Video: Koj xam xam epinephrine drip li cas?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Rau xam tus menyuam yaus epinephrine poob , tus qauv yooj yim rau menyuam yaus siv 0.6 sib npaug los ntawm tus menyuam qhov hnyav hauv kg. Qhov nyiaj no (hauv mg) yog ntxiv rau kom txaus IV daws kom sib npaug tag nrho ntawm 100 ml. Thaum qhov kev daws teeb meem tau muab tso rau ntawm tus nqi ntawm 1ml/hr, nws yuav muab ntau npaum li 0.1 mcg/kg/min.
Hauv qhov no, koj yuav ua li cas epinephrine drip?
Sib tov 1 mg epinephrine tshuaj hauv 250 ml NS lossis D5W. Cov Txoj kev lis ntshav yog pib ntawm 1-4 mcg/min thiab titrated rau cov nyhuv. Cov koob tshuaj ib txwm yog 2-10 mcg/min. Nws yog cov tshuaj ua yeeb yam nrawm heev nrog ib nrab-lub neej luv heev.
Ib qho ntxiv, koj tuaj yeem muab pes tsawg koob tshuaj epinephrine? NIAID cov lus qhia txog kev tsis haum zaub mov pom zoo rau cov neeg muaj kev pheej hmoo muaj kev nkag tau mus rau ob epinephrine tshuaj pib-injectors. Ntau tshaj ob ntu koob tshuaj epinephrine yuav tsum tsuas yog tswj hwm hauv kev saib xyuas kev noj qab haus huv.
Raws li, koj xam cov dej ntws li cas?
Cov mis rau xam IV tus nqi ntws ( tso tus nqi) yog… tag nrho ntim (hauv mL) faib los ntawm lub sijhawm (hauv min), suav nrog qhov poob qis (hauv gtts/mL), uas sib npaug IV tus nqi ntws hauv gtts/min.
Koj tuaj yeem thawb epinephrine sai npaum li cas?
Dosing. Txoj hlab ntshav Laub IB: 1 mg epinephrine tshuaj IV yog muab txhua 3-5 feeb. IV txoj kev txhaj tshuaj rau bradycardia: 1mg epinephrine tshuaj yog sib xyaw nrog 500ml ntawm NS lossis D5W. Txoj kev lis ntshav yuav tsum khiav ntawm 2-10 micrograms/min (titrated kom muaj txiaj ntsig).
Pom zoo:
Koj yuav xam li cas dopamine drip?
Lub koom haum American Heart Association (AHA) tau muab cov txiaj ntsig qis, sib npaug 6 npaug qhov hnyav hauv kg lub sijhawm cov tshuaj xav tau hauv µg/kg/min, faib los ntawm qhov xav tau ntawm cov kua kom yaj hauv ml/h uas muab cov nyiaj ntawm dopamine hauv mg ntxiv rau txhua 100 ml kua npaj
Koj yuav xam li cas mL drip IV tus nqi?
Yog tias koj tsuas yog yuav tsum xam cov mL ib teev kom infuse, muab tag nrho cov ntim hauv mL, muab faib los ntawm tag nrho cov sij hawm hauv cov xuab moos, kom sib npaug ntawm mL ib teev. Piv txwv li, yog tias koj muaj 1000 ml NS txhawm rau txhawm rau dhau 8 teev, noj 1000 faib los ntawm 8, kom sib npaug 125 mL/teev. Txhawm rau suav qhov poob hauv ib feeb, xav tau qhov poob qis
Koj xam xam cov peev txheej ntawm tes los ntawm kev nqus tau li cas?
Kev nqus nqus los ntawm cov qauv ntsuas yuav tsum tau muab faib los ntawm cov kev tswj hwm thiab muab sib npaug los ntawm 100 kom muab feem pua ntawm kev muaj peev xwm ntawm tes lossis kev nthuav dav (saib cov mis hauv qab no). Kev nqus cov txiaj ntsig ntau dua li kev tswj hwm qhia txog kev nthuav dav ntawm tes, thaum qis qhov tseem ceeb qhia txog kev tuag ntawm tes lossis kev txwv tsis pub loj hlob
Yuav ua li cas koj sib tov ib dopamine drip?
Sib tov: 400 mg hauv 250 ml ntawm NS lossis 800 mg hauv 500 ml NS los ua kom muaj qhov siab ntawm 1600 mcg/ml
Koj xam xam ntev npaum li cas IV yuav khiav?
Cov mis los xam seb nws yuav siv sij hawm pes tsawg teev rau IV kom ua tiav ua ntej nws tag nrho yog: Lub Sijhawm (teev) = Volume (mL) Drip Rate (mL / teev). Qhov ntim ntawm cov kua yog 1000 ml thiab IV lub twj tso kua mis teeb tsa ntawm 62 mL/teev