常用抢救药物的计算方法和剂量表合编.docx

常用抢救药物的计算方法和剂量表发表者：刘焰华?安徽省淮南市东方医院集团总医院?硝酸甘油???????????????????????? 50mg + NS 40ml?????????????????? 0.6ml/h (10ug/min)?硝普钠?????????????????????? 50mg + NS 50ml??????????????????0.6ml/h (10ug/min)?多巴胺??????????????????????????200mg + NS 30ml??????????????????????4ml/h (5ug/kg/min)?多巴酚丁胺?????????????????? 200mg + NS 30ml??????????????????????4ml/h (5ug/kg/min)?去甲肾上腺素???????????????? 50mg + NS 25 mL??????????????????1.5ml/h (0.5ug/kg/min)?胰岛素?????????????????????????? 50u +NS 50ml?????????????????????????? 5ml/h (0.1u/kg/h kg=50)?阿端（哌库溴铵）??????????0.08mg-0.1mg/kg???????????????????? 4mg-5mg?肾功能不全不超过0.04mg/kg 2mg?仙林(维库溴铵)??????????????70-100ug/kg?????????????????????? 3.5-5mg/h (kg=50)?咪唑安定?????????????????????? 15mg + NS 15 ml????????????????????2ml/h (2mg/h)?施他宁????????????????????????????3mg + NS 50ml?????????????????? 4.1ml/h (250ug/h)?吗啡??????????????????????????????10mg + NS 9ml?可达龙（胺碘酮）??????????首剂150 mg + NS???????????????????? 20 ml???????????????????????????????????????维持 300 mg + NS?????????????????? 44ml 小于等于6 ml（35mg/h）?异丙酚??????????????????????????首剂 40mg??????????????????????????????维持 40mg/h?尼莫同??????????????????????????起始2小时 1mg/h (70kg) 或 0.5mg/h(50kg) 可耐受者2小时后 2mg/h?氨茶碱??????????????????????????起始 250mg+ NS???????????????????????? 40ml (30min内)?????????????????????????????????????维持 500mg+NS???????????????????????? 50ml (5ml/h)?利尿合剂?????????????????????? 5%葡萄糖 250ml +多巴胺 20mg+立其丁 5-10mg+速尿 80mg?仙林（维库溴铵）??????????首剂 0.08—0.1mg/kg????????????????????补充 0.03---0.05mg/kg?地高辛????????????????????????????首剂 1—1.5mg/d????????????????????????????维持量 0.25—0.5mg/d?多巴酚丁胺???????????????????? 20-40mg+100mlGS(40---120mg/d)?????????????? 2.5—10ug/kg/min?利多卡因首剂????????????????50mg iv 无效 100mg /5-10min (=500—800mg)???????????????????????????????????????????????????????????????????????????????????????????????维持 400mg +GS 500ml (=1000—1500mg/d)?胺碘酮??????????????????????????首剂 5-10mg/kg iv????????????????????????????????????????维持 300mg ivgtt =30min?去甲肾上腺素???????????????