值班对症处理（On duty pair treatment）.docVIP

值班对症处理（On duty pair treatment） Circulation, blood system: 1. The heart rate is fast - (1). Central venous pressure (through the subclavian vein channel) and the amount of urine. For 2cm, 2000ml! (you need to prevent the infusion too fast, and listen to the lungs). If the central vein is too high, you can catch a 1-branch into the pot, and a 2-1 to the kettle, and then the central venous pressure in half an hour. 2. Raise blood pressure -- (1).dopamine, 20mg/branch (2ml), dopamine 6 + 38ml NS 2 (3) ml/hour or 9 + 32ml NS (9-18!) Ml/h/dobutamine is mixed with 50ml liquid. Standard usage: at the beginning of every minute of the day according to the weight of 1 ~ 5 mu g / ㎏, 10 minutes per minute 1 ~ 4 mu g / ㎏ speed increasing, in order to achieve maximum efficacy. Note the effect in 5 minutes Add NS 49ml + noradrenal 1ml 2ml/h! (2) dopamine body weight * 3mg (1ug/min * kg) + NS (50 ml) maximum: 1.2 mg * kg weight/hour, 2-20ml/h Dobutamine weight * 3mg + NS (50ml) 2-20ml/h Norepinephrine weight * 0.03 mg + NS (50ml) 2-8ml/h 3. Rapid fall blood pressure - (1). Captopril (enalapril) 12.5 mg/tablet Sublingual containing clothing/nifedipine (nifedipine) 10 mg sublingual administering (2-3 min work, 20 minutes maximum, taking interval greater than 4 hours) (2). The pressure is determined to be 25mg / 5ml (1) x 10 0.6 ml/h pump. Within 5 minutes, it will be effective. Standard usage: can add 20ml of injection (equivalent to 100mg of ulardiel) and dilute the liquid to 50ml. The maximum drug concentration of intravenous fluids is 4mg of uladur per milliliter. The input speed is adjusted according to the patients blood pressure. The recommended initial velocity is 2mg per minute, and the maintenance speed is 9mg per hour. White protein -- (1) belin 10g / 50ml (a bottle) (a bottle) (a bottle) (a bottle) (equivalent to 200ml of plasma), and ivgtt Blood plasma 2000-400ml (blood transfusion, plasma after saline 250ml) and 20mg of urinuria (edema) after half an hour 5. Hemostasis -