Video: Nws siv sijhawm ntev npaum li cas rau nimbex hnav?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Thaum tswj hwm lub sijhawm ruaj khov opioid/nitrous oxide/oxygen tshuaj loog, 0.1 mg /kg NIMBEX ua qhov siab tshaj plaws neuromuscular blockade hauv qhov nruab nrab ntawm 2.8 feeb (thaj tsam: 1.8 txog 6.7 feeb) nrog rau qhov chaw kho mob zoo (lub sijhawm rau 25% rov zoo) rau 28 feeb (thaj tsam: 21 txog 38 feeb).
Ntawm no, dab tsi yog ib nrab neej ntawm nimbex?
Cisatracurium plasma concentration-lub sij hawm cov ntaub ntawv tom qab IV bolus kev tswj hwm yog qhov zoo tshaj plaws piav qhia los ntawm ob-chav tsev qhib qauv (nrog tshem tawm ntawm ob qhov chaw) nrog kev tshem tawm ib nrab - lub neej (t½β) ntawm 22 feeb, plasma clearance (CL) ntawm 4.57 mL / min / kg, thiab qhov ntim ntawm kev faib tawm ntawm lub xeev khov kho (Vss) ntawm
Ib yam li ntawd, koj ua li cas titrate nimbex drip? Qhov pom zoo NIMBEX infusion tus nqi ntawm cov neeg laus hauv ICU yog 3 mcg / kg / feeb (ntau: 0.5 txog 10.2 mcg / kg / feeb) [saib Kev Siv Tshuaj thiab Kev Tswj Xyuas (2.6)]. Siv cov hlab ntsha ib leeg txhawm rau txhawm rau ntsuas qib ntawm cov hlab ntsha neuromuscular thiab kom tsim nyog titrate cov NIMBEX infusion tus nqi.
Ntxiv rau qhov no, nimbex puas yuav tsum tau thim rov qab?
Rov qab . Neuromuscular block hauv qab no Nimbex Kev tswj hwm tau yooj yim thim rov qab nrog cov qauv koob tshuaj tiv thaiv cholinesterase.
Puas yog nimbex yog tus tuag tes tuag taw?
Kev pheej hmoo tuag vim yog siv tshuaj tsis raug. Kev tswj hwm ntawm Nimbex tau nyob rau hauv tuag tes tuag taw , uas tej zaum yuav ua rau ua pa ntes thiab tuag, ib qho kev loj hlob uas yuav tshwm sim ntau dua nyob rau hauv tus neeg mob uas nws tsis npaj.
Pom zoo:
Nws siv sijhawm ntev npaum li cas txhawm rau tshuaj xyuas sai txhawm rau txheeb xyuas kev raug mob rau lub neej?
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