ICU胺碘酮天天用,你真的用对了吗?

2021-09-26 危重症护理 危重症护理

胺碘酮是临床上应用率超 60% 的“广谱”抗心律失常药物,但其临床实用护理中的问题,你真正注意了吗?

胺碘酮是临床上应用率超 60% 的“广谱”抗心律失常药物,但其临床实用护理中的问题,你真正注意了吗?

1

胺碘酮针剂是否可以用生理盐水配置?

大多数胺碘酮的说明书都写得很明确,如盐酸胺碘酮注射液,要求用5%葡萄糖溶液配制(等渗),禁用生理盐水配制。

原因在于,胺碘酮为苯环上二碘取代物,一般来说碘取代物不稳定,容易发生自发脱碘降解变质。偏酸的环境可抑制胺碘酮的降解,而生理盐水其实是中性的,5%葡萄糖则为偏酸性溶液。

其次,由于生理盐水中的氯离子会取代苯环上的碘而产生沉淀,静脉注射时会产生严重后果,故临床使用胺碘酮注射液时应使用5%葡萄糖配制。

2

胺碘酮针剂应采取什么途径给药?

说明书明确指出,胺碘酮针剂需要通过中心静脉滴注,因静脉用药时,对于小的静脉,局部刺激容易产生静脉炎,故应尽量通过中心静脉途径给药。

3

患者的电解质情况如何?

患者伴有乏力、食欲差的表现,须注意此类患者往往存在低钾现象,而在低钾状态下使用胺碘酮很容易导致室性心动过速、心室颤动,而且很难复律,因此除非在特别紧急的情况下,否则在使用抗心律失常药物时,应当先了解患者电解质的情况。

4

胺碘酮针剂应如何使用?

胺碘酮个体差异较大,需要给予负荷剂量来抑制危及生命的心律失常,同时进行精确的剂量调整。通常初始剂量为24小时内给予1000mg胺碘酮,可以按照下表的用法给药。

第一个24h后,维持滴注速度0.5mg/min,浓度在1~6mg/ml(胺碘酮注射液浓度超过2mg/ml,需通过中央静脉导管给药),需持续滴注。

当发生室颤或血流动力学不稳定的室速,可以追加胺碘酮注射液150mg,溶于100ml的葡萄糖溶液给药。需10min给药以减少低血压的发生。维持滴注的速度可以增加以有效抑制心律失常。

胺碘酮注射液于5%葡萄糖溶液中,浓度超过3mg/ml时,会增加外周静脉炎的发生,如果浓度在2.5mg/ml以下,出现上述情况较少。所以如需静脉滴注超过1小时的,胺碘酮注射液浓度不应超过2mg/ml,除非使用中心静脉导管。

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    2021-12-30 ms2000001277844661

    厉害

    0

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    2021-09-27 微探

    学习学习

    0

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    2021-09-26 452946589

    学习了,谢谢

    0

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    2021-09-26 心不在遥远

    写的很好

    0

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    2021-09-26 kukuya

    学到了

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1085766, encodeId=f37c1085e66cb, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d17e5708608, createdName=ms2000001277844661, createdTime=Thu Dec 30 11:10:29 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1297761, encodeId=a47a129e76109, content=<a href='/topic/show?id=f6a484255be' target=_blank style='color:#2F92EE;'>#胺碘酮#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84255, encryptionId=f6a484255be, topicName=胺碘酮)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7931272, createdName=liuli5079, createdTime=Tue Sep 28 08:35:42 CST 2021, time=2021-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055330, encodeId=edc61055330e6, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=555f5538552, createdName=微探, createdTime=Mon Sep 27 13:26:30 CST 2021, time=2021-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055175, encodeId=cf4410551e58c, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Sun Sep 26 22:20:36 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055173, encodeId=887910551e359, content=写的很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210926/f76124801ed34c4485b6113d7ba717b4/e8650ad6dc574c138f8c3bed50ddd1c6.jpg, createdBy=83515618442, createdName=心不在遥远, createdTime=Sun Sep 26 22:19:33 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055165, encodeId=f36510551658c, content=学到了, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210818/fc28215f52d5420bbf7edf4303dd3a05/a27dc401923347c494bf44b40c018416.jpg, createdBy=8cf55468929, createdName=kukuya, createdTime=Sun Sep 26 22:00:54 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055159, encodeId=94361055159cf, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3da5617168, createdName=ms8000000146568869, createdTime=Sun Sep 26 21:41:16 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055125, encodeId=1d35105512564, content=学习啦, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4d585243593, createdName=光明骑士, createdTime=Sun Sep 26 21:20:38 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1055084, encodeId=c210105508422, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210911/929dc28967294ffb8d54be661f8f376a/594526cdd98f488e818e6adfcd619b8a.jpg, createdBy=214b5528879, createdName=GXXHCC, createdTime=Sun Sep 26 19:45:33 CST 2021, time=2021-09-26, status=1, ipAttribution=)]
    2021-09-26 ms8000000146568869

    学习

    0

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    2021-09-26 光明骑士

    学习啦

    0

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    2021-09-26 GXXHCC

    👍

    0