危重病患者血管活性藥物的應用-協(xié)和醫(yī)院杜斌

危重病患者血管活性藥物的應用北京協(xié)和醫(yī)院杜 斌血管活性藥物的臨床應用多巴胺(多巴酚丁胺)標準配制IBW(kg)x3/50ml其他配制方法PUMCH:500mg/50ml(10mg/ml)HKPWHSingle-syringe:3mg/50mlDouble-syringe:6mg/50mlTriple-syringe:9mg/50ml…多巴胺(多巴酚丁胺)用藥劑量的計算患者體重 60kg醫(yī)囑 多巴胺10g/kg/min配制藥品 抽取原液(無需稀釋)最終濃度 多巴胺10mg/ml輸注速度 ?多巴胺(多巴酚丁胺)用藥劑量的計算多巴胺 10g/kg/min每分鐘用量 10x60 =600g/min每小時用量 600x60 =36000g/hr =36mg/hr輸注速度 (36mg/hr)/(10mg/ml) =3.6ml/hr多巴胺(多巴酚丁胺)用藥劑量的計算簡單方法輸注速度 =劑量xBWtx60/1000/10 =10x60x60/1000/10 =36000/1000/10 =3.6ml/hr多巴胺(多巴酚丁胺)輸注速度劑量(g/kg/min)1510152040kg0.241.202.403.604.8050kg0.301.503.004.506.0060kg0.361.803.605.407.2070kg0.422.104.206.308.4080kg0.482.404.807.209.6090kg0.542.705.408.1010.80100kg0.603.006.009.0012.00血管活性藥物的臨床應用去甲腎上腺素(腎上腺素)標準配制IBW(kg)x0.3/50ml其他配制方法PUMCH:50mg/50ml(1mg/ml)HKPWHSingle-syringe:3mg/50mlDouble-syringe:6mg/50mlTriple-syringe:9mg/50ml…去甲腎上腺素用藥劑量的計算患者體重 60kg醫(yī)囑 去甲腎上腺素1.0g/kg/min配制藥品 以0.9%NS稀釋一倍抽取10支去甲腎上腺素,以0.9%NS10ml稀釋抽取20支去甲腎上腺素,以0.9%NS20ml稀釋…最終濃度 去甲腎上腺素1mg/ml輸注速度 ?(去甲)腎上腺素用藥劑量的計算去甲腎上腺素 1.0g/kg/min每分鐘用量 1.0x60 =60g/min每小時用量 60x60 =3600g/hr =3.6mg/hr輸注速度 (3.6mg/hr)/(1mg/ml) =3.6ml/hr(去甲)腎上腺素用藥劑量的計算簡單方法輸注速度 =劑量xBWtx60/1000/1 =1.0x60x60/1000/1 =3600/1000/1 =3.6ml/hr(去甲)腎上腺素輸注速度劑量(g/kg/min)0.10.51.01.52.040kg0.241.202.403.604.8050kg0.301.503.004.506.0060kg0.361.803.605.407.2070kg0.422.104.206.308.4080kg0.48