医学知识集萃（Medical knowledge gathering）

1、医学知识集萃（Medical knowledge gathering）General outpatient prescription setEmergency treatment:1. The high fever10 % 25% analgam - 2 3 drops of each noseCompound aminophenine 2ml im st!Chai hu 2 4ml im st!Oral aspirin, aspirin, acetaminophen (paracetamol) and indomethacin (anti-inflammatory pain)Hibernat

2、ion therapy: chlorpromazine 25mg im st!Isopropyrazine 25mg im st!2. Upper gastrointestinal bleedingA. Positive blood volume (1) dextran - 40 500ml hydrostatic droplets(2) enter full blood and open the roadB hemostasis (1) rupture of esophageal varicose vein in the liver cirrhosis5% glucose 500mlHypo

3、physis 6-8uMix static drop 0.2 0.4 U/min10% of glucose 10mlOctreotide (good) 0.1mlThe intravenous infusion is followed by a steady drip of 25 50ug/h(2) bleeding of peptic ulcerPrescription 1: saline 20mlStill, every 12 hoursRanitidine 0.15Prescription 2: saline 20mlOmeprazole (losek) 40mgMixed stati

4、cal QDPrescription 3: norepinephrine 8mgTo be taken orally or through gastric tubeIce salt water 150 mlPrescription 4: physiological saline 20ml4 6 hours per timeThrombin 2000 uNote: at the same time, it can be used for routine hemostasis such as phenol sulfamethylamine (hemostatic), amino-hexic aci

5、d and aminophenylic acid (hemostonic acid).3. Anaphylactic shock prescription 1: adrenalin 1 mg subcutaneous injection of st!Extreme severe time saline 10mlStatic push st!Epinephrine 1mgPrescription 2: saline 10mlStatic push st!Dexamethasone 5 10 mgOr saline 250mlStatic drop st!Hydrocortisone 200 40

6、0 mg(1) expansionLow molecular dextran 500ml static drop st!(2) keep airway open, oxygen, intubation or tracheotomy as necessary(3) antihistamine drug application, such as isopropyrazine, phenhydramine, etc4. Intracranial hypertension (1) dehydration treatmentPrescription hydrochlorothiazide 75mg Ti

7、dSpirinolate 60mg TidIntermittent intravenous injection of furthriceThe patient is in critical condition50 % glucose 40 60ml of static push every 6 hoursOr 20% mannitol 200ml of static drops every 8 hoursThe treatment of dehydration was controlled by craniohyperbaric symptoms(2) dexamethasone 10 20m

8、g static thrust QD(3) hypothermia therapy is often hypothermic in the artificial hibernation, and the body temperature drops to 34-36 degrees, which can be maintained for 3-5 days depending on the condition(4) ventricular puncture drainage is only applicable to the enlargement of the lateral ventric

9、le(5) etiological treatment(6) the treatment of cerebral herniation in the intracranial pressure crisisA. 50% glucose 60ml static push st!20 % mannitol 200 250ml static push st!B. Lateral ventricle puncture can be used to salvage cranial pressure crisis, especially in the middle or posterior cranial

10、 fossaC. the unclosed child of the former fontani can be puncturedD. Etiological treatment5. Hemoptysis (1) small amount of hemoptysis, such as phlegm with blood, without special treatment, can give kabroc (anluo blood) 10mg, muscle injection, BID. Mainly for etiological treatment(2) a lot of haemop

11、tysisTell him to rest and rest. Dont be nervous, give calm and cough medicine as appropriateTake a side position and gently cough up the bleedingThe prescription of medicine is 10% glucose 40mlStatic push st! Slow!Hypophysis 5UPrescription 2 10% glucose 500mlStatic note st!Hypophysis 10 to 40At the

12、same time, it was supplemented with routine hemostasis such as aminohexic acid, phenol sulfamethylamine and aminotoluene acid.Cardiac arrest in cardiopulmonary resuscitation (1) cardiac resuscitation1. Ventricular rest or myocardial - mechanical separationPrescription epinephrine 1 mg of static or i

13、ntravital injection, repeated every 3 to 5 minutesAtropine 1 2mg or intracroneal injection, repeated every 3 to 5 minutesMethoxymethamine (methoxide) 20mg of static or intracavitary injectionAngiotensin (vasopressin) 40U intravenous injection, repeat after 5 minutes2. Ventricular tachycardia or vent

14、ricular tachycardia that cant touch the pulseLidocaine 50 100mg of static or intracavitary injection, repeated every 5 minutes, weight no more than 3mg/kg. Or bromide 125 250mg of static or intravitary injection, repeated every 5 minutes.Adrenalin 1mg of static or intravital injection, repeated ever

15、y 3 to 5 minutesIf lidocaine is ineffective, the trial of amiodarone 250mg is slow, and the speed is no more than 50mg/min.Treatment of arrhythmias after resuscitation: ventricular rapid arrhythmias due to acute myocardial infarction, lidocaine 1 4mg/min. The arrhythmia caused by the potassium defic

16、iency must be filled with potassium. Torsion of quinidine syncope when vt should choose isopropyl adrenaline static drops or 25% magnesium sulfate 10 ml static note, after static drops with 1 mg/points, and maintain 24-hour heart rate is more than 130 times/min, using isopropyl adrenaline 0.5 1 mg,

17、dissolved in 500 ml 5 10% glucose solution of static drops.Shock patients may be allowed to add up to 75 to 100 mg of dopamine, or 20 to 80 mg of klamine in a 500ml solution, and be careful to correct metabolic acidosis.(2) preventing cerebral edemaArtificial hibernation therapyPrescription: isoprop

18、yrazine 25mgChlorpromazine 25mg should be repeated for 6 12 hours5% glucose, 250ml2. Dehydration therapyPrescription: 20% mandeol 125 250ml of static dropFurthrice 20mg is staticOr the sodium itaconate 25 50 mg of static thrustDexamethasone 5 10 mg of static push every 4 6 hours(3) sedationPrescript

19、ion diazepam 10mg slow down! Repeat as necessaryRespiratory diseaseOne, slow branchPrescription ampicillin capsule 0.5 tidThe bromine has been released (must gargle) 16mg tidAminophylline 0.1 tidThis is mainly aimed at the elderly who have a lighter onset and longer duration.The allergic people of p

20、enicillin were forbidden to use ampicillin, which can be used to select erythromycin (rijuna) 0.375 0.5 tid, or 0.2 tid of ofloxacinPrescription 1: loxacin 200mg / 100ml iv drip bidPrescription 2: compound licorice mixture 10ml tidOr leshu phlegm syrup 10ml tidPrescription 3: aminophylline 0.1 tidOr

21、 albuterol sprays 1 2 spray/time necessarySecond, bronchial asthmaPrescription 1: the albuterol spray is 1 2 spray/time necessary(light) aminophylline 0.1 tidDipropionic acid becamethasone spray (about 100ug) each timePrescription 2: ventolin spray 2 (about 400 ug) bid(medium) aminophylline 0.1 tidO

22、r aminophylline 0.25Static thrustSaline 5mlDipropionic acid becamethasone spray (about 100ug) 4 6 times per dayPrescription 3: the ventolin spray continues to atomize inhalation(heavy) aminophylline 0.25bStatic push static dropPhysiological saline 20 50ml physiological saline 500mlDexamethasone 10mg

23、 dexamethasone 10mgStatic thrust or static dropPhysiological saline 20ml physiological saline 500ml3. BronchiectasisPrescription: penicillin 160 480WUStatic drop bid or tidSaline 100 200mlBromine is new 16mg tidAmmonium chloride 0.3 0.6 g tidSaline 30mlA - mi protease 5mg ultrasonic atomization ever

24、y time 20min tidGentamycin 8WUNote: if penicillin is not effective, use ampicillin for 2 4g daily4. Pneumococcal pneumoniaPrescription 1: penicillin 160 240WUStatic dropsSaline 100mlPrescription 2: cefepime (pioneer ) 2 gStatic pushSaline 100ml5. Pulmonary abscessPrescription 1: penicillin 240 320WU

25、The drop drops every eight hoursSaline 100mlMetronidazole 0.5/250ml hydrostatic bidPrescription 2: amitaka 0.2Static drops of bidSaline 100mlPiperacillin 2 4gStatic drop of 30min 1h drip5% glucose water 100 200mlMetronidazole 0.5 (250ml) static drop bid6. Respiratory failure(1) acute respiratory fai

26、lure1. Control infectionKeep your breath openA. reduce phlegm viscosityPrescription: bromine is new 16mg tidAmbroxol 30mg tidSaline 30mlA - mi protease 5mg ultrasonic atomization 20min/subtidGentamycin 8WUB. dilation of the bronchial spasmPrescription: aminophylline 0.25Static push slowly! Or intrav

27、enous drip5% glucose water 20mlOr aminophylline 0.25Static drops5 percent glucose, 500 mlThe albuterol (albuterol) aerosolOr a total leening aerosol or terbutaline aerosol aerosol 2 spray bid or tidSuccinic acid cortisone 200 400 mgStatic drops5 percent glucose, 500 mlOr dexamethasone 10mgStatic or

28、venous dripSaline 20mlC. respiratory stimulantPrescription: nikoshmi 0.375 0.75 g intravenous drip, followed by 3 3.75 g in 500ml liquid, and the speed is 25 30 drops/minOr nikkshmi 1.5 g1 1.5 g of lombelin5 percent glucose, 500 mlD. Corrected respiratory acidosis (PH less than 7.3)Prescription: 3.6

29、4% aminobutyl trialcohol (trimethomethane, THAM) 200mlStatic drops of qd/bidGlucose water 300ml(2) chronic respiratory failurePrescription: oxygen therapy, long-term continuous low concentration of 1 2L/minFirst nikshmi 0.375 * 2 / intravenous dripThen nikkshmi 0.375 * 5Lobein 3mg * 5 stilldrop (2ml

30、/min)5% glucose 500mlFor example, PH is less than 7.2 4% sodium bicarbonate 60 100ml static drop7, chronic pulmonary heart diseasePrescription: hydrochlorothiazide 25mg bidAminostyrene 50mg bidOr furthrice 20mgPhenolamine 10 20mgStatic drops of qd10% glucose 500mlWool glycoside C 0.2 0.4 mgStatic th

31、rust10% glucose 50mlNitrobento 10mg bid or tidThis article from: township home medical BBS () detailed reference source: /thread-1487-1-1.html circulatory system diseasesArrhythmia.(a) sinus arrhythmiatachycardiaPrescription: atenolol (aminoacyl heart) 12.2

32、25mg bid or tidOr metool 12.2 to 25 mg bid or tidbradycardiaPrescription 1: atropine 0.3 mg tidPrescription 2: aminophylline controlled release (shuflo) 0.1 0.2 bidPrescription 3: ephedrine 12.5-25 mg bid or tidPrescription 4: isopropanepinephrine 5mg contains every 3 to 4 hours(2) beat earlyRoom ea

33、rly (general not treatment, too much treatment)Prescription: verapamil (crossbar) 40 80mg tidSlow release of verapamil 120 240mg qdRoom early10% glucose 20mlStatic pushLidocaine 50 100mgIt was followed by 10% glucose 500mlStatic dropsLidocaine 800 1000mg1 2 will be changed to: metholol 12.5 25mg bid

34、The American western law (slow rhythm) 0.1 0.2 tidOr, the first dose of the methodiod (slow heart) was 0.2 g Po, followed by 0.05 0.1 tidOr propanone (heart rhythm) 0.1 0.2 tidOr moretazine (thiazide) 70mg tid(3) sexual tachycardia in paroxysmal chamberPrescription 1:10% glucose 20mlStatic push slow

35、ly!Verapamil (alloa) 5mgPrescription 2:10% glucose 20mlStatic push slowly!Propanone 70 mg(4) paroxysmal ventricular tachycardiaPrescription: first lidocaine (use of the same room)Use: amiodarone 150mg slow static, then drip maintenance, 1 mg per minute for the first 6 hours. 0.5 mg per minute5% gluc

36、ose 500mlStatic drops slowly! (5 10mg per minute, total no more than 1 2g)Procaine amine 0.5 1 mgThe result of digitalis poisoning: 10% glucose 20mlStill, five minutesPhenytoin sodium 100mg(5) atrial flutter and atrial fibrillation1. Control heart rateUsed for not associated with preexcitation syndr

37、ome, and has not used digitalis in nearly 2 weeksPrescription: 50% glucose 20mlSlow down!Tricoside C 0.4 mgThe heart rate was controlled at a rate of 100 beats per minuteThe recurrence of persistent atrial fibrillationWhen the above method stabilizes the ventricular rate at 70 80 times/time, deactiv

38、ate the digitalis, and use quinidine or ethylamine iodifurone or synchronous direct currentPrescription 1: quinidine 0.2 tid (now less used)Prescription 2: amiodarone (ethylamine iodofurone) 0.2 tidExplanation: the above two drugs have a great effect, use caution. If there is a decrease in blood pre

39、ssure, the time limit for QRS wave group is more than 25%, and there is a significant increase in the interventricular premature beat or q-t period, such as 0.48 s, which should be stopped or reduced immediately.Prescription 3: sotolol 80mg bid(6) atrioventricular blockPrescription: atropine 0.3 mg

40、tidIsoproterenol 5 10mg 4 times/dayRheumatic fever(1) bed rest(2) prescription one: penicillin 80WU im bidPrescription 2: erythromycin 0.375 g tid (children 40mg/kg * d)(3) prescription 1: aspirin 0.6 1.2 g tid (children 0.08 0.1 g/(kg * d)Prescription 2: prednisone 30 40mg qd was maintained until t

41、he symptoms were controlled and gradually decreased, and the course of treatment was 3 6 months or moreNote: in order to reduce the recurrence of rheumatic fever, benzathine penicillin should be given to 60WU (less than 6 years old) 120WU ( 6 years old), im once/month. The allergic person USES the 0

42、.25 bid of erythromycin, or the sulfonylamine level 0.5 (children 30KG) 1.0 (greater than 30KG and adult) for 1 2 days.Chronic rheumatic heart valve diseasePrescription to avoid fatigue and tensionPenicillin wu, 160Static push the bidSaline 20mlUse 5-7 days to change to the long-acting penicillin mu

43、scle, once a month.Aspirin 0.9 tidMitral stenosis1. Acute pulmonary edema(1) oxygen(2) morphine 3 5mg intravenous injection(3) 10% glucose 20mlintravenousCefuroxime Sammy 20 mg(4) * * * * * * * * * 0.5mg of the sublingual containing clothing every 5 to 10 minutes, such as the systolic pressure drop

44、to 90mmhg or the following deactivated(5) 5% glucose 500mlIntravenous drip (6-8 drops/start)25 50 mg of sodium nitrate(6) 10% glucose 20mlStatic push slowly!Tricoside C 0.4 mg(2) aortic valve closurePrescription: a low-salt dietIsosorbide (isosorbide) 10mg tidThe group was 10 mg of tidCaptopria 12.5

45、 to 25 mg bid or tidhypertension(1) mild and moderate hypertensionPrescription 1: indapamide (shou bishan) 2.5 mg qdPrescription 2: atenolol (aminoacyllin) 12.5 to 25 mg bid or tidPrescription 3: neopyridine is 10 mg tidPrescription 4: captopril 25 50mg tid(2) severe hypertensionPrescription: 1. Ate

46、nolol 12.5 25mg tidThe group of the land is 25 50mg of tidCaptopril 12.5 25mg tid2. Hydrochlorothiazide 12.5 25mg qdNon-lodipine slow release (poiding) 5 10 mg qdBenapril (lotsu) 10 20 mg qdNote: blood pressure should not be excessive too fast to prevent heart, brain and kidney ischemia, aggravate t

47、he damage. After control of blood pressure, a small dose of aspirin should be used to prevent the occurrence of ischemic encephalopathy by 50 100mg qd.(3) acute hypertensionPrescription 1: nifedipine (heart attack) 10 mg after crushing the tongue under the sublingualPrescription 2: captopril 25 50mg

48、 after crushing the tongue under the coatPrescription 3:10% glucose 250mlStatic drop (6 8 drops/start)25 50 mg of sodium nitratePrescription 4:10% glucose 250mlStatic drop st!Phenol tolamine 10mgPrescription 5:25% magnesium sulfate 10ml im st!Coronary heart disease (CHD)(1) angina pectoris1. Stabili

49、ty anginaPrescription: rest* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Or * * * * * * * * spray 2 3. Once every 5min, three or four times in a rowIsosorbita nitrate

50、(pain - aching) 5 10mg tidAltirol 12.5 to 25 mg bidCaptopril (thiopropionate) 25mg bid2. Unstable angina pectorisPrescription: bed restoxygen10% glucose, 250mlStatic drops of qd* * * * * * * * 10 mgAltirol 12.5 to 25 mg bidThiazolone 15 30mg tidAspirin 0.3 g st! And then 0.1 g qd(2) myocardial infarctionStay in bed for 3 to 7 daysoxy