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There are many anesthetics that need to be formulated with a rapid ( ml/h ) pump injection, especially vasoactive drugs, such as norepinephrine, nitroglycerin, dopamine, etc.
, dexmedetomidine and remifentanil are also frequently used This article summarizes the specific preparation methods and usage of these most commonly used drugs (for convenience, they are uniformly prepared into 50ml )
.
, dexmedetomidine and remifentanil are also frequently used This article summarizes the specific preparation methods and usage of these most commonly used drugs (for the convenience of uniform preparation of blood vessels 50ml )
.
Vasoactive drugs
Vasoactive drugsAccording to the commonly used pump speed, this kind of pumped drugs can be divided into three categories:
According to the commonly used pump speed, this kind of pumped drugs can be divided into three categories:Take norepinephrine as an example:
Take norepinephrine as an example:0.
01 ( ug/kg.
min ) = 0.
01×60 ( ug/kg.
h ) = 0.
6×kg ( ug/h )
.
01 ( ug/kg.
min ) = 0.
01×60 ( ug/kg.
h ) = 0.
6×kg ( ug/h )
.
Since the target is 0.
01 ( ug/kg.
min ) = 1 ( ml/h )
.
01 ( ug/kg.
min ) = 1 ( ml/h )
.
So 0.
6×kg ( ug ) = 1 ( ml )
.
6×kg ( ug ) = 1 ( ml )
.
The obtained concentration is 0.
6×kg ( ug/ml ) = 0.
6×kg×50 ( ug/50ml )
.
6×kg ( ug/ml ) = 0.
6×kg×50 ( ug/50ml )
.
Get the total amount of 50ml =0.
03×kg ( mg ) .
03×kg ( mg ) .
Dexmedetomidine
Dexmedetomidine given dexmedetomidine givenExime ( 2ml : 200ug ) is made into 50ml with a concentration of 4ug/ml , and its clinical usage includes load and maintenance
.
.
We calculate separately:
We calculate separately:1.
Load speed1.
The loading dose is a total infusion of 1ug/kg in 10min , that is, the infusion rate is 0.
1ug/kg.
0.
The loading dose is 1.
2.
Dextromethorphan maintenance dose of 0.
Obtain a maintenance dose of 0.
Remifentanil remifentanil
Let's take 1mg formulated into 50ml to a concentration of 20ug/ml as an example
.
.
0.
1 ( ug/kg.
min ) = 0.
1×60/20 ( ml/kg.
h ) = 0.
3×kg ( ml/h )
.
1 ( ug/kg.
min ) = 0.
1×60/20 ( ml/kg.
h ) = 0.
3×kg ( ml/h )
.
Get the walking speed 0.
1 ( ug/kg.
min ) = 0.
3×kg ( ml/h )
.
1 ( ug/kg.
min ) = 0.
3×kg ( ml/h )
.
The above drugs are commonly used in clinical anesthesia.
Proficiency in simple formulas can quickly obtain the speed, which can further evaluate the patient's criticality, and can also be quickly converted to a standard speed when recording the anesthesia sheet
.
Proficiency in simple formulas can quickly obtain the speed, which can further evaluate the patient's criticality, and can also be quickly converted to a standard speed when recording the anesthesia sheet
.
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