实用:泵药物的配置公式

2015-01-08 伊文 医学之声

        硝酸甘油 50mg + NS40ml 0.6ml/h (10ug/min)         硝普钠 50mg + NS 50ml 0.6ml/h (10ug/min)    

        硝酸甘油 50mg + NS40ml 0.6ml/h (10ug/min)

        硝普钠 50mg + NS 50ml 0.6ml/h (10ug/min)

        多巴胺 200mg + NS 30ml 4ml/h (5ug/kg/min)

        多巴酚丁胺 200mg +NS 30ml 4ml/h (5ug/kg/min)

        去甲肾上腺素 50mg +NS 25 mL 1.5ml/h (0.5ug/kg/min)

        胰岛素 50u +NS50ml 5ml/h (0.1u/kg/h kg=50)

        阿端(哌库溴铵)0.08mg~0.1mg/kg 4mg~5mg 肾功能不全不超过0.04mg/kg2mg

        仙林(维库溴铵) 70~100ug/kg 3.5~5mg/h (kg=50)

        仙林(维库溴铵) 首剂 0.08~0.1mg/kg 补充 0.03~0.05mg/kg

        咪唑安定 15mg + NS15 ml 2ml/h (2mg/h)

        施他宁 3mg + NS50ml 4.1ml/h (250ug/h)

        吗啡 10mg + NS9ml

        可达龙(胺碘酮) 首剂150 mg + NS 20 ml,维持 300 mg + NS 44ml ≤6 ml(35mg/h)

        胺碘酮 首剂 5~10mg/kg iv ,维持 300mg ivgtt ≤30min

        异丙酚 首剂 40mg 维持 40mg/h

        尼莫同 起始2小时 1mg/h(>70kg) 或0.5mg/h(<50kg),可耐受者2小时后 2mg/h

        氨茶碱 起始 250mg+ NS 40ml (30min内),维持 500mg+NS50ml (5ml/h)

        利尿合剂 5%葡萄糖 250ml +多巴胺 20mg+立其丁 5~10mg+速尿 80mg

        地高辛 首剂 1~1.5mg/d ,维持量 0.25~0.5mg/d

        多巴酚丁胺 20~40mg+100mlGS(40~120mg/d) 2.5—10ug/kg/min

        利多卡因 首剂 50mg iv 无效 100mg /5~10min (≤500~800mg),维持 400mg +GS 500ml (≤1000~1500mg/d)

        去甲肾上腺素 首剂 2mg/次 8~12ug/min 维持 2~4ug/min

        阿拉明 0.015~0.1g + NS 500ml ( 0.2~0.4mg/min)

        常用药物输注计算:

        常用药物用量配法算

        多巴胺:(公斤体重×3)mg 稀释至50ml 如泵速为1ml/h,泵入量为1μg/(kg.min) ,常用剂量1~20μg/(kg.min);起始剂量5μg/(kg.min);

        多巴酚丁胺:配法同多巴胺,常用剂量1~20μg/(kg.min),起始剂量1μg/(kg.min);

        硝普钠:5%GS 50ml+硝普钠 50mg,即1mg/ml(1000μg/ml),常用剂量10~200μg/min或0.1~2μg/(kg.min),起始剂量5~10μg/min(0.3~0.6ml/h)。

        硝酸甘油:(公斤体重×0.3)mg 稀释至50ml 如泵速为1ml/h,泵入量为0.1μg/(kg.min) 或:NS 44ml+硝酸甘油30mg,即0.6mg/ml(600μg/ml),常用剂量10~200μg/min或0.1~2μg/(kg.min),起始剂量5~10μg/min(0.5~1ml/h)。

        去甲肾上腺素:(公斤体重×0.3)mg 稀释至50ml 如泵速为1ml/h,泵入量为0.1μg/(kg.min)常用剂量0.1~2μg/(kg.min),起始剂量0.1μg/(kg.min)(应经中心静脉使用去甲肾上腺素)

        肾上腺素:配法同去甲肾上腺素,起始剂量为0.1μg/(kg.min),常用剂量为0.1~1μg/(kg.min)(尽可能经中心静脉用药)严重低血压及过敏性休克0.3~0.5mg ih或iv

        异丙肾上腺素:(公斤体重×0.03)mg 稀释至50ml 如泵速为1ml/h,泵入量为0.01μg/(kg.min)起始剂量0.01μg/(kg.min),以目标心率为终点。

        胺碘酮:胺碘酮450mg用5%葡萄糖稀释到45ml,即10mg/ml,150mg iv bolus(10分钟),60mg/h×6h,30mg/h×18h,20mg/h维持3天,24小时总量不超过1.2g

        心律平:规格70mg/20ml 70mg用5%葡萄糖液稀释到50ml,iv bolus(10分钟),密切观察心率及心律,室速或室上速转复后立即停止注射。必要时20分钟后可重复,总量不超过210mg。

        肝素:肝素1支(12500u)加NS至12.5ml,配制成1000U/ml,肝素化时:75U/kg iv bolus,继以18U/kg h静脉泵入,调整剂量使aPTT-R维持在1.5~2.5。

        吗啡:配制成1㎎/ml(20㎎/20ml,或50mg/50ml),5mg iv bolus,继以3mg/h泵入,<1mg/kg。

        常用静脉泵入药物的配制及应用方法(供参考)

        立其丁:NS45ml+立其丁50mg配制成1mg/ml(1000μg/ml),常用剂量300~500μg/min,起始剂量为100μg/min静脉泵入。

        利多卡因:抽取原液5支(200mg/10ml/支)即20 mg/ml,首剂1.5mg/kg iv bolus,无效可每隔8分钟重复0.5mg/kg直到总量达3mg/kg,复律成功后2~4mg/min维持。

        垂体后叶素:NS 30ml+垂体后叶素60U,即2 U/ml,消化道出血常用剂量0.2~0.4 U/min;咯血常用剂量0.1 U/min;尿崩症患者根据尿量调整,起始剂量0.1~0.2 U/min;感染性休克顽固性低血压患者,常用剂量为0.01~0.04 U/min。

        施他宁:配制成250μg/ml,先给负荷量250μg iv bolus,然后以250μg/h静脉泵入。

        安定:先10mg ivbolus,继以5mg/h泵入,最大100mg/d.

        德巴金(注射用丙戊酸钠):规格400mg/支 配制成10mg/ml,首剂400mg(15mg/kg), iv bolus,大于5分钟,维持60mg/h(1~2mg/kg/h).

        尼莫同:规格10mg/50ml起始量0.2mg/h(1ml/h),根据血压情况依次递增至全量2mg/h,维持到蛛网膜下腔出血后的10~14天。

        氨茶碱:0.5 稀释至50ml配制成10mg/ml,成人负荷剂量5mg/kg, iv bolus,速度<25mg/min.(一般成人氨茶碱0.25,静注15分钟即可)维持剂量0.5~0.7mg/kg/h。可从20mg/h(2ml/h)开始。

        胰岛素:配制成1U/ml,起始速度1U/h,根据血糖调整。

        阿曲库铵:首剂 0.3~0.5mg/kg (标准速度9~10ug/(kg.min), iv,再5~9ug/(kg.min)维持

        硫酸镁:负荷剂量25%硫酸镁10ml稀释1倍,iv bolus.维持剂量:25%硫酸镁4.0加入5%葡萄糖溶液或生理盐水250ml,1~3ml/min

        维库溴铵:首剂0.075mg/kg iv,再0.075mg/(kg.h)维持

        芬太尼: 先负荷4~20u/(kg.h),再维持2~10u/(kg.h)

        奥曲肽: 初始量0.1mg iv(>5min),再维持0.025~0.05mg/h

        咪达唑仑: 先iv 2~3mg/kg,再维持0.05mg/(kg.h)

        双异丙酚: 0.3~0.4mg/(kg.h)泵入,规格200mg/20ml

        依托咪酯:10ug/(kg.min) 泵入 规格20mg/10ml


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  1. [GetPortalCommentsPageByObjectIdResponse(id=48013, encodeId=2efa480137a, content=很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bc301610909, createdName=hixiaoluo, createdTime=Sat Dec 26 14:26:00 CST 2015, time=2015-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28157, encodeId=37d42815eef, content=这个一定要收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=de0c93797, createdName=AugustWen, createdTime=Thu Jun 18 22:15:00 CST 2015, time=2015-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=24131, encodeId=c907241315a, content=全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9da1623000, createdName=darkdaisy, createdTime=Tue May 19 15:17:00 CST 2015, time=2015-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14897, encodeId=8a4a1489e0c, content=总结很全面,学习了。我们也是这样用的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f9c21612116, createdName=tutu159, createdTime=Fri Jan 30 21:18:00 CST 2015, time=2015-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14008, encodeId=aa791400831, content=good!, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=MedSci客户端网友, createdTime=Mon Jan 12 10:05:00 CST 2015, time=2015-01-12, status=1, ipAttribution=)]
    2015-12-26 hixiaoluo

    很有用

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=48013, encodeId=2efa480137a, content=很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bc301610909, createdName=hixiaoluo, createdTime=Sat Dec 26 14:26:00 CST 2015, time=2015-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28157, encodeId=37d42815eef, content=这个一定要收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=de0c93797, createdName=AugustWen, createdTime=Thu Jun 18 22:15:00 CST 2015, time=2015-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=24131, encodeId=c907241315a, content=全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9da1623000, createdName=darkdaisy, createdTime=Tue May 19 15:17:00 CST 2015, time=2015-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14897, encodeId=8a4a1489e0c, content=总结很全面,学习了。我们也是这样用的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f9c21612116, createdName=tutu159, createdTime=Fri Jan 30 21:18:00 CST 2015, time=2015-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14008, encodeId=aa791400831, content=good!, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=MedSci客户端网友, createdTime=Mon Jan 12 10:05:00 CST 2015, time=2015-01-12, status=1, ipAttribution=)]
    2015-06-18 AugustWen

    这个一定要收藏!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=48013, encodeId=2efa480137a, content=很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bc301610909, createdName=hixiaoluo, createdTime=Sat Dec 26 14:26:00 CST 2015, time=2015-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28157, encodeId=37d42815eef, content=这个一定要收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=de0c93797, createdName=AugustWen, createdTime=Thu Jun 18 22:15:00 CST 2015, time=2015-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=24131, encodeId=c907241315a, content=全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9da1623000, createdName=darkdaisy, createdTime=Tue May 19 15:17:00 CST 2015, time=2015-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14897, encodeId=8a4a1489e0c, content=总结很全面,学习了。我们也是这样用的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f9c21612116, createdName=tutu159, createdTime=Fri Jan 30 21:18:00 CST 2015, time=2015-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14008, encodeId=aa791400831, content=good!, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=MedSci客户端网友, createdTime=Mon Jan 12 10:05:00 CST 2015, time=2015-01-12, status=1, ipAttribution=)]
    2015-05-19 darkdaisy

    全面

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=48013, encodeId=2efa480137a, content=很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bc301610909, createdName=hixiaoluo, createdTime=Sat Dec 26 14:26:00 CST 2015, time=2015-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28157, encodeId=37d42815eef, content=这个一定要收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=de0c93797, createdName=AugustWen, createdTime=Thu Jun 18 22:15:00 CST 2015, time=2015-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=24131, encodeId=c907241315a, content=全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9da1623000, createdName=darkdaisy, createdTime=Tue May 19 15:17:00 CST 2015, time=2015-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14897, encodeId=8a4a1489e0c, content=总结很全面,学习了。我们也是这样用的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f9c21612116, createdName=tutu159, createdTime=Fri Jan 30 21:18:00 CST 2015, time=2015-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14008, encodeId=aa791400831, content=good!, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=MedSci客户端网友, createdTime=Mon Jan 12 10:05:00 CST 2015, time=2015-01-12, status=1, ipAttribution=)]
    2015-01-30 tutu159

    总结很全面,学习了。我们也是这样用的。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=48013, encodeId=2efa480137a, content=很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bc301610909, createdName=hixiaoluo, createdTime=Sat Dec 26 14:26:00 CST 2015, time=2015-12-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28157, encodeId=37d42815eef, content=这个一定要收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=de0c93797, createdName=AugustWen, createdTime=Thu Jun 18 22:15:00 CST 2015, time=2015-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=24131, encodeId=c907241315a, content=全面, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b9da1623000, createdName=darkdaisy, createdTime=Tue May 19 15:17:00 CST 2015, time=2015-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14897, encodeId=8a4a1489e0c, content=总结很全面,学习了。我们也是这样用的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f9c21612116, createdName=tutu159, createdTime=Fri Jan 30 21:18:00 CST 2015, time=2015-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14008, encodeId=aa791400831, content=good!, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=MedSci客户端网友, createdTime=Mon Jan 12 10:05:00 CST 2015, time=2015-01-12, status=1, ipAttribution=)]
    2015-01-12 MedSci客户端网友

    good!

    0

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