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临床用药指导(国外英文资料)
临床用药指导
Circulation, blood system:
Heart rate fast -- (1). Central venous pressure (through the subclavian vein channel) + urine. If it is 2cm, use 2000ml! (need to prevent infusion too fast, listen to the lung rale), such as central venous pressure is too high, for set 1 + into the pot into the pot, furosemide 1/2-1 and a half hours after the central venous pressure.
Raise blood pressure -- (1).dopamine, 20mg/branch (2ml), dopamine 6 + 38ml NS 2 (3) ml/hour or 9 + 32ml NS (9-18!) Ml/hour/doposobutamine is mixed with 50ml of liquid. Standard usage: at the beginning of every minute of the day according to the weight of 1 ~ 5 mu g / ㎏, 10 minutes per minute 1 ~ 4 mu g / ㎏ speed increasing, in order to achieve maximum efficacy. Note the effect in 5 minutes
Plus NS 49ml + go to the adrenal 1ml/h!
(2).dopamine weight * 3mg (1ug/min * kg) + NS (total 50ml) : 1.2 mg * kg weight/hour, 2-20ml/hour
The dopamine is 3mg + NS (50ml) 2-20ml/h
Norepinephrine weight * 0.03 mg + NS (50ml) 2-8ml/hour
3. Rapid fall blood pressure - (1). Captopril (enalapril) 12.5 mg/tablet Sublingual containing clothing/nifedipine (nifedipine) 10 mg sublingual administering (2-3 min work, 20 minutes maximum, taking interval greater than 4 hours)
(2).to settle for 25mg / 5ml (1) x 10, 0.6 ml/h pump. Within 5 minutes. Standard usage: can be added to 20ml of injection (equivalent to 100mg of urazur) and dilute the liquid to 50ml. The maximum drug concentration of intravenous fluids is 4mg of uladur per milliliter. The input speed is adjusted according to the patients blood pressure. The recommended initial velocity is 2mg per minute, with a speed of 9mg per hour.
White protein -- (1) belin 10g / 50ml (a bottle) (a bottle) (a bottle) (a bottle) (equivalent to 200ml of plasma), and ivgtt
Plasma 2000-400ml (blood transfusion, plasma post-saline 250ml) and half an hour later 20mg of urinuria (edema)
Stop the bleeding -- (1).1 ku (15-25 minutes later) + 1ku: (5 to 10 minutes later). Preoperative PT + APTT is e
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