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Plus Shensongyangxin capsule in treating angina pectoris 40 cases
4-27. [6] Pu Kai Lin. Shensongyangxin capsule treatment of arrhythmia based clinical research with the l [N]. China Medical Tribune, 2007,25. (2009-07-16 Received; 2009-08-18 Revised) This paper Editor: Liu Guofang case report [Article ID] 1673-1557 (2009) 06-0433-01 [CLC] R446.11 improper operation of the vacuum blood sampling in 1 case of hyperkalemia caused by false alarms Li Yun (geriatric hospital in Chengdu, Sichuan, Chengdu 611130, China) were female, 79 years old. Due to repeated chest tightness, palpitations 10 years, increased recurrence 1d hospital. Admission examination: 336.5 ℃, P72min ~, R18min ~, BP20/12.27kPa; admission electrolyte: potassium 4.5mmo1 · L ~, sodium 137.39mmol · L ~, chlorine 100.25mmol · L, TCa1. 96mmol · L ~; renal function: creatinine 87.4mo1. L ~, urea nitrogen 7.4mmo | · L ~. Admission diagnosis of coronary heart disease, unstable angina pectoris; DDD pacemaker implantation; two very high-risk hypertension. Expansion of the treatment given to the crown, diuretic, oral potassium chloride sustained-release tablets and other treatment. Charles blood blood the next day,[link widoczny dla zalogowanych], electrolyte, 5 years from the work of nurses in operation, the operation smoothly. First blood collection, samples were collected electrolyte. Mix immediately after blood collection submission. Show the electrolyte: potassium 6.2mmol · L ~, sodium 135.25mmol · L ~, chlorine 98.49mmol · L ~; TCa1.09mmol · L ~. Immediate bedside ECG. . ECG shows: atrial fibrillation, cardiac pacing alternating pacemaker good sense, sT-T no exception. No bradycardia, tachycardia and T wave height tip. Patient complaints are not weakness, fatigue, muscle pain, no limbs, lips feel abnormal. Laboratory hemolytic blood samples excluded, considering the test results and clinical performance does not match, review again the same sample, potassium 6.18mmol · L ~. To communicate with my general practitioner laboratory after blood re-review the proposal. Operation by the same nurse, single-tube samples collected electrolyte. Results K 3.95mmol · L ~, sodium 136.90mmol · L ~, chlorine 98.49mmol · L ~, TCa2.06mmol · L ~. Serum potassium is normal. The cases of false detection of vacuum blood collection hyperkalemia is due to the vacuum blood collection nurse violation of the order of multi-tube principle. Anticoagulant blood tubes was EDTAK,, chemical composition of Potassium EDTA can not be used for potassium, sodium, E ~ mail: zhan 【gyJ93 @ 163. COin [literature flag code] B calcium,[link widoczny dla zalogowanych], iron determination. Adhesion on the rubber plug on EDTAK pollution caused by the needle, the needle will be with EDTAK, mixed with chemical additives, electrolyte tube, resulting in potassium abnormal results. When the clinical and laboratory examinations do not meet the time to clinical judgment-based, timely review and avoid mistakes. When the judgments are true hyperkalemia hyperkalemia hyperkalemia or false. Hemolysis should be excluded if the first sample, followed by infusion of potassium chloride when the nurse is in blood,[link widoczny dla zalogowanych], the other nurses in the order of blood is very important. If the first blood specimen collection may lead to increased serum potassium test values, all of which may cause false serum potassium increased. Therefore, practices of nurses is particularly important specimen should be collected electrolyte, blood samples were collected, blood vacuum tube may be in the transport, preservation or use of inverted, so that adhesion in the rubber stopper on EDTAK pollution caused by the needle, the needle will be with EDTAK The chemical additives mixed with the electrolyte tube, test results can lead to electrolyte abnormalities. Vacuum Blood configured according to the requirements of clinical testing of different anti-(pro) coagulant,[link widoczny dla zalogowanych], vacuum blood collection tube when the multi-strict chronological order, BD vitro order of the company are as follows: sterile specimen tube, citrate anticoagulation management , serum tube, heparin anticoagulant tubes,[link widoczny dla zalogowanych], EDTA anticoagulant tube, ESR tube. Another tube containing a coagulant agents and various additional agents, a liquid, there are powder, the blood collected will be completed to fully mix the blood with additives. There are various additives tube should be properly transport, storage, upright, not upside down or supine, to ensure that additives are not contacts with the rubber plug and blood collection needle, vacuum blood collection tube while avoiding many chemical additives affect each other. (2009-07-23 Received; 2009-08-16 Revised) This paper Editor: Liu Guofang 433
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