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- 护士币
- 1049 点
- 最后登录
- 2013-6-8
- 注册时间
- 2008-11-27
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微量泵配药法
Drug class Dosage
1.Analgesics and sedatives(止痛和镇静药)
Acetaminophen 5-15mg/kg/dose PO/RR q4-6h
(扑热息痛,对乙酰氨基酚)
Chloral hydrate 30-50mg/kg/dose PO/RR q8h;0.3-0.5ml/kg
(水合氯醛)
Codeine 0.5-1.0mg/kg/dose PO q4-6h
(可待因)
Diazepam 0.1-0.2mg/kg/dose IV q2-4h
(安定)
Fentanyl 2-5μg/kg/dose IV q1-2h or a continuous infusion of 2-5μg/kg/h
(芬太尼)
Meperidine 1mg/kg/dose IM/IV q2-4h
(杜冷丁)
Midazolam 0.05-0.2mg/kg IV q1-2h,
(咪唑安定) then a continuous infusion of 0.4-1.2μg/kg/min
Morphine sulfate 0.05-0.1mg/kg IV/IM q1-2h or a continuous infusion of 10-40μg/kg/h
(硫酸吗啡)
2.Antiarrhythmics(抗心律失常药)
Adenosine 0.05-0.25mg/kg rapid IV bolus
(腺苷)
Bretylium 5-10mg/kg IV over 10 min
(溴苄铵)
Esmolol 0.5mg/kg IV load over 5 min,
(艾司洛尔) then a continuous infusion of 0.1-0.25mg/kg/min
Lidocaine 1mg/kg IV, followed by a continuous infusion of 20-50μg/kg/min
(利多卡因)
Procainamide IV:2-5mg/kg over 10 min,
(普鲁卡因胺) followed by a continuous infusion of 20-80μg/kg/min
Propranolol IV:0.01-0.2mg/kg over 10 min; PO:0.5mg/kg/d ÷q6h
(普萘洛尔)
Quinidine Test dose 2 mg/kg PO, then 15-60mg/kg/d PO ÷q6h
(奎尼丁)
Verapamil 0.125-0.25mg/kg/dose IV
(维拉帕米)
3.Anticonvulsants(抗惊厥药)
Diazepam 0.1-0.3mg/kg/dose IV slowly
(安定)
Phenobarbital 10mg/kg IV load ×1-2 doses;
(苯巴比妥) maintenance dose of 3-5mg/kg/d÷q12h
Phenytoin 10mg/kg IV slowly × 1-2 doses;
(苯妥英) maintenance dose of 5mg/kg/d÷q12h
4.Antihypertensives(抗高血压药)
Captopril 0.5-3.0mg/kg/d PO÷q8h
(卡托普利)
Esmolol 0.5mg.kg IV load over 1 min,
(艾司洛尔) then a continuous infusion of 0.1-0.25mg/kg/min
Hydralazine IV: 0.1-0.3mg/kg/dose q4-6h; PO: 0.75-3mg/kg/d÷q6-12h
(肼屈嗪)
Labetalol 0.25mg/kg IV load over 5 min;
(拉贝洛尔) 0.1-0.2mg/kg/min maintenance infusion starting 30 min later
Nitroprusside 0.5-5μg/kg/min IV
(硝普盐)
Propranolol IV: 0.01-0.2mg/kg over 10 min; PO: 0.5mg/kg/dose q6h
(普萘洛尔)
Trimethaphan 50-150μg/kg/min IV
(曲美芬)
5.Bronchodilators(支气管扩张药)
Albuterol 0.25-0.5ml in 2 ml normal saline q6-8h via nebulizer
(舒喘灵;沙丁胺醇)
Aminophylline IV: 6mg/kg IV load over 20 min, followed by an infusion of
(氨茶碱) 0.2-0.9mg/kg/h (<age 1) or 0.8-1.1mg/kg/h(age1-9)
Isoetharine 0.25-0.5ml of 1% solution in 2.5 ml normal saline q4h
(乙基异丙肾)
Racemic epinephrine 0.25-0.5ml in 2.5 ml normal saline via nebulizer
(消旋麻黄碱)
Terbutaline 0.01mg/kg SC or 2μg/kg over 5 min,
(特布他林) followed by a continuous infusion of 0.08μg/kg/min
Theophylline 3-4mg/kg/dose q6h
(茶碱)
6.Diuretics(利尿剂)
Acetazolamide 5mg/kg/dose IV/PO q12h
(乙酰唑胺)
Chlorothiazide 10mg/kg/dose PO q12h
(氯噻嗪)
Ethacrynic acid 0.5-1mg/kg/dose IV
(依他尼酸)
Hydrochlorothiazide 1-1.5mg/kg/dose PO q12h
(双氢克尿噻)
Mannitol 0.25-0.5g/kg/dose IV over 3-5 min; 1.25-2.5ml/kg/dose
(甘露醇)
7.Inotropes and vasopressors(强心和升压药)
Milrinone 50μg/kg IV, then0.375-0.75μg/kg/min
(米力农)
Amrinone 1mg/kg load, then a continuous infusion of 10μg/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/kg of 1:10,000 solution(0.1mg/ml)
Isoproterenol 0.05-1.0μg/kg/min IV
(异丙肾上腺素)
Norepinephrine 0.05-1.0μg/kg/min IV
(去甲肾上腺素)
Phenylephrine 0.5-5.0μg/kg/min; IV bolus: 5-20μg/kg/dose
(苯福林)
8.Muscle relaxants(肌肉松弛药)
Atracurium 0.5mg/kg/dose IV
(阿曲库铵)
Pancuronium 0.1mg/kg IV q1h, or a continuous infusion of 0.05-0.1mg/kg IV
(泮库溴铵)
Succinylcholine 1.5mg/kg/dose IV
(琥珀胆碱)
Vecuronium 0.1mg/kg IV q1h, or a continuous infusion of 0.05-0.1mg/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)
Prostaglandin E1 0.05-0.2μg/kg/min
(前列腺素E1)
Tolazoline 1-2mg/kg over 10 min,then 1-2mg/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/dose PR q3h for fever
(对乙酰氨基酚)
Atropine 0.01-0.03mg/kg IV
(阿托品) ARREST: 0.02mg/kg(0.1mg/ml solution)IV/IM/endotracheal
Calcium chloride ARREST: 10-20mg/kg(0.1-0.2ml/kg of a 10% solution)
(氯化钙)
Calcium gluconate 100-200mg/kg/d in IV fluids
(葡萄糖酸钙)
Cimetidine 5-10mg/kg/dose PO/IV q6h
(西咪替丁)
Dexamethasone 0.25-0.5mg/kg IV q6h
(地塞米松)
Digoxin Digitalizing dose: 30μg/kg IV or 40μg/kg PO;
(地高辛) give 50% initially and 25% 8 and 16 h later
Maintenance: 3.5μg/kg IV q12h or 4.5μg/kg PO q12h
Naloxone 0.01mg/kg/dose IV; repeat PRN q5min
(纳洛酮)
Potassium 0.5mEq/kg/h maximum infusion rate
(钾 )
Imipenem+Cilastatin(Tienam) 15mg/kg/dose iv by drip q6h
亚胺培南+西司他丁(泰能)
Vancomycin 40mg/kg/d or 10mg/kg iv by drip q6h;
(万古霉素) aduld:500mg q6h or 1g q12h
ATTENTION:iv by drip >60min,concentration>5mg/ml
Berberine 5mg/kg/dose PO q8h
(小檗碱,黄连素)
Methylprednisolone 1mg/kg/dose IV
(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) |
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