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 %O  =0  Soluciones parenteralesConceptos importantes  IAgua corporal total Compartimentos Electrolitos Presiones Osmolaridad *JH Definicin & Es una solucin inyectable en base acuosa, estril y apirogna, destinada a la administracin intravenosa acondicionada en un recipiente para uso nico. (O.M.S Solucin estril de alto riesgo $!8Condiciones que deben reunir las soluciones parenterales99(z- Balance inico. - pH. - Presin osmtica. - Viscosidad. - Estado coloidal. - Condiciones del agua. - Esterilidad.{{Utilidades teraputicas "Infusiones intravenosas Soluciones para irrigacin quirrgicas Soluciones para dilisis peritoneal Soluciones para hemofiltracin.Clasificacin   ;Segn el volumen Segn la osmolaridad Segn la viscosidad ,<:Segn el volumenPequeo volumen Gran volumen 0((-(  Segn la viscosidadCristaloides Coloides &,Segn el grado de osmolaridad (.Iso-osmolares Hipo-osmolares Hiper-osmolares 4/l-f*% Cristaloides   Las soluciones cristaloides son aquellas soluciones que contienen agua, electrolitos y/o azcares en diferentes proporciones y que pueden ser hipotnicas, hipertnicas o isotnicas respecto al plasma Ejemplos de soluciones    ,& Coloides  Contienen partculas en suspensin de alto peso molecular que no atraviesan las membranas capilares, de forma que son capaces de aumentar la presin osmtica plasmtica y retener agua en el espacio intravascular. Incrementan la presin onctica y la efectividad del movimiento de fluidos desde el compartimiento intersticial al compartimiento plasmtico deficiente. Agente expansor plasmtico. Producen efectos hemodinmicos ms rpidos y sostenidos que las soluciones cristaloides.Z ;+'Ejemplos de coloidesHaemaccel Gelafundin Dextranos !$Usos de las soluciones parenterales $%#00nLas utilidades teraputicas estn relacionadas a: Segn el grado osmolar Segn su viscosidad Segn su volumen  2=o$"Soluciones hipotnicasDextrosa al 2.5% Sol. De agua libre en el tratamiento de la Cetoacidsis Diabtica (:)$Soluciones isotnicas $0(2Solucin salina 0,9% Ringer Lactato Dextrosa al 5%3l3#Cloruro de Na+Indicaciones Shock hipovolmico. Reposicin de prdidas agua o sodio en condiciones clnicas de : Quemaduras, Trauma, Ciruga,GEC. Cetoacidsis diabtica. Alcalosis metablica con deplecin de volumen que requiere sustitucin de cloruro de sodio. Otros usos Mantener permeable los catteres de infusin intermitente perifricos Limpieza de heridas y laceraciones de la piel. Amniotransfusin profilctica .bPP PPl w $Ringer LactatokCuadros de Hipovolemia Secundario a: Poliuria Quemados Hipo aporte Deshidratacin con acidosis metablica&Fl% Dextrosa al 5 %Aporte calrico. Cada litro de solucin glucosada al 5 % aporta 50 gramos de glucosa, que equivale a 200 kcal. Reduce el catabolismo proteico, y acta por otra parte como protector heptico Combustible metablico de los tejidos del organismo . &!Indicaciones principalesnNutricin parenteral Deshidratacin intracelular y extracelular Alteraciones del metabolismo hidrocarbonado. 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