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住院医师牢记—常用静脉泵入药物汇总

2017-06-26 佚名 掌上医讯综合整理

住院医师牢记—常用静脉泵入药物汇总

1. 硝酸甘油(5mg/ml):50mg+NS40ml/iv泵入从0.6ml/h(10?g/min)开始,可用到200?g/min

2. 异舒吉(10mg/10ml):50mg(50ml)/iv泵入,5ml/h(5mg/h)

3. 硝普钠(10mg/支粉剂):50mg+NS50ml/iv泵入,0.6ml/h(10?g/min),可用到200-300?g/min

4. 多巴胺及多巴酚丁胺(20mg/2ml):(体重Kg×3)mg加NS至50ml/iv泵入,1ml/h相当于1?g/kg/min

例如:体重60Kg的患者,用量为:5?g/Kg/min:180mg+NS32ml/iv泵入,5ml/h

5. 压宁定(50mg/10ml):250ml原液(50ml)/iv泵入,从1.2ml/h(100?g/min)开始,可逐渐加量到400?g/min

6. 酚妥拉明(瑞支停)(10mg/2ml):50mg+40ml/iv泵入,2ml/h(2mg/h)

7. 吗啡(10mg/1ml):50mg+NS40ml/iv泵入,1-2ml/h(1-2mg/h)

8. 去甲肾上腺素(2mg/1ml):(体重Kg×0.3)mg加NS至50ml/iv泵入,1ml/h相当于0.1?g/kg/min

例如:体重60kg的患者,用量为:0.5?g/Kg/min:18mg+NS41ml/iv泵入,5ml/h

9. 异丙肾上腺素(1mg/2ml):3mg+NS44ml/iv泵入,1ml/h(1?g/min)

10. 利多卡因(400mg/2% 20ml):1000mg/iv泵入,3-9ml/h(1-3mg/min)

11. 垂体后叶素(6U/1ml):首剂予12-18U入壶

对于消化道出血:300U/iv泵入,2-4ml/h(0.2-0.4U/min)

对于咯血:300U/iv泵入1-2ml/h(0.1-0.2U/min)

12. 思他宁(3mg/2ml和250?g/支):首剂予250?g入壶,3mg+NS48ml/iv泵入,4ml/h(250?g/h)

13. 肝素(100mg/12500U/2ml):12500U+NS48ml/iv泵入,2ml/h(500U/h),根据APTT调整

14. 艾司洛尔(100mg/10ml):0.5mg/Kg iv入壶;500mg/iv泵入,18ml/h(0.05mg/Kg/min, 60Kg)

15. 安定(10mg/2ml):250mg iv泵入,1-2ml/h(5-10mg/h)

16. 氨茶碱(0.25g/10ml):0.5或0.75+NS到50ml iv泵入,2ml/h(24h总量不超过1g)

17. 胺碘酮(150mg/3ml)24h总量<1.2g,累计总量<2.2g

首剂150mg iv 10min内推完;600mg+NS 38ml iv泵入,5ml/h(1mg/min)6h,后改为2.5ml/h(0.5mg/min)持续泵入

18. 善宁(0.1mg/1ml):首剂0.1mg iv入壶,0.5mg+NS 45ml iv泵入2ml/h

19. 氯化钾(15% 10ml):50ml直接iv泵入,中心静脉<10ml/h;外周<5ml/h

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    2017-12-15 fusion
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    2017-06-28 saikp
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    2017-06-27 大爰

    学习了谢谢分享!

    0

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    2017-06-27 惠映实验室

    学习了,谢谢分享。

    0

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    2017-06-27 执迷不悔

    学习了

    0

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    2017-06-27 189****7206

    学习了受益匪浅

    0

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