METHOD OF METABOLIC ACIDOSIS CORRECTION

摘要

FIELD: medicine.;SUBSTANCE: invention relates to field of medicine and represents method of metabolic acidosis correction, which includes measuring deficiency of bases and patient's body weight, introduction of sodium hydrocarbonate solution, which is characterised by the fact that hydrogen pH index and level of carbon dioxide CO₂ in patient's arterial blood are additionally measured, desired value of hydrogen index pHopt and tension of carbonic acid in arterial blood PaCO₂OPT are determined, necessary quantity of sodium hydrocarbonate infusion of definite concentration is calculated by formula: NaHCO₃={((BEpatient-((((24*paCO₂opt)/(10^{^}-pHopt*1000000000))-((7.4-pHopt)*10))*-24))}*BW*0.2)/(NaHCO₃percent*0.12), where NaHCO₃ is quantity of necessary solution of sodium hydrocarbonate in ml, paCO₂opt -desired value of hydrogen index of patient's arterial blood, BE patient are initial values of patient's base deficiency, NaHCO₃percent is concentration of sodium hydrocarbonate NaHCO₃, in %, BW is patient's body weight in kilograms.;EFFECT: invention ensures reduction of risk of hypernatremia and metabolic alkalosis development.;2 ex