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药物使用(drug use)
药物使用(drug use)
18 commonly used rescue drugs (emergency department dedicated) 18 kinds of commonly used emergency drugs (emergency department dedicated)
CNS stimulants
Nikethamide (limited)
[pharmacology and application] directly stimulate the respiratory center of medulla oblongata and accelerate the respiration. There is also a slight excitatory effect on the vascular motor center. Used for central respiratory depression and circulatory failure, poisoning by anesthetics and other central depressants.
[usage] commonly used quantity: intramuscular injection or intravenous injection, 0.25 to 0.5g/ times, repeat 1~2 hours if necessary. Maximum time: 1.25g/.
[note] large doses can cause high blood pressure, palpitations, sweating, vomiting, arrhythmias, tremors, and convulsions.
Lobeline (lobeline)
[pharmacology and application] excitatory carotid body chemoreceptor and reflex excitatory respiratory center. Used for neonatal asphyxia, inhalation anesthetics and other central depressant drugs, poisoning, carbon monoxide poisoning, and respiratory failure caused by pneumonia.
[usage] commonly used quantity: intramuscular injection or intravenous injection, 3mg/ times, half an hour if necessary. Maximal 20mg/.
[attention] adverse reactions include nausea, vomiting, diarrhea, headache and dizziness. Large doses can cause tachycardia, respiratory depression, blood pressure drop, and even convulsions.
Two, anti shock vasoactive drugs
dopamine
[pharmacological and application] direct activation of alpha and beta receptor, dopamine receptor agonist also, effects of different receptors associated with dose: low dose (2 ~ 5 g/kg? Min) low infusion, excited dopamine receptors, the kidney, mesentery, coronary artery and cerebral blood vessels to dilate, increasing blood flow volume and urine volume. At the same time excited heart beta 1 receptor, positive inotropic effect also produced secondary program through the release of noradrenaline; moderate dose (5~10 g/kg? Min), beta 1 r
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