Re: [討論] ICU的sedation
看板medstudent (醫學生)作者malone (Mar.23,2006球衣退休)時間17年前 (2007/05/02 21:31)推噓7(7推 0噓 1→)留言8則, 8人參與討論串1/2 (看更多)
※ 引述《smallhear (潛規則)》之銘言：
: 最近有個icu的病人因為很躁動, 需要sedation
: 翻ICUBOOK 建議用MIDAZOLAM OR LORAZEPAM
: 如果用MIDAZOLAM(5MG)*8AMP IN n/s 500ML STAT RUN 20ML, THEN 20ML/HR
: 病人約60KG(UGI bleeding ,Hb:7-8) ,目前 SEDATION的效果不是很好
: 請問有經驗的各位能否給個建議呢?
: ꘊMidazolam 12amp in N/S 190CC with pump use, keep 10~50gtt/min
(0.04~0.2mg/kg/hr, 60kg約 2.4~12mg/hr)
Propofol更好，睡得快醒得快，會客時間不用擔心醒不過來，只是比較容易掉血壓。
--
"Everybody's always got something to say.
Why is it when we lose, we say we lost,
we go home and get ready for the next game.
But when somebody losses to us,
they always have excuses? . . . You get tired of hearing it."
----Karl Malone----
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