眼科眼内注药剂量.docx

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1、眼内注药listK玻璃体腔注射（已行玻切水眼及硅油眼，剂量取1/10）药物名称终浓度步骤注射量万古霉素lmg/0.1ml500mg粉末粉末+5ml NSf OOmg/ml取 0.1ml+0,9ml NS-10mg/lml400mg粉末1 粉末+4ml NS100mg/ml 取 0.4ml 稀释至 4mllOmg/ml0.1ml=lmg阿米卡星400|jg/0.1ml200mg 2ml 针剂：1 取 lml+4ml NS20mg/ml取 lml+4ml NS-4mg/mllOOmg 2ml 针齐！I ：1 取 0.2ml+2.3ml NSHOmg/ZBml0.1ml=0.4mg头抱他咤2.2mg

2、/0.1ml2.5mg/0.1ml1500mg+5ml NS400mg/ml取 2.2ml+7.8ml NS*22mg/ml1500mg +2mlNS*250mg/lml取 0.1ml+0.9mlNS-25mg/lml0.1ml=2.2mg0.1ml=2.5mg头抱哌酮2mg/0.1ml1lg+5mlNS200mg/ml 取 0.1ml 稀释至 1ml20mg/ml0.1ml=2mg青霉素1万U-4万U/O.lml80万U+4ml生理盐水20万u/ml0.1ml=2 万 U妥布霉素/庆大霉素40|jg/0.1ml200|jg/0.1ml80mg (8 万 U) /2ml 制剂或 40mg (4

3、 万U) /1ml 制剂，即 40mg/ml1 取 lml=4 万 U (40mg) 取其 0.1ml加NS至1ml 取其0.1ml加NS至1ml0.2mg (200U)：1 取 lml=4 万 U (40mg) 取其 0.1ml加NS至1ml 取其0.2ml加NS至0.8ml0.25ml=100U(0.2mg)0.2ml=200U(0.2mg)伏立康嘤0.1%伏立康理O.lml 1%伏立康嘤+0.9ml蒸偏水一0.1%伏立康嘤0.1mllmg/lml 200mg+19ml 蒸储水-200mg/20ml取lml+9ml蒸镭水Tlmg/lml0.1ml=100ng0.05ml = 50Hg氟康嘤

4、（大扶康）O.lmg/O.lml0.2g 粉末+100mlNST2mg/ml取 0.5ml 加 NS 至 1mllmg/ml0.1ml=0.1mg两性霉素（禁用生理盐水）5ug/0.1ml25mg粉末1 粉末+ 5ml火菌水一25mg/5ml 取 0.1ml 稀释至 10ml*5ng/0.1ml50mg粉末粉末+10ml 5%葡萄糖水-5mg/1ml 取 0.1ml 加 9.9ml 水-5|jg/0.1ml0.1ml=5|jg阿昔洛韦10-40ng/0.1ml更昔洛韦400pg/0.1ml1 50mg 粉末+1.25ml NS-40mg/ml取 0.1ml+0.9mI NS*4mg/ml0.1

5、ml=400ng诱导剂量2mg/0.1ml 每周2次，每次0.1ml,注射3周维持剂量2mg/0.1ml 每周1次缀更昔洛韦0.2-0.4mg/0.1ml每周注射2次直至疾病好转曲安奈德l-4mg/0.1ml地塞米松0.2-0.4mg/0.1ml8mg/2ml 制剂取 1ml (8mg/2ml)=4mg5mg/lml 制剂取 0.2ml 力口 NS 至 0.5mllmg/0.5ml0.1ml=0.4mg0.1ml=0.2mg0.2ml=0.4mg地塞米松缓释植入装置(Ozurdex)350mcg/700mcg地塞米松可降解装置氟新诺龙丙酮(肤轻松)植入器(Retisert)0.59mg非降解植

6、入器，以。6的/天速率释放氟新诺龙内酮，一个月后降至0.3-0.4的/天，平稳释放持续30个月2、局部点眼药物名称终浓度配药步骤万古霉素15mg/ml25mg/ml50mg/ml 500mg粉末+33ml 0.9%盐水/人工泪液-15mg/ml 500mg粉末+20ml 0.9%盐水/人工泪液一25mg/ml 500mg粉末+10ml 0.9%盐水/人工泪液一50mg/ml阿米卡星40mg/ml商用药制剂直接点眼头抱他咤/头狗嘤林9.2ml爱丽或人工泪液+500mg头抱吵林或头抱他嚏妥布霉素/庆大霉素14mg/ml 商用 40mg/ml取出2ml妥布霉素/庆大霉素注射液(40mg/ml),加5

7、ml专用溶剂TL4mg/ml伏立康嘤10mg/ml200mg粉末+19ml蒸储水一*10mg/ml,即1%伏立康哇放冰箱冷冻/冷藏两性霉素1.5mg/ml1.67-2.5mg/ml50mg粉末+33ml 5%葡萄糖水25mg粉末+10-末ml火菌用水自体血清眼液普通管(不含促凝剂或抗凝剂)抽一管血，静置半小时，然后离心，取上清液，按30%50%的比例(例如：1ml自体血清+lml贝复舒为50%)与贝复舒眼液混合，置于4C。冰箱，只能使用两天干扰素lmu/ml一支重组人干扰素(安福隆)5mu/ml + 4ml人工泪液高渗盐水5%-6%5g/6g氯化钠+100ml蒸镭水一5%/6%3、灌注液加药药

8、物名称浓度及配法万古霉素500mg+4ml NS-取 1ml 力口入 500ml 灌注液中庆大霉素取40mg/ml庆大霉素注射液0.1ml=4mg,溶于500ml灌注液一0.008mg/ml8|jg/ml头抱他碇500mg+9.6ml NS取 5.5ml 加入 500ml 灌注液中青霉素80pg/ml氟康建 0.2g粉末+100ml生理盐水一2mg/ml 取 2.8ml=5.6mg,注入 500ml 灌注液-0.0112mg/ml4、前房注射药物名称浓度及配法万古霉素lmg/O.lml阿米卡星25mg/ml先锋霉素lmg/O.lml头抱吠辛lmg/O.lml加替沙星lOOiag/O.lml莫西沙星lOOpg/O.lml青霉素 80 万 U+4ml NS-20 万 u/ml 取 O.lml+NS 至万 U/ml取 0.2ml=4000U两性霉素 25mg粉末+注射用水5ml25mg/5ml取 0.1ml=0.5mg (500|jg)伏立康嘤0.5ml 0.5%伏立康嗖+0.5ml蒸得水一0.25%伏立康嘤毛果芸香碱(匹罗卡品)单次剂量：0.1ml (25mg/ml)匹罗卡品+0.1ml乳酸林格液维持剂量：0.8ml (0.5%)匹罗卡品+350mlBSS酒石酸肾上腺素单次剂量：0.1ml肾上腺素+0.9ml平衡盐溶液维持剂量：0.8cc+350ml平衡盐溶液