18类急诊科常用药品及用法用量（Use of drugs and usage in emergency department）.doc

18类急诊科常用药品及用法用量（Use of drugs and usage in emergency department） Use of drugs and usage in emergency department One, the central nervous stimulant Nikethamide (klamine) [pharmacology and application] direct excitation of the medullary respiration center, which can accelerate the respiration. There is also a slight excitation to the vascular motor center. It is used for the poisoning of central respiratory inhibition and circulatory failure, anesthetics and other central inhibitory drugs. Usage: muscle injection or static injection, 0.25 ~ 0.5 g/time, repeated for 1 ~ 2 hours if necessary. Extreme amount: 1.25 g/time. [note] large doses can raise blood pressure, heart palpitations, sweating, vomiting, arrhythmias, tremors and convulsions. Mountain terrier (lobelin) [pharmacology and application] excitatory carotid body chemoreceptor and reflex excitatory respiration center. For neonatal asphyxia, inhalation of anesthetics and other central inhibitory drugs, carbon monoxide poisoning and respiratory failure caused by pneumonia. Use: muscle or static injection, 3mg/time. Repeat for half an hour if necessary. The extreme amount is 20mg/day. [attention] adverse reactions include nausea, vomiting, diarrhea, headache and dizziness; Large doses can cause tachycardia, respiratory depression, blood pressure drop, and even convulsions. 2. Anti-shock vasoactive drugs dopamine [pharmacology and application] excited alpha and beta receptors directly, also excited dopamine receptor, effect of different receptors related to dose: small doses (2 ~ 5 mu g/kg? Min) slow drip, excited dopamine receptor, the kidney, mesenteric, coronary artery and cerebrovascular expansion, increase blood flow and urine output. Simultaneously excited the beta 1 receptor of the heart, also by releasing norepinephrine to produce the normal sexual muscle function of the medium procedure; In moderate doses (5 ~ 10 mu g/kg? Min), it can obviously excite the beta 1 receptor and excite the heart and strengthen