b0\u1eddng theo d\u00f5i n\u1ed3ng \u0111\u1ed9 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong huy\u1ebft thanh c\u1ee7a b\u1ec7nh nh\u00e2n hai l\u1ea7n m\u1ed9t tu\u1ea7n \u0111\u1ec3 tr\u00e1nh m\u1ea5t c\u00e2n b\u1eb1ng trong qu\u00e1 tr\u00ecnh truy\u1ec1n d\u1ecbch.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-precautions-should-you-follow-while-receiving-tpn-electrolytes\"><span class=\"ez-toc-section\" id=\"What_Precautions_Should_You_Follow_While_Receiving_TPN_Electrolytes\"><\/span>B\u1ea1n n\u00ean th\u1ef1c hi\u1ec7n nh\u1eefng bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba n\u00e0o khi s\u1eed d\u1ee5ng ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i. M\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba nh\u01b0 sau:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i TPN ph\u1ea3i \u0111\u01b0\u1ee3c pha lo\u00e3ng trong dung d\u1ecbch TPN tr\u01b0\u1edbc khi d\u00f9ng.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t ph\u1ee5 gia kali, natri, canxi, magie ho\u1eb7c clorua n\u1ebfu b\u1ea1n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 v\u00f4 ni\u1ec7u, t\u0103ng kali m\u00e1u, kh\u1ed1i tim ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim, v\u00e0 ph\u00f9 n\u1ec1 nghi\u00eam tr\u1ecdng do suy tim m\u1ea1ch, suy th\u1eadn ho\u1eb7c suy gan.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i theo d\u00f5i n\u1ed3ng \u0111\u1ed9 natri, kali, canxi, magie, ph\u1ed1t pho v\u00e0 clorua trong m\u00e1u trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n TPN.&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">C\u00e1c ion axetat trong dung d\u1ecbch \u0111i\u1ec7n gi\u1ea3i TPN c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng v\u00ec d\u00f9ng qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ki\u1ec1m chuy\u1ec3n h\u00f3a.<\/span><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Dung d\u1ecbch \u0111i\u1ec7n gi\u1ea3i TPN l\u00e0 dung d\u1ecbch c\u00f4 \u0111\u1eb7c, v\u00f4 tr\u00f9ng ch\u1ee9a c\u00e1c kho\u00e1ng ch\u1ea5t thi\u1ebft y\u1ebfu, bao g\u1ed3m natri clorua, kali clorua, magie clorua, canxi clorua v\u00e0 natri axetat. Dung d\u1ecbch n\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 b\u1ed5 sung v\u00e0o dung d\u1ecbch TPN (dinh d\u01b0\u1ee1ng ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch).<\/p>","protected":false},"author":27,"featured_media":23924,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[12],"tags":[33],"class_list":["post-23923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-dr-samantha-kaeberlein"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Understanding TPN Electrolytes: Maintaining Vital Balance in Total Parenteral Nutrition<\/title>\n<meta name=\"description\" content=\"Learn about TPN electrolytes. Topics include what electrolytes are, why they are added to TPN solutions, and risks of electrolyte imbalance.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/understanding-tpn-electrolytes-maintaining-vital-balance-in-total-parenteral-nutrition\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Understanding TPN Electrolytes: Maintaining Vital Balance in Total Parenteral Nutrition\" \/>\n<meta property=\"og:description\" content=\"Learn about TPN electrolytes. 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