{"id":4216,"date":"2023-04-05T08:45:36","date_gmt":"2023-04-05T06:45:36","guid":{"rendered":"http:\/\/berlin-boehm.de\/Kanty\/?p=4216"},"modified":"2023-04-05T08:45:38","modified_gmt":"2023-04-05T06:45:38","slug":"fluessigkeitszufuhr","status":"publish","type":"post","link":"http:\/\/berlin-boehm.de\/Kanty\/archive\/4216","title":{"rendered":"Fl\u00fcssigkeitszufuhr"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_full-7acc1372e522d1472d3487e02738ae1c\">\n.flex_column.av-av_one_full-7acc1372e522d1472d3487e02738ae1c{\nbackground-color:#22689e;\n}\n<\/style>\n<div  class='flex_column av-av_one_full-7acc1372e522d1472d3487e02738ae1c av_one_full  avia-builder-el-0  el_before_av_hr  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b\">\n#top .av-special-heading.av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b{\nmargin:20px 20px 20px 20px;\npadding-bottom:0;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b .av-special-heading-tag{\npadding:5px 5px 5px 5px;\n}\n.av-special-heading.av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lg3br6oy-b3d3acea9e3d0a423bc81286394da43b av-special-heading-h3 custom-color-heading blockquote classic-quote  avia-builder-el-1  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Fl\u00fcssigkeitszufuhr<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-2  el_after_av_one_full  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p>\n<section  class='av_textblock_section av-lg3brqkt-b91efe23585e88897e859f515018561f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h4>Fl\u00fcssigkeitsbedarf<\/h4>\n<p>Der Fl\u00fcssigkeitsbedarf betr\u00e4gt 30\u201340 ml\/kg KG. Ein zus\u00e4tzlicher Bedarf entsteht durch Schwitzen (ca. 10\u201325 %), bei Fieber (10 ml\/kg KG\/1 \u00b0C), durch Erbrechen oder Diarrhoe.<\/p>\n<h4>Fl\u00fcssigkeitsdefizit<\/h4>\n<p>Ein Fl\u00fcssigkeitsdefizit l\u00e4sst sich u. a. auch an einem Anstieg des aktuellen Natriumspiegels in mmol\/l ablesen, wenn das K\u00f6rpergewicht (KG) und der Korrekturfaktor von 0,6 ber\u00fccksichtigt werden:<\/p>\n<p>Wasserdefizit [l] = (1\u2013140\/Na+) x 0,6 x KG<\/p>\n<p>Betr\u00e4gt der aktuelle Natrium-Spiegel z.B. 150 mmol bei einem 70 kg schweren Patienten, dann betr\u00e4gt der Wassermangel ungef\u00e4hr 2,5 l. Der Wassermangel wird durch isotonische Glucosel\u00f6sungen ausgeglichen. Dazu werden zun\u00e4chst 500 ml\/Std infundiert, bis die H\u00e4lfte substituiert wurde. Die Infusionsgeschwindigkeit wird dann reduziert, um keine Volumenbelastung hervorzurufen.<\/p>\n<h4>Natriumdefizit<\/h4>\n<p>Bei manchen Patienten tritt ein Natriumdefizit auf, das sich nach folgender Formel berechnen l\u00e4sst:<\/p>\n<p>Natriumdefizit [mmol] = (140\u2013Na+) x 0,6 x KG<\/p>\n<p>Bei einer Natriumkonzentration von 120 mmol\/l betr\u00e4gt das Defizit bei einem 70-kg-Patienten 840 mmol. Es sollte unbedingt langsam ausgeglichen werden. H\u00e4ufig handelt es sich tats\u00e4chlich nur um einen Wassermangel, so dass die Zufuhr von physiologischer Kochsalzl\u00f6sung das Defizit rasch beseitigt.<\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4216","post","type-post","status-publish","format-standard","hentry","category-chirurgie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fl\u00fcssigkeitszufuhr - Berliner Gelassenheit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4216\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fl\u00fcssigkeitszufuhr - Berliner Gelassenheit\" \/>\n<meta property=\"og:url\" content=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4216\" \/>\n<meta property=\"og:site_name\" content=\"Berliner Gelassenheit\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-05T06:45:36+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-05T06:45:38+00:00\" \/>\n<meta name=\"author\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"3\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216#article\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216\"},\"author\":{\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"headline\":\"Fl\u00fcssigkeitszufuhr\",\"datePublished\":\"2023-04-05T06:45:36+00:00\",\"dateModified\":\"2023-04-05T06:45:38+00:00\",\"mainEntityOfPage\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216\"},\"wordCount\":672,\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"articleSection\":[\"Chirurgie\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216\",\"name\":\"Fl\u00fcssigkeitszufuhr - Berliner Gelassenheit\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\"},\"datePublished\":\"2023-04-05T06:45:36+00:00\",\"dateModified\":\"2023-04-05T06:45:38+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216#breadcrumb\"},\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4216#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Fl\u00fcssigkeitszufuhr\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\",\"name\":\"Berliner Gelassenheit\",\"description\":\"Heiterkeit und Widerspr\u00fcche\",\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\",\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"logo\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/image\\\/\"},\"description\":\"Prof. Dr. med. 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