兒科常用藥及常用搶救藥物的計(jì)算方法和劑量表

兒科常用藥及常用搶救藥物的計(jì)算方法和劑量表注射用藥青霉素鈉80萬U/瓶10~20萬U/kg。d+安奇（阿莫西林克拉維酸鉀）0。6/支50mg/kg。次Bid苯唑西林（新青II）青霉素鈉80萬U/瓶10~20萬U/kg。d+安奇（阿莫西林克拉維酸鉀）0。6/支50mg/kg。次Bid苯唑西林（新青II）0。5/支50?100mg/kg。d蘇哌1。25/支125?250+mg/kg.d++氨芐西林0。5/支50?100+mg/kg.d阿樂欣1。0/支75?100+mg/kg。d++哌拉西林1.0/支80?200+mg/kg.d++美洛西林1。0/支100?200+mg/kg。d頭飽他啶1。0/瓶>2月30?100mg/kg。d<2月25?60+mg/kg。d先鋒V（頭飽唑啉）0。5/瓶50?100+mg/kg。d++頭飽噻肟鈉1.0/支50?100+mg/kg.d先普0。5/支40?80+mg/kg.d+舒普深1.0/支40?80+mg/kg.d達(dá)力新0。75/支50?100+mg/kg.d++++西力欣0。75/支+30?100+mg/kg.d頭飽曲松（羅氏芬）1。0/支30?100+mg/kg。d+可賽舒1。25/支30?100+mg/kg.d++馬斯平（頭飽毗肟）0.5,1.0/支>2月150+mg/kg.d<2月+90+mg/kg.d++磷霉素鈉4。0/支100?300+mg/kg。d白霉素0。2/支8?16+mg/kg.d紅霉素0。3/支20?30+mg/kg.d阿奇霉素（抒羅康）0。125/瓶+4?10+mg/kg。d克林霉素0。3/支15?25+mg/kg.d穩(wěn)可信（萬古霉素）0.5/瓶40+mg/kg.d泰能1.0/瓶60+mg/kg.d阿米卡星0。2/瓶15+mg/kg.d左克0.1/瓶5?10+mg/kg.次+Bid++++++氯霉素■■I■■I■■I■■I■■I■■I■■I■■I■■I■■I■■I■■I■■I■■I■■0.25/^支■■I■■I■■I■■I■■I■■I■■I■■I■■I■■I■■25^^50+mg/kg。d■■I■■I■■I■■I■■I■■I■■I■■I■■+氟康唑++++++++++++++++0。2/瓶++++++++++++++3?6+mg/kg。d++++++++++++滅滴靈++++++++++++++++0。2/100ml++++++++++7.5mg/kg。次+Bid?Tid++甲硝P^++++++++++++++++100ml/瓶++++++++++++3?5+ml/kg++抒羅康++++++++++++++++0.125:100ml/瓶++++4+mg/kg病毒唑++++++++++++++++0。1/支++++++++++++++10?15+mg/kg.d++++++++++++阿昔洛韋++++++++++++++0。25/支++++++++++++15+mg/kg.d更昔洛韋++++++++++++++50mg/支++++++++++++5^7.5+mg/kg。d++++++++++喜炎平++++++++++++++++2ml/支++++++++++++++0O2?0.4ml/kg。d炎琥寧++++++++++++++++0o2/瓶++++++++++++++5?10+mg/kg。d++++++++++++穿琥寧++++++++++++++++0o4/支++++++++++++++10?15+mg/kg。d++魚腥草++++++++++++++++10mg/支++++++++++++0。5~1+mg/kgod雙黃連++++++++++++++++0.6/舒普深1.0/支40?80+mg/kg.d達(dá)力新0。75/支50?100+mg/kg.d++++西力欣0。75/支+30?100+mg/kg.d頭飽曲松（羅氏芬）1。0/支30?100+mg/kg。d+可賽舒1。25/支30?100+mg/kg.d++（整理）兒科常用藥及常用搶救藥物的計(jì)算方法和劑量表茵梔黃++++++++++++++++10ml/支++++++++++++1?2+ml/kg。d強(qiáng)力寧++++++++++++++++20ml/支++++++++++++0.8^1。5ml/kg.d++++++++++++甘利欣++++++++++++++++50mg/支++++++++++++3mg/kgod思美泰++++++++++++++++0o5/支++++++++++++++0o25?0。5/天++++++++++++門冬氨酸鉀鎂++++++++++10ml/支++++++++++++0.2^0.4ml/kg嘉利多維++++++++++++++10ml/支++++++++++++1ml/kg++++++++++++++促肝細(xì)胞生長(zhǎng)因子++++++60mg/支++++++++++++40^100mg/kg。次腦活素++++++++++++++++10ml/支++++++++++++0。2?0。4ml/kg。次++++++++++胞二磷膽堿++++++++++++0.25/支++++++++++++4?12mg/kg.d+Qd琥珀酸氫化可的松++++++50/支++++++++++++++5~10+mg/kg。d地塞米松++++++++++++++5mg/支++++++++++++++1?2.5+mg/kg萊比林++++++++++++++++0.25/支++++++++++++10?25+mg/kg.復(fù)方氨基比林++++++++++2ml/支++++++++++++++1ml/^（＞5歲，肌注或皮下注射）++++++++++++++++++++++++++++++++++++++++++6?12月++++0。5?1ml安痛定++++++++++++++++2ml/支++++++++++++++1~3歲++++++1?1。5ml++++++++++++++++++++++++++++++++++++++++++3?5歲++++++1.5~2ml安定++++++++++++++++++10mg^++++++++++++0。3~0.5mg/kg魯米那++++++++++++++++0.1/瓶++++++++++++++3?5mg/kg速尿++++++++++++++++++20mg/支++++++++++++1?2mg/kg冬眠靈++++++++++++++++50mg/支++++++++++++0。5mg/kg日非那根++++++++++++++++50mg/^支++++++++++++0。5~1mg/kg止血敏++++++++++++++++0o5/支++++++++++++++10mg/kg止血芳酸++++++++++++++0o1/支++++++++++++++0.1/次海莫萊士++++++++++++++400u/瓶++++++++++++++++300u/^E普舒萊士++++++++++++++300u/瓶康舒寧++++++++++++++++3OOu/瓶++++++++++++15?25u/kg+口服用藥再克沖劑++++++++0.125x9包++++++2。?40+mg/kg.d再林分散片++++++0.25/片++++++++++2。?40+mg/kg.d?？藙跊_劑++++++0。125/包++++++++2。?40+mg/kg.d丹..斤欠.片++++++++++0°125/）^\++++++++20+mg/kg.d力欣奇片++++++++0。125x12片++++30?40+mg/kg.d美豐++++++++++++0。25x20片++++++25?50+mg/kg。d希能沖劑++++++++0.125x4包++++++7。5+?15+mg/kg.d^^^^^^?^++++++++?！?5/片++++++++++7.515+mg/kg.d乙酰螺旋霉素片++0。1/片++++++++++30+mg/kg.d片++++++0.25/片++++++++++lO7^15+mg/kg.d依托紅霉素片++++0.125/片++++++++30~50+mg/kg。d羅紅霉素膠囊++++150mg/片xlO片仁蘇顆粒++++++++50mg/包++++++++++5?10+mg/kgod抒羅康顆粒++++++0.25x3包++++++++10+mg/kg。d希舒美++++++++++100mg/包++++++++1?3歲++++1包阿奇霉素下混懸劑++++++++++++++++3?8歲++++2包++Qd盡。遂W0++++++++++套msI++++++++++#抵>盡。羅旬UI+。?o-++++++++++*2++++++++?騏蘿g找'21++++++++心變1日。01++++裙施W擔(dān)枳W盡豆旬UI+IO?3O++++++++++寫UII++++++++?W洲口找PO++8UISK++++++++言情。5++++++?堡煌?貝。羅旬UI+2?T+++++++++*=O++++++++++松煉p。遂旬UI+OI++++++++++￥]=O++++++++++煨M*p。遂旬UI+OS?oz++++++++++*&。0++++++++*喂埋￥P.耆111+05++++++++++親。。++++++大*?合?PIH++++盡.羅旬UI+3++++*so寸。0KIO++++大舀抵添枳Wp豆旬UI2++++++^ZI>qO++++++++點(diǎn)m>w棵蛔裙親歡松H右落彩嫁槳金成姓狀嫁成姓€日(鼠醐)PH++++盡。羅旬UI+S?E++++++++++*=O++++++++++SWM盡.羅旬UI+ZO?1.0++++++++++大旬日T+++++++*z——寸◎好。耆UI+ZO++++++++++言UI2++++++*序M?好。8^8111+50?IO++++++++++WMUIOI++++++++++喂言MPH++++盡。羅旬UI+5.0++++++++++宜日o-++++++++++>H可P.耆UI+1?s。0++++++++MUIS.I+++++++2m>wp。羅旬UI+I?sO++++++++++言日0Z++++++*乒貿(mào)?四PH++++盡。耆日+寸?Z++++++++++*=0++++++++*添?匡PH++++盡.羅旬日+。寸?w++++++++++*wo++++++++*?wsP.耆UI+8。。?9o++++++++++*mu!oz++++++++大根*姓pamu!+。?。I++++++++++*&O++++++++H>#?mMUII?SO++++++++++M日0I++++++++舀歸?>(整理)兒科常用藥及常用搶救藥物的計(jì)算方法和劑量表撲爾敏片++++++++4mg/片++++++++++0o1+mg/kgo次雷尼替丁片++++++0o15/粒++++++++++3?5+mg/kg.d胃舒平片++++++++++++++++++++++++>5歲+1片++++Tid水合氯醛++++++++++++++++++++++++0o5^1+mg/kgo次小施爾康滴劑++++15ml/瓶++++++++++0o5~1ml++++Qd凱司立D++++++++0.1X12片鈣爾奇D++++++++600mgx30片迪巧片++++++++++300mgx60片樂力鈣++++++++++275mg立安片++++++++++0o1/片++++++++++<10歲+5mg/kg.d++Qd立安口服液++++++100:1/瓶++++++++>10歲+100mg/^++Bid常用搶救藥物的計(jì)算方法和劑量表硝酸甘油50mg+NS40ml0.6ml/h(10ug/min)硝普鈉50mg+NS50ml0.6ml/h(10ug/min)多巴胺200mg+NS30ml4ml/h(5ug/kg/min)多巴酚丁胺200mg+NS30ml4ml/h(5ug/kg/min)去甲腎上腺素50mg+NS25mL1o5ml/h(0o5ug/kg/min)胰島素50u+NS50ml5ml/h(0.1u/kg/hkg=50)阿端（哌庫漠銨）0.08mg—0o1mg/kg4mg—5mg腎功能不全不超過0o04mg/kg2mg仙林（維庫漠銨）70-100ug/kg3o5—5mg/h(kg=50)咪唑安定15mg+NS15ml2ml/h(2mg/h)施他寧3mg+NS50ml4o1ml/h(250ug/h)嗎啡10mg+NS9ml可達(dá)龍（胺碘酮）百劑150mg+NS20ml維持300mg+NS44ml小于等于6ml(35mg/h)異丙酚百劑40mg維持40mg/h尼莫同起始2小時(shí)1mg/h（〉70kg)或0。5mg/h(<50kg)可耐受者2小時(shí)后2mg/h氨茶堿起始250mg+NS40ml(30min內(nèi))維持500mg+NS50ml(5ml/h)利尿合劑5%葡萄糖250ml+多巴胺20mg+立其丁5—10mg+速尿80mg仙林（維庫漠銨）百劑0。08——0。1mg/kg補(bǔ)充0.03-—-0.05mg/kg地高辛百劑1-1.5mg/d維持量0.25—0。5mg/d多巴1酚丁胺20—40mg+100mlGS(40-—-120mg/d)2.5—10ug/kg/min利多卡因首劑50mgiv無效100mg/5—10min(<=500—800mg)維持400mg+GS500ml(<=1000—1500mg/d)胺碘酮首劑5-10mg/kgiv維持300mgivgtt<=30min去甲腎上腺素首劑2mg/次8-12ug/min維持2———4ug/min阿拉明0.015—0.1g+NS500ml(0.2---0。4mg/min)常用藥物輸注計(jì)算藥名微泵藥物濃度配制藥名微泵藥物濃度配制用劑量（mg/50ml）多巴胺體重（kg）x3min）520pg/（kg?min）硝普鈉體重（kg）x35——8pg/（kg？min）硝酸甘油體重（kg）x0。3min）1——5pg/（kg？min）最大劑量10^g/（kg?min）多巴酚丁胺體重（kg）x3min）520pg/（kg？min）腎上腺素體重（kg）x0。0301—0.2pg/（kg?min）（整理）兒科常用藥及常用搶救藥物的計(jì)算方法和劑量表數(shù)字顯示輸入劑量常（ml/h）11。0此/（kg？11.0pg/（kg?min）0。0。1pg/（kg？11。0pg/（kg？10。01pg/（kg?min）0。多巴胺:（公斤體重x3）mg稀釋至50ml如泵速為1ml/h，泵入量為1pg/kg?min，常用劑量1一20pg/kg。min；起始劑量5pg/kg。min；多巴酚丁胺：配法同多巴胺，常用劑量1一20pg/kg.min，起始劑量1pg/kg.min；硝普鈉：5%GS50ml+硝普鈉50mg,即1mg/ml（1000曲/ml），常用劑量10一200pg/min或0。1—2pg/kg？min,起始劑量5—10pg/min（0.3-0.6ml/h）。硝酸甘油：（公斤體重x0.3）mg稀釋至50ml如泵速為1ml/h,泵入量為0。1^g/kg？min或：NS44ml+硝酸甘油30mg,即0。6mg/ml（600pg/ml），常用劑量10—200pg/min或0.1—2pg/kg?min，起始劑量5—10pg/min（0。5—1ml/h）。（整理）兒科常用藥及常用搶救藥物的計(jì)算方法和劑量表去甲腎上腺素：（公斤體重x0o3）mg稀釋至50ml如泵速為1ml/h,泵入量為0.1pg/kg。min常用劑量0.1—2pg/kg?min，起始劑量0。1pg/kg?min（應(yīng)經(jīng)中心靜脈使用去甲腎上腺素）腎上腺素:配法同去甲腎上腺素，起始劑量為O.lpg/kg.min，常用劑量為0.1—Ipg/kg.min（盡可能經(jīng)中心靜脈用藥）嚴(yán)重低血壓及過敏性休克0.3—0.5mgih或iv異丙腎上腺素：（公斤體重x0。03）mg稀釋至50ml如泵速為1ml/h，泵入量為0.01^g/kg?min起始劑量0。01^g/kg.min,以目標(biāo)心率為終點(diǎn).胺碘酮：胺碘酮450mg用5%葡萄糖稀釋到45ml，即10mg/ml，150mgivbolus（10分鐘），60mg/hx6h,30mg/hx18h,20mg/h維持3天，24小時(shí)總量不超過1.2g心律平：規(guī)格70mg/20ml70mg用5%葡萄糖液稀釋到50ml,ivbolus（10分鐘），密切觀察心率及心律，室速或室上速轉(zhuǎn)復(fù)后立即停止注射。必要時(shí)20分鐘后可重復(fù)，總量不超過210mg。肝素:肝素1支（12500U）加NS至12。5ml，配制成1000U/ml，肝素化時(shí):75U/kgivbolus，繼以18U/kg?h靜脈泵入，調(diào)整劑量使aPTT-R維持在1.5—2.5。嗎啡：配制成1mg/ml（20mg/20ml，或50mg/50ml），5mgivbolus，繼以3mg/h泵入，（1mg/kgo常用靜脈泵入藥物的配制及應(yīng)用方法（供參考）立其丁：NS45ml+立其丁50mg配制成1mg/ml（1000曲/ml）,常用劑量300—500此/min，起始劑量為100^g/min靜脈泵入。利多卡因：抽取原液5支（200mg/10ml/支）即20mg/ml,首劑1。5mg/kgivbolus，無效可每隔8分鐘重復(fù)0o5mg/kg直到總量達(dá)3mg/kg，復(fù)律成功后2—4mg/min維持。垂體后葉素：NS30ml+垂體后葉素60U，即2U/ml,消化道出血常用劑量0.2—0.4U/min；咯血常用劑量0o1U/min;