﻿{"id":106983,"date":"2024-12-14T09:49:34","date_gmt":"2024-12-14T02:49:34","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=106983"},"modified":"2025-07-24T13:22:50","modified_gmt":"2025-07-24T06:22:50","slug":"natri-bicarbonat-14","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/natri-bicarbonat-14\/","title":{"rendered":"Natri bicarbonat 1,4%"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/natri-bicarbonat-14\/\">Natri Bicarbonat 1,4%<\/a> Fresenius Kabi \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n Fresenius Kabi Vi\u1ec7t Nam, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110492424.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2>Natri bicarbonat 1,4% l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>B\u1ea3ng th\u00e0nh ph\u1ea7n thu\u1ed1c <strong>Natri Bicarbonat 1,4%<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 33.3333%; text-align: center;\">Th\u00e0nh ph\u1ea7n<\/td>\n<td style=\"width: 33.3333%; text-align: center;\">Trong 250ml<\/td>\n<td style=\"width: 33.3333%; text-align: center;\">Trong 500ml<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 33.3333%;\">Natri bicarbonat<\/td>\n<td style=\"width: 33.3333%; text-align: center;\">3,5g<\/td>\n<td style=\"width: 33.3333%; text-align: center;\">7g<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 33.3333%;\">T\u00e1 d\u01b0\u1ee3c<\/td>\n<td style=\"width: 33.3333%; text-align: center;\">V\u1eeba \u0111\u1ee7<\/td>\n<td style=\"width: 33.3333%; text-align: center;\">V\u1eeba \u0111\u1ee7<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam truy\u1ec1n<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 893110492424<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: Chai 250ml; Chai 500ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Natri Bicarbonat 1,4%<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a <strong>Natri bicarbonat<\/strong> d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng gi\u1ea3i ph\u00f3ng ion bicarbonate, gi\u00fap trung h\u00f2a ion hydro v\u00e0 t\u0103ng \u0111\u1ed9 pH m\u00e1u.<\/p>\n<p>Khi truy\u1ec1n v\u00e0o c\u01a1 th\u1ec3, Natri bicarbonat nhanh ch\u00f3ng ph\u00e2n ly t\u1ea1o th\u00e0nh ion natri v\u00e0 ion bicarbonate, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 bicarbonate trong m\u00e1u v\u00e0 gi\u1ea3m n\u1ed3ng \u0111\u1ed9 hydro.<\/p>\n<p>Qu\u00e1 tr\u00ecnh ki\u1ec1m h\u00f3a di\u1ec5n ra nhanh ch\u00f3ng nh\u1edd v\u00e0o c\u01a1 ch\u1ebf \u0111\u1ec7m c\u1ee7a natri bicarbonate.<\/p>\n<figure id=\"attachment_106994\" aria-describedby=\"caption-attachment-106994\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-106994\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4.jpg\" alt=\"Thu\u1ed1c Natri Bicarbonat 1,4%\" width=\"1200\" height=\"1200\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4-800x800.jpg 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4-768x768.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2024\/12\/natri-bicarbonat-14-4-100x100.jpg 100w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-106994\" class=\"wp-caption-text\">Thu\u1ed1c Natri Bicarbonat 1,4% d\u00f9ng cho \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0o?<\/figcaption><\/figure>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Vi\u1ec7c truy\u1ec1n t\u0129nh m\u1ea1ch natri bicarbonat cho ph\u00e9p \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 pH m\u00e1u m\u1ed9t c\u00e1ch nhanh ch\u00f3ng, tuy nhi\u00ean c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed9t c\u00e1ch th\u1eadn tr\u1ecdng v\u00e0 t\u1eeb t\u1eeb \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng. N\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u th\u1ea5p v\u00e0 t\u0103ng d\u1ea7n li\u1ec1u d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m kh\u00ed m\u00e1u.<\/p>\n<h2>Thu\u1ed1c Natri Bicarbonat 1,4% \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Thu\u1ed1c <strong>Natri Bicarbonat 1,4% Fresenius Kabi<\/strong> \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng acid-base trong c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m toan chuy\u1ec3n h\u00f3a v\u00e0 c\u1ea7n ki\u1ec1m h\u00f3a n\u01b0\u1edbc ti\u1ec3u, ch\u1eb3ng h\u1ea1n nh\u01b0 trong ng\u1ed9 \u0111\u1ed9c thu\u1ed1c ch\u1ed1ng co gi\u1eadt phenobarbital.<\/p>\n<h2>Li\u1ec1u d\u00f9ng c\u1ee7a dung d\u1ecbch Natri Bicarbonat 1,4% 250ml<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<h4>\u0110i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng acid-base<\/h4>\n<p>Ng\u01b0\u1eddi l\u1edbn, tr\u1ebb em<\/p>\n<ul>\n<li>D\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch, t\u00ednh to\u00e1n li\u1ec1u Natri Bicarbonat 1,4% Fresenius Kabi theo c\u00f4ng th\u1ee9c: Li\u1ec1u (mmol) = M\u1ee9c thi\u1ebfu h\u1ee5t base (mmol\/l) x Kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 th\u1ec3 (kg) x 0.3<\/li>\n<li>N\u1ebfu kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3 kh\u00ed m\u00e1u: Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 1 mmol\/kg, truy\u1ec1n ch\u1eadm.<\/li>\n<li>Li\u1ec1u ti\u1ebfp theo: Kh\u00f4ng qu\u00e1 0.5 mmol\/kg sau 10 ph\u00fat.<\/li>\n<\/ul>\n<p>Tr\u1ebb s\u01a1 sinh: T\u1ed1i \u0111a 8 mmol\/kg\/ng\u00e0y, truy\u1ec1n t\u0129nh m\u1ea1ch ch\u1eadm.<\/p>\n<ul>\n<li>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u1ecbnh k\u1ef3<\/li>\n<li>Kh\u00f4ng n\u00ean \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u qu\u00e1 nhanh<\/li>\n<\/ul>\n<h4>Tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ki\u1ec1m h\u00f3a n\u01b0\u1edbc ti\u1ec3u<\/h4>\n<p>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c Natri Bicarbonat 1,4% theo \u0111\u1ed9 pH mong mu\u1ed1n v\u00e0 theo d\u00f5i c\u00e2n b\u1eb1ng acid-base, c\u00e2n b\u1eb1ng n\u01b0\u1edbc.<\/p>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>C\u00e1ch truy\u1ec1n: Truy\u1ec1n t\u0129nh m\u1ea1ch<\/p>\n<p>T\u1ed1c \u0111\u1ed9 truy\u1ec1n: Ch\u1eadm<\/p>\n<p>V\u1ecb tr\u00ed truy\u1ec1n: T\u0129nh m\u1ea1ch trung t\u00e2m<\/p>\n<h2>Thu\u1ed1c Natri Bicarbonat 1,4% ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>R\u1ed1i lo\u1ea1n ki\u1ec1m h\u00f4 h\u1ea5p v\u00e0 chuy\u1ec3n h\u00f3a<\/p>\n<p>Suy h\u00f4 h\u1ea5p<\/p>\n<p>Cao natri m\u00e1u<\/p>\n<p>C\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch, th\u1eadn, th\u1ea7n kinh nh\u01b0: suy tim, ph\u00f9 n\u1ec1, t\u0103ng huy\u1ebft \u00e1p, co gi\u1eadt, suy th\u1eadn.<\/p>\n<p>Thi\u1ebfu canxi m\u00e1u<\/p>\n<p>Thi\u1ebfu clor<\/p>\n<p>R\u1ed1i lo\u1ea1n aldosteron<\/p>\n<p>Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/p>\n<p>B\u1ec7nh nh\u00e2n t\u1eebng b\u1ecb s\u1ecfi th\u1eadn<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Natri Bicarbonat 1,4%<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng Natri Bicarbonat 1,4% Kabi:<\/p>\n<ul>\n<li>Gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd: N\u00ean th\u01b0\u1eddng xuy\u00ean theo d\u00f5i c\u00e1c ch\u1ec9 s\u1ed1 \u0111i\u1ec7n gi\u1ea3i trong m\u00e1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 kali, v\u00e0 c\u00e2n b\u1eb1ng acid-base trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>R\u1ee7i ro t\u0103ng natri: \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n suy tim, suy th\u1eadn, ho\u1eb7c \u0111ang s\u1eed d\u1ee5ng corticosteroid, c\u1ea7n h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng do nguy c\u01a1 t\u0103ng natri m\u00e1u, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u, d\u1eabn \u0111\u1ebfn ph\u00f9 ph\u1ed5i.<\/li>\n<li>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u h\u1ee3p l\u00fd: Li\u1ec1u d\u00f9ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh c\u1ea9n th\u1eadn d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng ki\u1ec1m h\u00f3a qu\u00e1 m\u1ee9c.<\/li>\n<li>Tr\u00e1nh truy\u1ec1n nhanh: Vi\u1ec7c truy\u1ec1n dung d\u1ecbch qu\u00e1 nhanh, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 t\u0103ng natri huy\u1ebft, gi\u1ea3m \u00e1p l\u1ef1c d\u1ecbch n\u00e3o t\u1ee7y v\u00e0 th\u1eadm ch\u00ed xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd.<\/li>\n<li>C\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: Kh\u00f4ng s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m ki\u1ec1m h\u00f4 h\u1ea5p ho\u1eb7c chuy\u1ec3n h\u00f3a, suy h\u00f4 h\u1ea5p, ho\u1eb7c khi vi\u1ec7c cung c\u1ea5p th\u00eam natri l\u00e0 kh\u00f4ng an to\u00e0n.<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng ti\u00eam truy\u1ec1n: Tr\u00e1nh ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch nh\u1ecf ho\u1eb7c da \u0111\u1ea7u \u0111\u1ec3 ng\u0103n ng\u1eeba k\u00edch \u1ee9ng m\u1ea1ch m\u00e1u.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/h3>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 25.902%;\">C\u01a1 quan<\/td>\n<td style=\"width: 74.098%;\">T\u00e1c d\u1ee5ng ph\u1ee5<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 25.902%;\">Tim m\u1ea1ch<\/td>\n<td style=\"width: 74.098%;\">Suy gi\u1ea3m ch\u1ee9c n\u0103ng tim, qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 25.902%;\">Th\u1ea7n kinh<\/td>\n<td style=\"width: 74.098%;\">R\u1ed1i lo\u1ea1n th\u1ea7n kinh trung \u01b0\u01a1ng (xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd \u1edf tr\u1ebb s\u01a1 sinh, k\u00edch th\u00edch, c\u1ee9ng c\u01a1), r\u1ed1i lo\u1ea1n th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 25.902%;\">Chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng<\/td>\n<td style=\"width: 74.098%;\">R\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i (gi\u1ea3m kali, t\u0103ng natri, gi\u1ea3m canxi), r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft, nhi\u1ec5m ki\u1ec1m, t\u0103ng \u00e1p su\u1ea5t th\u1ea9m th\u1ea5u, nhi\u1ec5m toan trong t\u1ebf b\u00e0o<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 25.902%;\">Chung<\/td>\n<td style=\"width: 74.098%;\">Ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7 ti\u00eam (tho\u00e1t m\u1ea1ch), t\u1ed5n th\u01b0\u01a1ng m\u00f4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/h3>\n<table style=\"border-collapse: collapse; width: 100%; height: 157px;\">\n<tbody>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">Thu\u1ed1c<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">T\u01b0\u01a1ng t\u00e1c<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">Acid acetylsalicylic, Chlorpropamide, Doxycycline, Lithium, Methenamine, Tetracycline<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">T\u0103ng th\u1ea3i tr\u1eeb qua th\u1eadn<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">Amphetamine, Ephedrin, Flecainide, Memantine, Pseudoephedrin, Quinidin<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">T\u0103ng th\u1eddi gian b\u00e1n th\u1ea3i<\/td>\n<\/tr>\n<tr style=\"height: 10px;\">\n<td style=\"width: 64.1753%; height: 10px;\">Corticotropin, Corticosteroid<\/td>\n<td style=\"width: 35.8247%; height: 10px;\">T\u0103ng nguy c\u01a1 nhi\u1ec5m ki\u1ec1m<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">Mecamylamine<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">T\u0103ng t\u00e1i h\u1ea5p thu \u1edf \u1ed1ng th\u1eadn<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">R\u01b0\u1ee3u<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">T\u0103ng nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">Thu\u1ed1c b\u1ed5 sung kali<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">Gi\u1ea3m t\u00e1c d\u1ee5ng b\u1ed5 sung kali<\/td>\n<\/tr>\n<tr style=\"height: 21px;\">\n<td style=\"width: 64.1753%; height: 21px;\">Thu\u1ed1c l\u1ee3i ti\u1ec3u h\u1ea1 kali (Acid ethacrynic, Bumetanide, Furosemide, Thiazide)<\/td>\n<td style=\"width: 35.8247%; height: 21px;\">T\u0103ng nguy c\u01a1 nhi\u1ec5m ki\u1ec1m, h\u1ea1 kali m\u00e1u<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef mang thai v\u00e0 ph\u1ee5 n\u1eef cho con b\u00fa<\/h3>\n<p>T\u00ednh an to\u00e0n c\u1ee7a thu\u1ed1c Natri Bicarbonat 1,4% \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u00f5 r\u00e0ng. Do \u0111\u00f3, c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 cao nh\u01b0 ti\u1ec1n s\u1ea3n gi\u1eadt.<\/p>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 vi\u1ec7c thu\u1ed1c Natri Bicarbonat 1,4% Kabi c\u00f3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 hay kh\u00f4ng v\u00e0 \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb s\u01a1 sinh.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Vi\u1ec7c d\u00f9ng qu\u00e1 li\u1ec1u natri bicarbonat ti\u00eam truy\u1ec1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ki\u1ec1m h\u00f3a m\u00e1u, g\u00e2y h\u1ea1 kali m\u00e1u ho\u1eb7c co gi\u1eadt do gi\u1ea3m canxi huy\u1ebft.<\/p>\n<p>Khi ph\u00e1t hi\u1ec7n qu\u00e1 li\u1ec1u, vi\u1ec7c \u0111\u1ea7u ti\u00ean l\u00e0 ng\u1eebng ngay vi\u1ec7c truy\u1ec1n natri bicarbonat. \u0110\u1ec3 kh\u1eafc ph\u1ee5c t\u00ecnh tr\u1ea1ng ki\u1ec1m h\u00f3a m\u00e1u, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn th\u1edf ch\u1eadm l\u1ea1i gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng kh\u00ed CO2 th\u1ea3i ra, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m \u0111\u1ed9 pH trong m\u00e1u ho\u1eb7c truy\u1ec1n d\u1ecbch mu\u1ed1i sinh l\u00fd (natri clorid 0,9%).<\/p>\n<h2>Thu\u1ed1c Natri Bicarbonat 1,4% gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Thu\u1ed1c Natri Bicarbonat 1,4% hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, gi\u00e1 s\u1ea3n ph\u1ea9m c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p thu\u1ed1c Natri Bicarbonat 1,4% t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c thu\u1ed1c (s\u1ea3n ph\u1ea9m) kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f9ng ho\u1ea1t ch\u1ea5t v\u00e0 t\u00e1c d\u1ee5ng v\u1edbi thu\u1ed1c Natri Bicarbonat 1,4% nh\u01b0:<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/kali-clorid-10-500mg-5ml-vinphaco\/\">Kali Clorid 10% 500mg\/5ml Vinphaco<\/a> (C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m V\u0129nh Ph\u00fac, kho\u1ea3ng 150.000-200.000 VN\u0110\/h\u1ed9p) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba t\u00ecnh tr\u1ea1ng thi\u1ebfu kali trong m\u00e1u, th\u01b0\u1eddng x\u1ea3y ra do c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 th\u1eadn, ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u.<\/p>\n<p>Thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/natri-bicacbonate-renaudin-84\/\">Natri Bicacbonate Renaudin 8,4%<\/a> (Laboratoires Renaudin, kho\u1ea3ng 200.000-250.000 VN\u0110\/h\u1ed9p) l\u00e0 dung d\u1ecbch ti\u00eam truy\u1ec1n, ch\u1ee9a Natri Bicarbonate, c\u00f3 t\u00e1c d\u1ee5ng trung h\u00f2a axit trong c\u01a1 th\u1ec3, gi\u00fap kh\u00f4i ph\u1ee5c \u0111\u1ed9 pH m\u00e1u v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m acid chuy\u1ec3n h\u00f3a.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>Gabriel Wardi, Sarah Holgren, Arnav Gupta, Julia Sobel, Aaron Birch, Alex Pearce, Atul Malhotra, Christopher Tainter. (Ng\u00e0y 21 th\u00e1ng 4 n\u0103m 2023).\u00a0 <em>A Review of Bicarbonate Use in Common Clinical Scenarios<\/em>. Truy c\u1eadp ng\u00e0y 14 th\u00e1ng 12 n\u0103m 2024, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37442665\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37442665\/<\/a><\/li>\n<li>Matthew K Abramowitz, Michal L Melamed, Carolyn Bauer, Amanda C Raff, Thomas H Hostetter. (Ng\u00e0y 7 th\u00e1ng 2 n\u0103m 2023). <em>Effects of oral sodium bicarbonate in patients with CKD<\/em>. Truy c\u1eadp ng\u00e0y 14 th\u00e1ng 12 n\u0103m 2024, t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23393105\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/23393105\/\u00a0<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Natri Bicarbonat 1,4% Fresenius Kabi \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng acid-base trong c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m toan chuy\u1ec3n h\u00f3a v\u00e0 c\u1ea7n ki\u1ec1m h\u00f3a n\u01b0\u1edbc ti\u1ec3u<\/p>\n","protected":false},"author":1,"featured_media":106986,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-106983","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-variable"},"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product\/106983","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=106983"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/106986"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=106983"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=106983"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=106983"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}