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常用注射藥品配伍禁忌簡介 加護病房 房日誌 1

常用藥品配伍禁忌 20170724

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  1. 1. 1
  2. 2. 2
  3. 3. (incompatibility) 3
  4. 4. 4
  5. 5. Amiodarone (Cordarone) 150mg/3ml/amp / : / IV push IV drip : 6 amps/D5W 500 ml = 1.8 mg/ml 6 33 ml/hr 18 18 ml/hr (200 mg PO TID) 5 Ref: N Engl J Med. 2007; 356: 935-41.
  6. 6. Adenosine (Adenozer) 6mg/2ml/vial 6 Ref: Adenosine: Drug information Copyright 1978-2006 Lexi-Comp, Inc. All rights reserved.
  7. 7. 7
  8. 8. Norepinephrine (Levophed) 4 mg/4ml/amp beta1 alpha 0.5-1 mcg/min ACLS 0.5-30 mcg/min NS, D5W, LR (2amp/250 or 500ml) sodium bicarbonate 8 Ref: Norepinephrine: Drug information Copyright 1978-2006 Lexi-Comp, Inc. All rights reserved.
  9. 9. Cyanosis-Norepinephrine 9 Ref: The Annals of Pharmacotherapy 2005 February, Volume 39
  10. 10. Dopamine (Dopamin) 200mg/5ml/amp dopamine 1-5 mcg/kg/min beta1 5-15 mcg/kg/min alpha > 15 mcg/kg/min 10 NS, D5W, LR sodium bicarbonate : 2 or 4 amp/250 or 500 ml Ref: Dopamine: Drug information Copyright 1978-2006 Lexi-Comp, Inc. All rights reserved.
  11. 11. Dobutamine 250mg/20ml/vial beta1 IV infusion: 2.5-20 mcg/kg/min; max: 40 mcg/kg/min NS, D5W, LR (2 amp/250mL) sodium bicarbonate
  12. 12. 12 Ref: Bakris, GL. Management of severe asymptomatic hypertension (hypertensive urgencies).
  13. 13. NTG NTG set? 13 13
  14. 14. NTG PVC set 14 14
  15. 15. (KCl) IV bolus IV infusion IV bolus KCl pump KCl 15
  16. 16. Potassium Chloride (KCl) 15% 20 mEq/10 ml/amp 16 Ref: Potassium Chloride: Drug information
  17. 17. KCl pump? 17 > 40 mEq KCl > 10 meq/hr Ref: Mount DB. Clinical manifestations and treatment of hypokalemia. In: UpToDate, Sheridan AM (Ed), UpToDate, Waltham, MA, 2010.
  18. 18. Calcium chloride (Vitacal) Ca: 0.272 mEq/ml, 20ml/amp 18 Ref: Ca gluconate: Drug information Copyright 1978-2006 Lexi-Comp, Inc. All rights reserved.
  19. 19. 19 Ceftriaxone 2009 Bradley 6 (1-50 ) 28 Y-site (