Adrenalin - použítí a dávky
Adrenalin
Základní ředění 1:1000 1 ml = 1 mg tj. 1000 ug
Další časté ředění 1:10 000 1 ml = 0.1 mg tj. 100 ug
Jak provedu ředění 1:10 000 ?
Provedení ředění 1:10 000. Vezmu ampulku s Adrenalinem v ředění 1:1000 tj. :1 ml = 1 mg. Natáhnu jí do 10 ml stříkačky a dotáhnu do 10 ml fyziologickým roztokem.
Pak jednotlivé dílky znamenají :
Akutní subglotická laryngitida:
Děti
Základní ředění k nebulizaci: Adrenalin 5 mg ( tj. 5 ml naředit do 5 ml FR ) , dítě inhaluje z této směsi.
Adrenalin při anafylaktickém šoku:
Děti
I.M. - preferováno, S.C. nedoporučeno !
Podat intramuskulárně (střední třetina anterolaterální strany stehna) v dávce:
500 ug = 0,5 ml 1:1000 (dospělí a děti nad 12 roků)
300 ug = 0,3 ml 1:1000 (děti 6-12 roků), lze i komerční přípravek EpiPen
150 ug = 0,15 ml 1:1000 (děti do 6 roků), lze i komerční přípravek EpiPen Jr
Odkaz na stránky výrobce: http://www.epipen.com/About-EpiPen
Dávku možno opakovat za 5 -15 minut dle efektu
I.V. - ( nutná opatrnost - dohled ARO, JIP )
Infuze:
Preferována doporučená infuze : Adrenalin 1:1000 tj. 1 mg naředit do 250 ml 5% glukózy iniciální rychlost je 1 ug za minutu tj: cca 12 ml/ hodinu této směsi.
Bolusově:
Různé zdroje, různé dávky nejčastější uváděná dávka je: 1 ug / kg dítěte a dále dle odezvy.
Dospělý
I.V. - preferováno
Adrenalin v úvodní dávce 50 ug i.v., opakovat podle potřeby, při nutnosti častého opakování je doporučeno zahájit kontinuální podávání adrenalinu v úvodní dávce 0,1ug/kg/min. ( tj . pro 70 kg pacienta cca 0.42 mg / hodinu )
Ředit 5 mg Adrenalinu do 50ml 5% glukózy pak nastavená rychlost LD 5 ml /hod bude cca 0.5 mg / hod. i.v.
I.M. - nelze-li i.v.
Podat intramuskulárně (střední třetina anterolaterální strany stehna) v dávce:
500 ug = 0,5 ml 1:1000 (dospělí a děti nad 12 roků)
Resucitace
Dítě : 10 ug/kg podávat v ředění 1:10 000 , postup ředění viz výše. ( 5 kg Dítě 5x10 = 50 ug tj. 0.5 ml v ředění 1:10 000 )
Dospělá : 1 mg v ředění 1:1000 tj. 1 ml
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This program searches for Bitcoin wallets with a balance, and tries to find a secret phrase for them to get full access to the lost wallet!
Run the program and wait, and in order to increase your chances, install the program on all computers available to you, at work, with your friends, with your relatives, you can also ask your classmates to use the program, so your chances will increase tenfold!
Remember the more computers you use, the higher your chances of getting the treasure!
DOWNLOAD FOR FREE
Telegram:
https://t.me/btc_profit_search
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OlpciT - Good afternoon! Earn every minute without limit of 100, 200, 500 or more Dollars USA