{"id":10088,"date":"2015-12-24T13:33:47","date_gmt":"2015-12-24T06:33:47","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/propofol-thuoc-me-theo-duong-tinh-mach\/"},"modified":"2024-03-17T02:16:50","modified_gmt":"2024-03-16T19:16:50","slug":"propofol-thuoc-me-theo-duong-tinh-mach","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/propofol-thuoc-me-theo-duong-tinh-mach\/","title":{"rendered":"Propofol &#8211; Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch"},"content":{"rendered":"<p>    T\u00e1c d\u1ee5ng r\u1ea5t nhanh sau ti\u00eam (30 &#8211; 40 gi\u00e2y), th\u1eddi gian m\u00ea r\u1ea5t ng\u1eafn (5 &#8211; 10 ph\u00fat), thu\u1ed1c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au nh\u01b0ng gi\u1ea3m ti\u00eau th\u1ee5 oxy \u1edf n\u00e3o, gi\u1ea3m \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c giao c\u1ea3m.   <\/p>\n<h2 id=\"ten-chung-quoc-te-propofol\">    T\u00ean chung qu\u1ed1c t\u1ebf Propofol   <\/h2>\n<p>    Propofol   <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-propofol\">    <strong>     D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Propofol    <\/strong>   <\/h2>\n<p>    L\u00e0 nh\u0169 d\u1ecbch, pH 7 &#8211; 8,5, ch\u1ee9a d\u1ea7u \u0111\u1eadu t\u01b0\u01a1ng, glycerol, lecithin.   <\/p>\n<p>    \u1ed1ng ti\u00eam ho\u1eb7c l\u1ecd: 10 ml, 20 ml, 50 ml, 100 ml (10 mg\/ml).   <\/p>\n<p style=\"text-align: center;\">    <a src=\"\/Documents\/1398_propofol---thuoc-me-theo-duong-tinh-mach.jpg\" target=\"_blank\" rel=\"noopener\">     <img decoding=\"async\" alt=\"propofol\" src=\"\/\/yhoccongdong.org\/Documents\/1398_propofol---thuoc-me-theo-duong-tinh-mach.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/a>   <\/p>\n<p style=\"text-align: center;\">    <em>     H\u00ecnh    <\/em>   <\/p>\n<h2 id=\"chi-dinh-propofol\">    <strong>     Ch\u1ec9 \u0111\u1ecbnh Propofol    <\/strong>   <\/h2>\n<p>    Ph\u1ea3i c\u00f3 s\u1eb5n ph\u01b0\u01a1ng ti\u1ec7n h\u00f4 h\u1ea5p v\u00e0 truy\u1ec1n d\u1ecbch.   <\/p>\n<p>    Kh\u1edfi m\u00ea v\u00e0\/ho\u1eb7c duy tr\u00ec m\u00ea trong c\u00e1c th\u1ee7 thu\u1eadt ngo\u1ea1i khoa ng\u1eafn (n\u1ea1o thai, c\u1eaft amidan&#8230;); g\u00e2y m\u00ea cho b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa; g\u00e2y m\u00ea t\u0129nh m\u1ea1ch to\u00e0n b\u1ed9 li\u00ean t\u1ee5c (c\u00f3 th\u00eam thu\u1ed1c gi\u1ea3m \u0111au); an th\u1ea7n trong h\u1ed3i s\u1ee9c.   <\/p>\n<h2 id=\"chong-chi-dinh-propofol\">    <strong>     Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Propofol    <\/strong>   <\/h2>\n<p>    Khi kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ti\u1ec7n ch\u1ed1ng suy h\u00f4 h\u1ea5p. Qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c; ti\u1ec1n s\u1eed \u0111\u1ed9ng kinh; suy tim n\u1eb7ng; suy h\u00f4 h\u1ea5p n\u1eb7ng; suy gan n\u1eb7ng; ph\u1ee5 n\u1eef c\u00f3 thai.   <\/p>\n<h2 id=\"than-trong-propofol\">    <strong>     Th\u1eadn tr\u1ecdng Propofol    <\/strong>   <\/h2>\n<p>    Ng\u01b0\u1eddi cao tu\u1ed5i; tr\u1ebb em d\u01b0\u1edbi 3 tu\u1ed5i; suy ki\u1ec7t; suy gan; suy h\u00f4 h\u1ea5p, suy tu\u1ea7n ho\u00e0n; t\u00edch lu\u1ef9 thu\u1ed1c n\u00ean ch\u1eadm t\u1ec9nh; b\u1ec7nh \u0111\u1ed9ng kinh.   <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-propofol\">    <strong>     Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Propofol    <\/strong>   <\/h2>\n<p>    <em>     Kh\u00f4ng \u0111\u01b0\u1ee3c pha tr\u1ed9n thu\u1ed1c v\u1edbi b\u1ea5t k\u1ef3 thu\u1ed1c n\u00e0o.    <\/em>    <br \/>    Nh\u0169 d\u1ecbch 1% \u0111\u1ec3 ti\u00eam ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch, 2% \u0111\u1ec3 truy\u1ec1n t\u0129nh m\u1ea1ch.   <\/p>\n<p>    Dung d\u1ecbch 1%:   <\/p>\n<p>    <em>     Kh\u1edfi m\u00ea:    <\/em>    Ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c truy\u1ec1n 1,5 &#8211; 2,5 mg\/kg (li\u1ec1u th\u1ea5p h\u01a1n n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh tr\u00ean 55 tu\u1ed5i) t\u1ed1c \u0111\u1ed9 c\u1ee9 10 gi\u00e2y l\u1ea1i ti\u00eam 20 &#8211; 40 mg. Tr\u1ebb em tr\u00ean 1 th\u00e1ng tu\u1ed5i: ti\u00eam ch\u1eadm cho \u0111\u1ebfn khi \u0111\u00e1p \u1ee9ng (li\u1ec1u th\u00f4ng th\u01b0\u1eddng cho tr\u1ebb tr\u00ean 8 tu\u1ed5i l\u00e0 2,5 mg\/kg, c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i nhi\u1ec1u h\u01a1n \u0111\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf tu\u1ed5i h\u01a1n, th\u00ed d\u1ee5 2,5 &#8211; 4 mg\/kg).   <\/p>\n<p>    <em>     Duy tr\u00ec m\u00ea:    <\/em>    Ti\u00eam t\u0129nh m\u1ea1ch 25 &#8211; 50 mg, ti\u00eam l\u1eb7p l\u1ea1i tu\u1ef3 theo \u0111\u00e1p \u1ee9ng ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch 4 &#8211; 12 mg\/kg\/gi\u1edd. Tr\u1ebb em tr\u00ean 3 tu\u1ed5i, ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch 9 &#8211; 15 mg\/ kg\/gi\u1edd.   <\/p>\n<p>    <em>     An th\u1ea7n g\u00e2y ng\u1ee7 d\u00f9ng trong ch\u0103m s\u00f3c t\u0103ng c\u01b0\u1eddng:    <\/em>    Ng\u01b0\u1eddi l\u1edbn tr\u00ean 17 tu\u1ed5i: 0,3 &#8211; 4 mg\/kg\/gi\u1edd ti\u00eam truy\u1ec1n.   <\/p>\n<p>    <em>     An th\u1ea7n g\u00e2y ng\u1ee7 \u0111\u1ec3 l\u00e0m c\u00e1c th\u1ee7 t\u1ee5c ch\u1ea9n \u0111o\u00e1n ho\u1eb7c ngo\u1ea1i khoa:    <\/em>    B\u1eaft \u0111\u1ea7u b\u1eb1ng ti\u00eam t\u0129nh m\u1ea1ch trong v\u00f2ng 1- 5 ph\u00fat 0,5 &#8211; 1 mg\/kg; duy tr\u00ec b\u1eb1ng ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch 1,5 &#8211; 4,5 mg\/kg\/gi\u1edd (n\u1ebfu c\u1ea7n ng\u1ee7 nhanh c\u00f3 th\u1ec3 ti\u00eam t\u0129nh m\u1ea1ch th\u00eam 10 &#8211; 20 mg). C\u1ea7n gi\u1ea3m li\u1ec1u \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi tr\u00ean 55 tu\u1ed5i. Tr\u1ebb em d\u01b0\u1edbi 17 tu\u1ed5i kh\u00f4ng khuy\u1ebfn c\u00e1o.   <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-propofol\">    <strong>     T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Propofol    <\/strong>   <\/h2>\n<p>    Gi\u1ea3m huy\u1ebft \u00e1p nhi\u1ec1u; tr\u1ee5y m\u1ea1ch (ph\u1ea3i gi\u1ea3m li\u1ec1u d\u00f9ng xu\u1ed1ng 20% &#8211; 40%); gi\u1ea3m h\u00f4 h\u1ea5p: g\u00e2y ng\u1eebng th\u1edf ng\u1eafn; \u0111au; vi\u00eam t\u0129nh m\u1ea1ch (n\u00ean ti\u00eam t\u0129nh m\u1ea1ch l\u1edbn ho\u1eb7c xylocain 10 &#8211; 20 mg tr\u01b0\u1edbc); ng\u1ee9a do d\u1ecb \u1ee9ng; d\u00f9ng an th\u1ea7n t\u1ea1i h\u1ed3i s\u1ee9c k\u00e9o d\u00e0i g\u00e2y t\u0103ng lipid m\u00e1u v\u00e0 toan m\u00e1u; ti\u00eau c\u01a1; co gi\u1eadt.   <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-propofol\">    <strong>     Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Propofol    <\/strong>   <\/h2>\n<p>    \u1ee8c ch\u1ebf h\u00f4 h\u1ea5p, gi\u1ea3m huy\u1ebft \u00e1p m\u1ea1nh: h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, truy\u1ec1n d\u1ecbch, thu\u1ed1c v\u1eadn m\u1ea1ch.   <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-propofol\">    <strong>     \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Propofol    <\/strong>   <\/h2>\n<p>    B\u1ea3o qu\u1ea3n \u1edf nhi\u1ec7t \u0111\u1ed9 4 &#8211; 22    <sup>     o    <\/sup>    C. Tr\u00e1nh \u00e1nh s\u00e1ng. L\u1eafc k\u1ef9 tr\u01b0\u1edbc khi d\u00f9ng. Kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u00e3 m\u1edf qu\u00e1 24 gi\u1edd.   <\/p>\n<\/p>\n<p>    <strong>     Tham kh\u1ea3o    <\/strong>   <\/p>\n<p>    http:\/\/nidqc.org.vn\/duocthu\/49\/   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Propofol &#8211; Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/p>\n","protected":false},"author":143,"featured_media":10089,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5405,5480,5517,5404,5317],"tags":[],"series":[],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Propofol - Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Propofol - Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/propofol-thuoc-me-theo-duong-tinh-mach\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Propofol - 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