注意事項、藥物
2023-04-16
健保給付NCHF：
- O2至少要使用MASK 10L/min以上
- P/F(PF ratio)(氧合指數)=GAS pO2/現FiO2≤300mmHg (eq. MASK 10L=FiO2:60，pO2:142.2，142.2/0.6=237)
- RR>25bpm(紀錄需呈現)、pCO2<45mmHg
- ***ARDS P/F 約150-200mmHg 可接受
Weaning profile
- RR<30
- MV<10
- PI<-30
- PE>40
- RSBI<105(RR/tidal volume(L)(/1000))
- 若病人有打顯影劑(+C)，Ankomin需Hold兩天！
- 藥物劑量：{(總藥物mg*1000)/病人BW*總溶液volume*60}*現滴速=___mcg/kg/min
- PRECEDEX dose＝BW/20-BW*1.75/10
Pipe&Tazo
- Pipe&Tazo 🚫 Dormicum
- Pipe&Tazo ✔️ Fentanyl
- Pipe&Tazo ✔️ Levophed
- Pipe&Tazo
❓ Propofol
Fentanyl
- Fentanyl ✔️ Pipe&Tazo
- Fentanyl ✔️ Levophed
- Fentanyl ✔️ Dormicum
Dormicum
- Dormicum ✔️ Levophed
- Dormicum 🚫 Pipe&Tazo
- Dormicum ✔️ Pipe&Tazo
Amiodarone
- Amiodarone ✔️ Nimbex
- Amiodarone ⚠️ Fentanyl
- Amiodarone ✔️ Dormicum
- Amiodarone ⚠️ Levophed
- Amiodarone 🚫 Pipe&Tazo
- Amiodarone ❓ Propofol
Nimbex
- Nimbex ✔️ Fentanyl
- Nimbex ✔️ Dormicum
- Nimbex ✔️ Levophed
- Nimbex ⚠️ Pipe&Tazo
- Nimbex 🚫 Propofol
Propofol
- Propofol ❓ Pipe&Tazo
- Propofol
✔️ Fentanyl
- Propofol ⚠️ Dormicum
- Propofol ✔️ Levophed