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A++ 응급약물 14가지 및 간호중재

"A++ 응급약물 14가지 및 간호중재"에 대한 내용입니다.
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한컴오피스
최초등록일 2023.04.30 최종저작일 2022.12
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A++ 응급약물 14가지 및 간호중재
  • 미리보기

    소개

    "A++ 응급약물 14가지 및 간호중재"에 대한 내용입니다.

    목차

    1. 약물명
    2. 작용기전/효과
    3. 적응증
    4. 투여량
    5. 부작용
    6. 주의사항/ 간호중재

    본문내용

    1) epinephrine
    -말초혈관을 수축시킴으로서 말초혈관의 위축을 방지하여 관상동맥 및 뇌혈류량 증가
    -기관지평활근에 직접 작용하여 강력한 기관지 확장으로 TV증가
    -제세동에 반응하지 않는 pulseless VT또는 VF, 무수축,무맥성 전기활동등 모든 심정지 환자에게 투여되며, 기관지 경련시와 녹내장에도 사용
    *VF,pulseless VT
    -epinephrine 1mg 3~5분마다(또는 가슴압박 두 번교대(4분)시)
    *asystole
    -epinephrine 1mg 3~5분마다
    *기관내 투여 가능 : 2-2.5mg을 20mL NS에 희석하여 투여
    -정맥밖으로 샐 경우 조직의 괴사를 초래
    -심근의 허혈을 초래, 심실 부정맥을 유발
    *주입 후 10-20초동안 팔을 상승시킴
    -정맥주사 할 때는 가능하면 중심정맥으로 투여(국소에 반복 주사할 경우 혈관수축작용으로 주사부위에 괴사 나타날 수 있음)
    -Alkaline solution/drug (Bicarbonate)와 혼합하여 주입하지 않음

    참고자료

    · 없음
  • 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 potent alpha- and beta-adrenergic agonist, leading to increased heart rate, blood pressure, 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 myocardial contractility and peripheral vascular resistance. While epinephrine can have side effects such as tachycardia and hypertension, its benefits often outweigh the risks in emergency situations. Proper dosing and administration are crucial to ensure the safe and effective use of this medication.
    • 2. vasopressin
      Vasopressin, also known as antidiuretic hormone (ADH), is an important medication in the management of various medical conditions. It plays a crucial role in the regulation of fluid balance and blood pressure. In the context of emergency medicine, vasopressin has been used as an alternative to epinephrine in the treatment of cardiac arrest, as it can help maintain blood pressure and improve the chances of return of spontaneous circulation. Vasopressin may also be used to treat conditions such as diabetes insipidus, where it helps to regulate water balance in the body. However, the use of vasopressin in emergency situations is still being studied, and its efficacy compared to other vasopressors like epinephrine is an area of ongoing research. Careful consideration of the patient's clinical status and the potential risks and benefits of vasopressin administration is necessary for its appropriate use.
    • 3. amiodarone
      Amiodarone is a complex and versatile antiarrhythmic medication used in the management of various cardiac arrhythmias. It is particularly effective in the treatment of life-threatening ventricular arrhythmias, such as ventricular tachycardia and ventricular fibrillation. Amiodarone works by modulating the electrical activity of the heart, prolonging the refractory period, and slowing conduction. Its broad spectrum of action makes it useful in the treatment of both supraventricular and ventricular arrhythmias. However, amiodarone is also known for its potential for significant side effects, including thyroid dysfunction, pulmonary toxicity, and liver toxicity. Careful monitoring and dose adjustment are essential when using amiodarone, especially in the long-term management of chronic arrhythmias. The decision to use amiodarone should be based on a thorough evaluation of the patient's clinical condition, the potential benefits, and the risks associated with its use.
    • 4. lidocaine
      Lidocaine is a widely used local anesthetic and antiarrhythmic agent in emergency medicine and other clinical settings. As a local anesthetic, lidocaine is effective in providing pain relief and numbing the affected area, making it a valuable tool for various procedures, such as suturing wounds, performing regional nerve blocks, and administering other treatments. In the context of cardiac emergencies, lidocaine is used as an antiarrhythmic agent, particularly for the management of ventricular arrhythmias. It works by stabilizing the cell membrane, reducing the excitability of cardiac tissue, and suppressing the formation and propagation of abnormal electrical impulses. Lidocaine is generally well-tolerated, but it can have side effects, such as central nervous system toxicity and cardiovascular effects, especially with higher doses or rapid administration. Careful dosing and monitoring are essential to ensure the safe and effective use of lidocaine in both local anesthetic and antiarrhythmic applications.
    • 5. sodium bicarbonate
      Sodium bicarbonate is a versatile medication used in various medical situations, particularly in emergency and critical care settings. Its primary function is to help correct metabolic acidosis, a condition characterized by an imbalance in the body's pH levels. In the context of cardiac arrest, sodium bicarbonate is used to help restore the body's pH balance and improve the effectiveness of other resuscitative measures, such as chest compressions and defibrillation. Sodium bicarbonate can also be used to treat certain types of poisoning, such as those involving acids or certain drugs. However, the use of sodium bicarbonate in cardiac arrest is controversial, as its benefits have been debated, and it may have potential adverse effects, such as electrolyte imbalances and impaired cardiac function. Careful consideration of the patient's clinical status and the potential risks and benefits of sodium bicarbonate administration is necessary for its appropriate use.
    • 6. calcium gluconate
      Calcium gluconate is an important medication used in emergency and critical care settings for the treatment of various medical conditions. Its primary function is to provide a source of calcium, which is essential for the proper functioning of the cardiovascular, neuromuscular, and other physiological systems. In the context of emergency medicine, calcium gluconate is commonly used to treat hypocalcemia, which can occur in conditions such as severe burns, pancreatitis, and certain drug overdoses. Calcium gluconate can also be used to treat hyperkalemia, a potentially life-threatening condition characterized by high potassium levels in the blood. Additionally, calcium gluconate may be used in the management of certain cardiac arrhythmias and to counteract the effects of certain toxins or medications. While generally well-tolerated, calcium gluconate administration requires careful monitoring and dosing to avoid potential side effects, such as hypercalcemia or cardiac complications. The decision to use calcium gluconate should be based on a thorough evaluation of the patient's clinical condition and the potential benefits and risks of the treatment.
    • 7. atropine
      Atropine is a medication with a wide range of applications in emergency and critical care settings. Its primary mechanism of action is as an anticholinergic agent, which means it blocks the effects of the neurotransmitter acetylcholine. In the context of emergency medicine, atropine is commonly used to treat bradycardia, a condition characterized by a slow heart rate. By blocking the parasympathetic nervous system, atropine can help increase heart rate and improve cardiac output. Atropine may also be used to counteract the effects of certain types of poisoning, such as those involving cholinergic agents or organophosphate insecticides. Additionally, atropine can be used to facilitate certain medical procedures, such as intubation, by reducing secretions and minimizing the gag reflex. While generally well-tolerated, atropine can have side effects, such as dry mouth, blurred vision, and urinary retention. Careful consideration of the patient's clinical status and the potential risks and benefits of atropine administration is necessary for its appropriate use.
    • 8. dopamine
      Dopamine is a catecholamine medication with a wide range of applications in emergency and critical care settings. It is primarily used as a vasopressor, which means it helps to increase blood pressure and improve organ perfusion. In the context of shock states, such as septic shock or cardiogenic shock, dopamine can be used to support cardiovascular function and maintain adequate tissue perfusion. Dopamine also has effects on the renal system, and it may be used to help maintain or improve renal function in certain clinical situations. Additionally, dopamine can be used to treat bradycardia and to support cardiac output in patients with heart failure. However, the use of dopamine is not without risks, as it can have significant side effects, such as tachycardia, arrhythmias, and vasoconstriction. Careful titration and monitoring are essential when using dopamine to ensure the appropriate balance between its benefits and potential risks.
    • 9. dobutamine
      Dobutamine is a synthetic catecholamine medication used primarily in emergency and critical care settings to support cardiovascular function. Unlike dopamine, which has both alpha- and beta-adrenergic effects, dobutamine is a selective beta-1 agonist, meaning it primarily stimulates the beta-1 receptors in the heart. This results in increased myocardial contractility, heart rate, and cardiac output, without the significant vasoconstriction associated with dopamine. In the context of cardiogenic shock or heart failure, dobutamine can be used to improve cardiac performance and tissue perfusion. It may also be used to support cardiac function in the setting of septic shock or other conditions where the heart is unable to maintain adequate cardiac output. While generally well-tolerated, dobutamine can have side effects, such as tachycardia, arrhythmias, and hypotension, particularly with higher doses. Careful titration and monitoring are essential when using dobutamine to ensure the appropriate balance between its benefits and potential risks.
    • 10. adenosine
      Adenosine is a unique medication used in emergency and critical care settings for the treatment of certain types of supraventricular tachycardia (SVT). It works by temporarily slowing down the electrical conduction through the atrioventricular (AV) node, which can help terminate the abnormal heart rhythm. Adenosine is particularly effective in the treatment of paroxysmal SVT, a condition characterized by sudden-onset, rapid heart rates. By interrupting the reentrant circuit responsible for the tachycardia, adenosine can help restore normal sinus rhythm. Adenosine is typically administered as a rapid intravenous bolus, and its effects are very short-lived, lasting only a few seconds. This makes it a valuable tool in the acute management of SVT, as it can quickly and effectively terminate the arrhythmia without the need for more prolonged or invasive interventions. While generally well-tolerated, adenosine can have side effects, such as flushing, chest discomfort, and transient atrioventricular block. Careful patient selection and monitoring are essential when using adenosine to ensure its safe and effective use.
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