微量泵配药法.docx
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微量泵配药法.docx
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微量泵配药法
Drugclass Dosage
1.Analgesicsandsedatives(止痛和镇静药)
Acetaminophen 5-15mg/kg/dosePO/RRq4-6h
(扑热息痛,对乙酰氨基酚)
Chloralhydrate 30-50mg/kg/dosePO/RRq8h;0.3-0.5ml/kg
(水合氯醛)
Codeine 0.5-1.0mg/kg/dosePOq4-6h
(可待因)
Diazepam 0.1-0.2mg/kg/doseIVq2-4h
(安定)
Fentanyl 2-5μg/kg/doseIVq1-2horacontinuousinfusionof 2-5μg/kg/h
(芬太尼)
Meperidine 1mg/kg/doseIM/IVq2-4h
(杜冷丁)
Midazolam 0.05-0.2mg/kgIVq1-2h,
(咪唑安定) thenacontinuousinfusionof0.4-1.2μg/kg/min
Morphinesulfate 0.05-0.1mg/kgIV/IMq1-2horacontinuousinfusionof10-40μg/kg/h
(硫酸吗啡)
2.Antiarrhythmics(抗心律失常药)
Adenosine 0.05-0.25mg/kgrapidIVbolus
(腺苷)
Bretylium 5-10mg/kgIVover10min
(溴苄铵)
Esmolol 0.5mg/kgIVloadover5min,
(艾司洛尔) thenacontinuousinfusionof0.1-0.25mg/kg/min
Lidocaine 1mg/kgIV,followedbyacontinuousinfusionof20-50μg/kg/min
(利多卡因)
Procainamide IV:
2-5mg/kgover10min,
(普鲁卡因胺) followedbyacontinuousinfusionof20-80μg/kg/min
Propranolol IV:
0.01-0.2mg/kgover10min;PO:
0.5mg/kg/d÷q6h
(普萘洛尔)
Quinidine Testdose2mg/kgPO,then15-60mg/kg/dPO÷q6h
(奎尼丁)
Verapamil 0.125-0.25mg/kg/doseIV
(维拉帕米)
3.Anticonvulsants(抗惊厥药)
Diazepam 0.1-0.3mg/kg/doseIVslowly
(安定)
Phenobarbital 10mg/kgIVload×1-2doses;
(苯巴比妥) maintenancedoseof3-5mg/kg/d÷q12h
Phenytoin 10mg/kgIVslowly×1-2doses;
(苯妥英) maintenancedoseof5mg/kg/d÷q12h
4.Antihypertensives(抗高血压药)
Captopril 0.5-3.0mg/kg/dPO÷q8h
(卡托普利)
Esmolol 0.5mg.kgIVloadover1min,
(艾司洛尔) thenacontinuousinfusionof0.1-0.25mg/kg/min
Hydralazine IV:
0.1-0.3mg/kg/doseq4-6h;PO:
0.75-3mg/kg/d÷q6-12h
(肼屈嗪)
Labetalol 0.25mg/kgIVloadover5min;
(拉贝洛尔) 0.1-0.2mg/kg/minmaintenanceinfusionstarting30minlater
Nitroprusside 0.5-5μg/kg/minIV
(硝普盐)
Propranolol IV:
0.01-0.2mg/kgover10min;PO:
0.5mg/kg/doseq6h
(普萘洛尔)
Trimethaphan 50-150μg/kg/minIV
(曲美芬)
5.Bronchodilators(支气管扩张药)
Albuterol 0.25-0.5mlin2mlnormalsalineq6-8hvianebulizer
(舒喘灵;沙丁胺醇)
Aminophylline IV:
6mg/kgIVloadover20min,followedbyaninfusionof
(氨茶碱) 0.2-0.9mg/kg/h( Isoetharine 0.25-0.5mlof1%solutionin2.5mlnormalsalineq4h (乙基异丙肾) Racemicepinephrine 0.25-0.5mlin2.5mlnormalsalinevianebulizer (消旋麻黄碱) Terbutaline 0.01mg/kgSCor2μg/kgover5min, (特布他林) followedbyacontinuousinfusionof0.08μg/kg/min Theophylline 3-4mg/kg/doseq6h (茶碱) 6.Diuretics(利尿剂) Acetazolamide 5mg/kg/doseIV/POq12h (乙酰唑胺) Chlorothiazide 10mg/kg/dosePOq12h (氯噻嗪) Ethacrynicacid 0.5-1mg/kg/doseIV (依他尼酸) Hydrochlorothiazide 1-1.5mg/kg/dosePOq12h (双氢克尿噻) Mannitol 0.25-0.5g/kg/doseIVover3-5min;1.25-2.5ml/kg/dose (甘露醇) 7.Inotropesandvasopressors(强心和升压药) Milrinone 50μg/kgIV,then0.375-0.75μg/kg/min (米力农) Amrinone 1mg/kgload,thenacontinuousinfusionof10μg/kg/min (氨力农) Dobutamine 2-10μg/kg/min (多巴酚丁胺) Dopamine 2-20μg/kg/min (多巴胺) Epinephrine 0.05-0.5μg/kg/min (肾上腺素) ARREST: 0.1-0.3ml/kgof1: 10,000solution(0.1mg/ml) Isoproterenol 0.05-1.0μg/kg/minIV (异丙肾上腺素) Norepinephrine 0.05-1.0μg/kg/minIV (去甲肾上腺素) Phenylephrine 0.5-5.0μg/kg/min;IVbolus: 5-20μg/kg/dose (苯福林) 8.Musclerelaxants(肌肉松弛药) Atracurium 0.5mg/kg/doseIV (阿曲库铵) Pancuronium 0.1mg/kgIVq1h,oracontinuousinfusionof0.05-0.1mg/kgIV (泮库溴铵) Succinylcholine 1.5mg/kg/doseIV (琥珀胆碱) Vecuronium 0.1mg/kgIVq1h,oracontinuousinfusionof0.05-0.1mg/kg/h (维库铵) 9.Vasodilators(血管扩张药) Nitroglycerin 0.5-5μg/kg/min (硝酸甘油) Nitroprusside 0.5-5μg/kg/min (硝普盐) Phentolamine 0.5-1mg/kg/min (酚妥拉明) ProstaglandinE1 0.05-0.2μg/kg/min (前列腺素E1) Tolazoline 1-2mg/kgover10min,then1-2mg/kg/h (妥拉唑林) 10.Other fructose-1,6-diphosphate 2-3ml/kg/d (1,6-二磷酸果糖) Acetaminophen 10-15mg/kg/dosePRq3hforfever (对乙酰氨基酚) Atropine 0.01-0.03mg/kgIV (阿托品) ARREST: 0.02mg/kg(0.1mg/mlsolution)IV/IM/endotracheal Calciumchloride ARREST: 10-20mg/kg(0.1-0.2ml/kgofa10%solution) (氯化钙) Calciumgluconate 100-200mg/kg/dinIVfluids (葡萄糖酸钙) Cimetidine 5-10mg/kg/dosePO/IVq6h (西咪替丁) Dexamethasone 0.25-0.5mg/kgIVq6h (地塞米松) Digoxin Digitalizingdose: 30μg/kgIVor40μg/kgPO; (地高辛) give50%initiallyand25%8and16hlater Maintenance: 3.5μg/kgIVq12hor4.5μg/kgPOq12h Naloxone 0.01mg/kg/doseIV;repeatPRNq5min (纳洛酮) Potassium 0.5mEq/kg/hmaximuminfusionrate (钾) Imipenem+Cilastatin(Tienam) 15mg/kg/doseivbydripq6h 亚胺培南+西司他丁(泰能) Vancomycin 40mg/kg/dor10mg/kgivbydripq6h; (万古霉素) aduld: 500mgq6hor1gq12h ATTENTION: ivbydrip>60min,concentration>5mg/ml Berberine 5mg/kg/dosePOq8h (小檗碱,黄连素) Methylprednisolone 1mg/kg/doseIV (甲基强的松龙) 常用血管活性药物输注的计算法: 药名 微量泵药物浓度配制(mg/50ml) 临床常用剂量 多巴胺 体重(kg)×3 5-15μg/(kg.min) 多巴酚丁胺 体重(kg)×3 5-20μg/(kg·min) 肾上腺素 体重(kg)×0.03 0.01-0.2μg/(kg·min) 异丙肾上腺素 体重(kg)×0.03 0.01-0.1μg/(kg·min) 硝酸甘油 体重(kg)×0.3 1-10μg/(kg·min) 硝普钠 10 0.5-8μg/(kg·min) 米力农 体重(kg)×0.3 0.375-0.75μg/(kg·min) 注意: 按此比例配制后,每小时走几毫升,就是几UG/(KG.MIN)了,十分方便!
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- 微量 配药
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