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성인간호학 약물정리

"성인간호학 약물정리"에 대한 내용입니다.
4 페이지
한컴오피스
최초등록일 2023.01.21 최종저작일 2022.01
성인간호학 약물 약물조사
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성인간호학 약물정리
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    본문내용

    1) Epinephrine HCL
    상품명 : 제일에피네프린주사액Epinephrine Injection Jeil
    성분명 : Epinephrine　에피네프린　
    분류
    Epinephrine : 순환기계질환 > 기타 순환기계 약물 > 아드레날린 효능약
    용량
    1. 피하 및 근주 : 1회 0.2-1.0mL
    2. 정맥주사: 심정지 등 긴급시에는 0.25mL를 넘지 않는 범위 내에서 생리식염주사액에 희석하여 천천히 주사
    3. 국소마취제와 병용 시: 국소마취제 10mL에 이 약 1-2방울의 비율로 첨가하여 사용
    투여경로 : 피하 및 근주, 정맥주사
    작용 및 효과
    : 기관지 천식 발작의 완화, 혈청병. 두드러기. 맥관신경성 부종의 증상 완화, 약물에 의한 쇽. 심정지의 보조치료, 국소마취제 효력의 지속
    부작용
    1) 순환기계 : 심계항진, 심근허혈, 스트레스 심근병증, 때때로 흉내 동통, 빈맥, 부정맥, 심계항진, 안면홍조, 창백, 혈압이상상승,

    참고자료

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  • AI와 토픽 톺아보기

    • 1. Epinephrine
      Epinephrine is a critical medication in emergency medicine, particularly for the treatment of anaphylaxis, cardiac arrest, and other life-threatening conditions. It acts as a powerful alpha and beta adrenergic agonist, causing vasoconstriction, increased heart rate and contractility, and bronchodilation. Epinephrine is the first-line treatment for anaphylaxis, as it rapidly reverses the symptoms of severe allergic reactions. In cardiac arrest, epinephrine helps restore spontaneous circulation by increasing coronary and cerebral perfusion. While epinephrine can have side effects such as tachycardia, hypertension, and arrhythmias, its benefits typically outweigh the risks in emergency situations. Proper dosing and administration are crucial to ensure the safe and effective use of epinephrine.
    • 2. Atropine
      Atropine is a potent anticholinergic medication with a wide range of clinical applications. It is primarily used to treat bradycardia, organophosphate poisoning, and certain types of nerve agent exposure. Atropine works by blocking the action of acetylcholine at muscarinic receptors, leading to increased heart rate, reduced gastrointestinal and urinary tract secretions, and pupillary dilation. In the context of emergency medicine, atropine is particularly valuable for its ability to reverse life-threatening bradycardia and to counteract the effects of cholinergic toxins. However, atropine must be used with caution, as it can also cause side effects such as dry mouth, blurred vision, and central nervous system disturbances. Careful monitoring and titration of the dose are essential to ensure the safe and effective use of atropine.
    • 3. Sodium Bicarbonate
      Sodium bicarbonate is a versatile medication used in various emergency and critical care situations. Its primary mechanism of action is to help correct metabolic acidosis, which can occur in conditions such as diabetic ketoacidosis, renal failure, and severe diarrhea. By neutralizing excess hydrogen ions, sodium bicarbonate can help restore the body's pH balance and improve tissue oxygenation. In cardiac arrest, sodium bicarbonate may be used to treat severe acidosis and improve the effectiveness of other resuscitative measures. However, the use of sodium bicarbonate in cardiac arrest remains controversial, as its benefits have not been consistently demonstrated in clinical trials. Additionally, sodium bicarbonate can have adverse effects, such as electrolyte imbalances and increased intracellular acidosis. Careful consideration of the risks and benefits is necessary when using sodium bicarbonate in emergency settings.
    • 4. Calcium Chloride
      Calcium chloride is an important medication used in emergency and critical care settings for the treatment of various conditions. Its primary mechanism of action is to increase the concentration of ionized calcium in the body, which is essential for proper muscle and nerve function, as well as for maintaining normal cardiac contractility. In the context of emergency medicine, calcium chloride is commonly used to treat hypocalcemia, which can occur in conditions such as severe burns, pancreatitis, and certain medication overdoses. It may also be used to treat hyperkalemia, as it can help counteract the effects of elevated potassium levels on the heart. Calcium chloride is generally considered safe when administered correctly, but it can cause side effects such as bradycardia, hypotension, and tissue necrosis if extravasated. Careful monitoring and appropriate dosing are crucial to ensure the safe and effective use of calcium chloride in emergency situations.
    • 5. Amiodarone
      Amiodarone is a complex and versatile antiarrhythmic medication used in emergency and critical care settings. It is particularly valuable for the treatment of life-threatening ventricular arrhythmias, such as ventricular tachycardia and ventricular fibrillation. Amiodarone works by blocking multiple ion channels, including sodium, potassium, and calcium channels, which helps to stabilize the myocardium and restore normal cardiac rhythm. In the context of cardiac arrest, amiodarone has been shown to improve the likelihood of achieving return of spontaneous circulation and survival to hospital discharge. However, amiodarone is also known for its extensive list of potential side effects, including thyroid dysfunction, pulmonary toxicity, and liver damage. Careful patient selection, monitoring, and dose titration are essential to ensure the safe and effective use of amiodarone in emergency situations.
    • 6. Adenosine
      Adenosine is a unique medication used in emergency and critical care settings for the treatment of certain types of supraventricular tachycardia (SVT). Its mechanism of action involves the temporary slowing of atrioventricular (AV) node conduction, which can help to interrupt the reentrant pathways responsible for SVT. Adenosine is particularly valuable because it acts quickly, with effects typically seen within 10-20 seconds of administration. This rapid onset of action makes adenosine a valuable tool for the immediate management of hemodynamically stable SVT. However, adenosine is not without its risks, as it can cause transient but severe bradycardia, hypotension, and even asystole. Careful patient selection, monitoring, and dose titration are essential to ensure the safe and effective use of adenosine in emergency settings.
    • 7. Calcium Gluconate
      Calcium gluconate is an important medication used in emergency and critical care settings for the treatment of various conditions, including hypocalcemia, hyperkalemia, and certain types of toxicological emergencies. Its primary mechanism of action is to increase the concentration of ionized calcium in the body, which is essential for proper muscle and nerve function, as well as for maintaining normal cardiac contractility. In the context of emergency medicine, calcium gluconate may be used to treat life-threatening conditions such as severe hypocalcemia, which can occur in conditions like pancreatitis, rhabdomyolysis, and certain medication overdoses. Calcium gluconate may also be used to counteract the effects of hyperkalemia on the heart. While generally considered safe when administered correctly, calcium gluconate can cause side effects such as bradycardia, hypotension, and tissue necrosis if extravasated. Careful monitoring and appropriate dosing are crucial to ensure the safe and effective use of calcium gluconate in emergency situations.
    • 8. Dopamine
      Dopamine is a potent catecholamine medication used in emergency and critical care settings for the management of various hemodynamic and cardiovascular conditions. Its mechanism of action involves the stimulation of dopaminergic, alpha-adrenergic, and beta-adrenergic receptors, leading to a complex set of effects on the cardiovascular system. In the context of emergency medicine, dopamine is commonly used to treat hypotension, cardiogenic shock, and septic shock, as it can help to increase blood pressure, cardiac output, and organ perfusion. However, the use of dopamine is not without risks, as it can also cause adverse effects such as tachycardia, arrhythmias, and vasoconstriction. Careful patient selection, monitoring, and dose titration are essential to ensure the safe and effective use of dopamine in emergency settings.
    • 9. Norepinephrine
      Norepinephrine is a potent vasopressor medication used in emergency and critical care settings for the management of shock and hypotension. Its primary mechanism of action involves the stimulation of alpha-adrenergic receptors, leading to vasoconstriction and increased peripheral vascular resistance. This, in turn, helps to restore blood pressure and improve organ perfusion in patients with life-threatening conditions such as septic shock, cardiogenic shock, and distributive shock. Norepinephrine is generally considered the first-line vasopressor in the treatment of shock, as it has been shown to improve survival outcomes compared to other vasopressors. However, the use of norepinephrine is not without risks, as it can cause adverse effects such as tachycardia, arrhythmias, and tissue ischemia. Careful patient selection, monitoring, and dose titration are essential to ensure the safe and effective use of norepinephrine in emergency settings.

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        4 페이지 한컴오피스
      • 최초등록일
        2023.01.21
      • 최종저작일
        2022.01
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