郑大一附院EICU静脉泵入药物常规.docx
药品名称原液浓度配制方法配制浓度常用剂量输注速度多巴胺20mg/2m1/支抽取原液（无须稀释）10mg/m11-20gkgmin10gkgmin=3.6m1hr(Dopamine,DA)(BWt=60kg)多巴酚丁胺20mg2m1支抽取原液（无须稀释）10mg/m11-20gkgmin10gkgmin=3.6m1hr(Dobutamine,DB)(BWt=60kg)肾上腺素1mg/1m1/支抽取原液（无须稀释）1mg/m10.1-2gkgmin0.1gkgmin=0.36m1hr(Epinephrine,Epi)(BWt=60kg)去甲肾上腺素（Norepinephrine,NE）根据实际泵速调整配药浓度，尽量维持泵速在2-6m1h2mg/1m1/支抽取NE2支(2m1),再抽取NS38m10.1mg/m10.1gkgmin=3.6m1hr(BWt=60kg)2mg/1m1/支抽取NE6支(6m1),再抽取NS34m10.3mgm10.1-2gkgmin0.1gkgmin=1.2m1hr(BWt=60kg)2mg/1m1/支抽取NE20支（20m1）,再抽1mg/m10.1gkgmin=0.36m1hr取NS20m1(BWt=60kg)去氧肾上腺素（苯肾）Iomg/1m1/支抽取PE1支,配入IOOm10.1mg/m10.1-0.5mg负荷，40ugmin=2.4m1h(Pheny1ephrine,PE)NS1再抽取50m1泵入40-180ugmin垂体后叶素6IU/1m1/支抽取原液（无须稀释）6um1咯血0.1-0.2Umin(Vasopressin)GIB0,2-0.4Umin硝酸甘油5mg/1m1/支抽取10支（IomI）,再抽取1mg/m110gmin=0.6m1/hr(NG)NS40m1硝普钠50mg支抽取1支，再抽取5%GS1mg/m11-200ugmin10gmin=0.6m1/hr(Nitroprusside,NP)50m1亚宁定25mg5m1支抽取原液（无须稀释）5mgm1初始可达2mgmin,后10OugZmin=1.2m1hr(UrapidiI)酌情调整尼莫地平（尼莫通）IOmg50m1支抽取原液（无须稀释）0.2mgm115ugkghr*2hr30ugk脚15gkghr=4.5m1hr(Nimodipine)(BWt=60kg)合贝爽Iomg/支干粉200mg加NS20m110mgm15-15ugkgmin5ugkgmin=1.8m1h(DiItiazani)(BWt=60kg)吗啡10mg/1m1/支抽取5支（5m1）,再抽取NS1mg/m11-6mg/hr(Morpine)45m10.07-0.5mg/kg/hr咪哇安定（力月西）5mg5m1支抽取原液（无须稀释）1mg/m1镇静0.04-0.2mg/kg/hr(MidazoIam)抗癫痫0.0506mgkghMM吗啡IOmg/1m1/支抽取吗啡2支（2m1）,力月1mg/m11-10mghr(Morphine&Midazo1am)力月西5mg5m1支西4支（20m1）,再抽取NS18m1芬太尼IOOug2m1支抽取芬太尼2支（4m1）,再20ugm120-100ughr(FentanyI)抽取NS6m1安定10mg/2m1/支抽取原液（无须稀释）5mgm11-6mg/hr(Diazepam)异丙酚20OmWomi/支抽取原液（无须稀释）10mg/m1镇静0.3-4.8mgkgh10gkgmin=3.6m1hr(PropofoI)抗减痫1.5-10mgcgh(BWt=60kg)万可松4mg支粉剂抽取10支（IOmI）,再抽取2mgm10.8-1.2gkgmin1gkgmin=1.8m1hr(Vecuronium)1m1支溶剂NSIOmI(BWt=60kg)氨碘阳（可达龙）150mg/3m1/支抽取3支，再抽取5%GS10mgm11mgmin*6hr后改为1mgmin=6m1hr(Amiodarone)36m10.5mgmin利多卡因(1idocaine)200mg10m1支抽取原液(无须稀释)20mg/m11-4mgmin艾司洛尔(EsmoIoI)200mg2m1支抽取原液100mgm1Bo1us0.5mgkg,维持50-300ugkgmin100gkgmin=3.6m1hr(BWt=60kg)普通肝素(UFH)12500IU/2利支抽取1支(2m1),再抽取NS48m1250um1生长抑素(思他宁)(Somatostatin,Sti1amin)3mg支粉剂抽取1支，再抽取NS12m1250ugm1Bo1us250ug,维持250ughr(ForGVB)生长抑素(善宁)(Octreotide)IoOUg1m1支抽取2支，再抽取NS6m125ugm125ughr(ForGVB,Max5days)多巴胺与多巴酚丁胺输注速度(m1hr)与剂量关系(配制浓度10mgm1)体重药物剂量(gkgmin)1510152030kg0.180.91.82.73.640kg0.241.22.43.64.850kg0.301.53.04.56.060kg0.361.83.65.47.270kg0.422.14.26.38.480kg0.482.44.87.29.690kg0.542.75.48.110.8100kg0.603.06.09.012.0肾上腺素与去甲肾上腺素输注速度(m1hr)与剂量关系(配制浓度1mgm1)体重药物剂量(gkgmin)0.10.51.01.52.030kg0.180.91.82.73.640kg0.241.22.43.64.850kg0.301.53.04.56.060kg0.361.83.65.47.270kg0.422.14.26.38.480kg0.482.44.87.29.690kg0.542.75.48.110.8100kg0.603.06.09.012.0
