危重病患者血管活性药物的应用-协和医院杜斌

危重病患者血管活性药物的应用北京协和医院杜 斌血管活性药物的临床应用多巴胺(多巴酚丁胺)标准配制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)用药剂量的计算患者体重 60kg医嘱 多巴胺10g/kg/min配制药品 抽取原液(无需稀释)最终浓度 多巴胺10mg/ml输注速度 ?多巴胺(多巴酚丁胺)用药剂量的计算多巴胺 10g/kg/min每分钟用量 10x60 =600g/min每小时用量 600x60 =36000g/hr =36mg/hr输注速度 (36mg/hr)/(10mg/ml) =3.6ml/hr多巴胺(多巴酚丁胺)用药剂量的计算简单方法输注速度 =剂量xBWtx60/1000/10 =10x60x60/1000/10 =36000/1000/10 =3.6ml/hr多巴胺(多巴酚丁胺)输注速度剂量(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血管活性药物的临床应用去甲肾上腺素(肾上腺素)标准配制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…去甲肾上腺素用药剂量的计算患者体重 60kg医嘱 去甲肾上腺素1.0g/kg/min配制药品 以0.9%NS稀释一倍抽取10支去甲肾上腺素,以0.9%NS10ml稀释抽取20支去甲肾上腺素,以0.9%NS20ml稀释…最终浓度 去甲肾上腺素1mg/ml输注速度 ?(去甲)肾上腺素用药剂量的计算去甲肾上腺素 1.0g/kg/min每分钟用量 1.0x60 =60g/min每小时用量 60x60 =3600g/hr =3.6mg/hr输注速度 (3.6mg/hr)/(1mg/ml) =3.6ml/hr(去甲)肾上腺素用药剂量的计算简单方法输注速度 =剂量xBWtx60/1000/1 =1.0x60x60/1000/1 =3600/1000/1 =3.6ml/hr(去甲)肾上腺素输注速度剂量(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