Život ohrožující hodnoty draslíku

26.4.2012 , Michaela Knollová

zivot-ohrozujici-hodnoty-drasliku.jpg - kopie
zivot-ohrozujici-hodnoty-drasliku.jpg - kopie
Život ohrožující hodnoty draslíku se dělí na abnormálně vysoké nad 5,5 mmol/l – tzv. hyperkalemie a na abnormálně nízké pod 3,8 mmol/l – tzv. hypokalemie. Život ohrožující hodnoty draslíku způsobují například poruchy srdečního rytmu, který může být právě onou příčinou smrti. Život ohrožující hodnoty draslíku je třeba včas léčit, pro dobrou prognózu.

Život ohrožující hodnoty draslíku

Draslík je jedním z nejdůležitějších iontů našeho těla. Vyskytuje se v iontové podobě K+ hlavně uvnitř buněk. Nejvíce ho obsahují svalové buňky. Mimo buňky se vyskytuje jen v malém množství a jeho koncentrace (kalemie) je několika regulačními mechanismy udržována v úzkém rozpětí od 3,8 mmol/l do 5,5 mmol/l. Sérová hladina draslíku je řízena hormony – aldosteronem, adrenalinem (oba vznikají v nadledvinách) a inzulinem (produkovaný slinivkou břišní). Dalším důležitým regulačním mechanismem koncentrace draslíku je jeho pohyb mezi vnitřkem buňky a jejím okolím. Ten je ovlivňován hlavně kyselostí vnitřního prostředí – tj. koncentrací H+ iontů. Vodíky a draslíky se na buněčné membráně vzájemně vyměňují. Pokud je vodíků zbytečně moc (tj. zvyšuje se kyselost vnitřního prostředí = acidosa), schovávají se do buněk výměnou za draslík, který se tak dostává do tkáňového moku a do krve. Přesto největší část regulace draselné rovnováhy spočívá na ledvinách. Hormon aldosteron působí na ledvinné kanálky. Zde se zahušťuje moč a zpětně se vstřebávají minerální látky. Aldosteron zvyšuje vstřebávání sodíku a vody a zvyšuje vylučování draslíku. Proto pokud dojde k závažnějšímu porušení vylučování, nebo zpětného vstřebávání draslíku, hrozí deregulace draselného metabolismu, která má závažné následky.

Život ohrožující hodnoty draslíku – hyperkalemie

Hyperkalemie je stav, kterým označujeme příliš vysokou hladinu draslíku v krevní plazmě. Obecně to jsou hodnoty nad 5,5 mmol/l.  Při hodnotách nad 6,5 mmol/l se jedná již o velmi závažný stav a při při hodnotách vyšších než 7 mmol/l o život ohrožující stav. Draslík se účastní hlavně nervosvalového přenosu nervového vzruchu. Pokud je ho v krvi hodně, tlumí nervosvalový přenos. To je nebezpečné zejména u srdečního svalu. Dochází k poruchám srdečního rytmu, ke snížení tepové frekvence a následně poklesu krevního tlaku. Objevují se také svalové záškuby a křeče, svalová slabost a tzv. parestezie (pocit mravenčení). Při extrémním zvýšení kalemie nad 9 mmol/l dochází ke komatu a zástavě srdce. K hyperkalemii vede masivní odumírání svalových buněk a červených krvinek při rozsáhlých poraněních. Další příčinou je ledvinné selhávání, zejména pokud je současně zvýšený přívod draslíku např. infuzí, nebo podáváním některých léků – spirolakton, některá diuretika. Hyperkalemie nás nepřekvapí ani u acidosy. Léčba by měla snížit kalemii – můžeme podávat látky, které působí proti draslíku (sodík, vápník) nebo ho rovnou vyvazují. Při zdravých ledvinách podporujeme vylučování draslíku do moči. Pokud jsou hyperkalemie závažné, nebo nereagující na léčbu, je nutná dialýza.

Život ohrožující hodnoty draslíku – hypokalemie

Hypokalemie je stav s koncentrací draslíku pod 3,5 mmol/l. Dochází k němu hlavně při zvýšených ztrátách draslíku – silné průjmy, selhání ledvin, vysoké dávky tzv. kortikosteroidů, léčba diabetické ketoacidosy s nedostatečným doplňováním draslíku a všechny stavy spojené s poklesem kyselosti vnitřního prostředí (alkalózou). Stav se projevuje svalovou slabostí, vznikem poruch srdečního rytmu, alkalózou a je častý i vznik paralytického ileu. Ileus je závažná komplikace, která se projevuje jako náhlá příhoda břišní a vyžaduje urgentní chirurgické ošetření. Léčba spočívá v doplňování draslíku a odstranění či zmírnění vyvolávající příčiny.

Život ohrožující hodnoty draslíku – nutnost lékařského vyšetření

Hyperkalemie ohrožuje všechny pacienty s rozsáhlým poškozením svalové tkáně (např. po polytraumatu, crash-syndromu), ale také diabetiky nedodržující dietu a léčbu. Laik nemůže poruchu kalemie jako takovou jakkoliv poznat. Vždy se ale vyskytuje u stavů, které i jinak výrazně ohrožují zdraví a život, a proto neprodleně vyžadují lékařské ošetření.

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PrestonGiG: is simply too a skylight

Fade In had snaked a go through the notebook Spoiler stole and planned his evening around it.

The address took him to a quiet part of the docks. There's another shipment coming, this method one big, And how it is because of him Cluemaster, Well Damian is not totally sure. the girl in purple he still doesn't know her name wasn't much help. As cagey as he was, Neither had been ready to give up much.

He was more confident she'd be there, But he'd have some extra support of the tech kind. Oracle, One of his father's allies had been given the words and asked to do her 'magic'. What her kinship with his father was, Or furthermore her very intense history for implementing this sort of thing, Was got rid of on him. All he knew is that she had his father's trust and that was sufficiently good for him.

The warehouse being used was once a factory in the heart of Gotham. In more appropriate times, This building shipped out Gotham made goods out to Europe and south usa. also city's economy, house had been abandoned.

overhead, Looking down from the skylight, Damian colleagues. uncover scores of men, Filling in and out and a dozen large containers. Forklifts. More crates than only a kid can count. this is actually quite a big operation.

"The cameras in fact set, Ibn al Xu'ffasch mutters to become his com. "Oracle, are you currently currently on,

Oracle 's, As most, into the Clocktower. She's agreed to help Damian with this operation and is waiting for him to place cameras so she can see the concept of play. As the com crackles to life meanwhile with the update, She tests the feeds. "yup, my group is on,

Spoiler the woman in EGGPLANT is there, Perching on a roof native, Her blue eyes watching the canisters. She grins, expectations rising in the young woman, As she leaps from a house, Swinging her way across the gap to land on top in a crouch. The skylight in view now, Her blue eyes narrow and she steps in advance, Her on the job her hips, Her masked face not so much as pleased. "people. Is there something about being a Robin that means that you have to meddle and get into everything, Snark, And dissatisfied snark at that, As she smoothies her head, The blonde hair escaping the cape.

oblivious to Oracle, The vocal efforts in Damian's ear, Spoiler leans in advance, Watching the game through the skylight. "You might as well be useful. i assume, She creates a look, Her eyes consolidating, adding to, "I'm the main Spoiler,

Bruce Banner knows nothing of the particulars of the goings on here, But they actually do seem to be keeping bodies busy busy and distracted. The crates from HALO Biomed are soaking in a neglected corner of the warehouse, Diverted there by Bruce slipping into the invoice system and just inverting a variety numbers. Within were the components for a hazmat safe, federal grade centrifuge, digesting and filtering devices. throw in some gene sequencing tech, any type of thing that might help you identify, perhaps, The genes that cause your body to react to gamma radiation by mutating into a gigantic apocalypse monster rather than tumor in your brain, And it was Christmas as far as Bruce was worried.

Stealing the forklift was going to be the hard part.

Bruce is clad in a pair of jeans and an MIT hoodie that makes him feel like he's betraying CalTech in deep and serious ways. continue to be, Better the undercover dress. A baseball cap and sun glasses add enough disguise to hopefully hide his face, Not that anyone without the right security classifications even knew what it looked like. He crouches downwards and ponders, Having not figured on all the game. most likely illegal. Not his firm. But he wasn't going to have another day before the paperwork 'mistake' was corrected and this stuff was taken far, far away.

Lunair doesn't really know what are you doing. indirectly. What she does know is that picking off mobsters and such is immensely moneymaking. Or that it's good practice. probably the second, Since she's backed down on the killing things to make money front. who, And she's disovered the catlike joy of outright torment. human, Twerking Triad? okay. sometimes there's glitter involved. It's unpleasant. Like crafting ebola poor.

But Armory is clad in black colored, Sleek armor that looks ripped out of a product like Metal Gear Rising. Eat your cardiovascular system out, laws and regulations of thermodynamics. She's perched neighboring, Watching people appear and vanish. hmmm.

Fantomex is simply not very interested in the gun running business. He makes his very own guns, And really he is not selling. Or getting. But regularly he is stealing, Because some weapons are pleasant, And artsy, And worth a lot of money.

while, There is a gun smuggler here that includes a very valuable handgun in his possession. Rumored to have belonged to a battle Two super villain. most likely Baron Strucker, Or your Zemo. Likely a false rumor, But the gold plated handgun is still worth lots of money and Fantomex has expensive tastes.

So he has been watching the warehouse for a few hours. And now that things are starting to move, There seems to be a fair number of people around that (Like very little) Probably ought not to be on the rooftops. He should probably just leave and wait for an better, Less problematic moment. But Fantomex lacks any trace of sound judgement, And he is interested in, So he sneaks forward to intercept those colorful clad kids that are doubtlessly going to act interesting.

"Your crazy hair. It's stunning. really show it more, robin says to Spoiler, Picking an odd place for a compliment. He unsheathes his katana from his back and gets ready to jump with the skylight. "rrt is possible to call me Ibn al Xu'ffasch, Since I imagine you'll have a problem with calling me by /his/ name, He asserts, you must, however not to Spoiler. The test is for Oracle, "Let me know for those who have the lights ready. We would like to cut them right after we break through,

What and how she could do what she can is a mystery to Damian, But he's been told there's few limits to her powers. so, once again at Spoiler, "Let's go make our-self useful,

He takes a leaping step off the ledge down on skylight, Kicking downward in reference to his heels just as he strikes the glass, Shattering it remarkably as he descends downward, Cape in width.

"If you are likely to ask me to tell you when I'm ready, You will probably want to wait before you act next time Oracles tone is sharp "insurance carrier, I'm totally ready" As Damian breaks along with the skylight, Oracle flicks a switch on the panel at her the lights in the warehouse immediately go dark.

The look at Damian is startled and one of Spoiler's hands rise to touch her hair, "I those things that? Are <a href=https://meetspanishwomen.wixsite.com/meetspanishwomen/post/spanish-women-v-s-american-women>dating a spanish girl</a> you somberly hitting on me now? And no way would I contact you Robin, He is my looking off, She sits back for my child heels, Her eyes constricting at him above her mask. "Alphabet soup it truly is, Snark and she looks behind her, placing, "Who're you dealing with, but he is leaping and she follows him, accidently damaging the remains of the glass, seeking to land on a soft thing, folks, Her booted feet propelling a man forward onto the floor, equally the lights go out.

Bruce Banner naturally ducks and drops behind a box as he hears the breaking glass and the building goes dark. wow, good. getting some raid. cops? DEA? potentially, undoubtedly, His worst headache, screen? no clue. ones timing of the lights and the glass breaking, even when, attract traffic what they're doing.

With different species of goonage reacting in their goony ways, Bruce tries to reap some benefits, Moving at a quick crab walk over to various forklifts, "Please possess keys, Please obtain the keys, confident, your man mutters.

basically. That was shocking. Lunair didn't figure there'd be so many folks coming on in. however,alternately, fat loss swing a dead mafioso without hitting like, 5 super heroes of some flavor or another (Ask about our low calorie heroes! For the burden conscious super villain. Now with authentic katana flavor). She decides to move in at the breaking up glass, Her helmet providing some type internal night vision or lighting. challenging to say, very easy glow. But this will explain why the visor is down.

And now it's time for attack formation JUSTICE. and also: Lunair would amuse herself. type in the Nudity Ray. and also now naked, Horrified goons who somehow find suitable scenery to hide behind.

light out? oh my. they're clever people involved here. Clever and likely online men or women. Fantomex can see in the <a href=https://about.me/spanishwomen>hot spanish girls</a> dark pretty well, But he imagines the goon squad is starting happy fun chaos mode.

A mental nudge is brought to EVA, His driving saucer/autonomous brain, to search the nets for that hacker. And the white clad thief hurries up to catch up with Damian and Spoiler. as a result, mesmerizing a gangster meeting by crashing through windows how you do it in Gotham.

Damian's katana glints in the moonlight as thoughs he slices at scream in agony. His lenses will night vision, Giving him an unfair advantage to those seeking away. "Fair use, Oracle, Damian mutters in to his comlink. "He's your new what, He asks Spoiler as he continues to fight through fools and idiots. "opportune boy.

31. července 2020 15:47

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12. března 2016 4:05

jana: Muj tatinek zemrel na zvyseni drasliku v krvi.mel tak. vysokou hodnotu,ze se mu zastavilo srdicko.

22. července 2014 12:23

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