{"id":10508,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/thiopental-thuoc-me-theo-duong-tinh-mach\/"},"modified":"2024-03-17T02:38:50","modified_gmt":"2024-03-16T19:38:50","slug":"thiopental-thuoc-me-theo-duong-tinh-mach","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/thiopental-thuoc-me-theo-duong-tinh-mach\/","title":{"rendered":"Thiopental &#8211; Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch"},"content":{"rendered":"<p>    T\u00e1c d\u1ee5ng g\u00e2y m\u00ea ng\u1eafn, ch\u1ed1ng co gi\u1eadt, li\u1ec1u th\u1ea5p t\u00e1c d\u1ee5ng an th\u1ea7n, kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au. M\u00ea sau khi ti\u00eam 30 &#8211; 40 gi\u00e2y, t\u1ec9nh l\u1ea1i sau 30 ph\u00fat n\u1ebfu d\u00f9ng m\u1ed9t l\u1ea7n v\u1edbi li\u1ec1u nh\u1ecf.   <\/p>\n<h2 id=\"ten-chung-quoc-te-thiopental\">    T\u00ean chung qu\u1ed1c t\u1ebf Thiopental   <\/h2>\n<p>    Thiopental sodium   <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-thiopental\">    D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Thiopental   <\/h2>\n<p>    L\u1ecd 0,5 g, 1 g, 2,5 g d\u1ea1ng b\u1ed9t \u0111\u00f4ng kh\u00f4 m\u1ea7u tr\u1eafng ng\u00e0 k\u00e8m n\u01b0\u1edbc c\u1ea5t \u0111\u1ec3 pha ti\u00eam 20 &#8211; 40 ml. Khi d\u00f9ng th\u00ec pha th\u00e0nh dung d\u1ecbch 2,5 &#8211; 5,0%.   <\/p>\n<p style=\"text-align: center;\">    <a src=\"\/Documents\/1653_thiopental-thuoc-me-theo-duong-tinh-mach.jpg\" target=\"_blank\" rel=\"noopener\">     <img decoding=\"async\" alt=\"thiopental-thuoc-me-theo-duong-tinh-mach\" src=\"\/\/yhoccongdong.org\/Documents\/1653_thiopental-thuoc-me-theo-duong-tinh-mach.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/a>   <\/p>\n<p style=\"text-align: center;\">    H\u00ecnh\u00a0thiopental   <\/p>\n<h2 id=\"chi-dinh-thiopental\">    Ch\u1ec9 \u0111\u1ecbnh Thiopental   <\/h2>\n<p>    Ph\u1ea3i c\u00f3 s\u1eb5n ph\u01b0\u01a1ng ti\u1ec7n h\u1ed3i s\u1ee9c h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n.   <\/p>\n<p>    Kh\u1edfi m\u00ea c\u00e1c cu\u1ed9c m\u00ea d\u00e0i; g\u00e2y m\u00ea m\u1ed5 ng\u1eafn; ch\u1ed1ng co gi\u1eadt; ch\u1ed1ng ph\u00f9 n\u00e3o nh\u01b0ng ph\u1ea3i c\u00f3 th\u1edf m\u00e1y.   <\/p>\n<h2 id=\"chong-chi-dinh-thiopental\">    Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Thiopental   <\/h2>\n<p>    Kh\u00f4ng c\u00f3 th\u00f4ng kh\u00ed h\u1ed7 tr\u1ee3; qu\u00e1 m\u1eabn v\u1edbi barbiturat; r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 porphyrin.   <\/p>\n<h2 id=\"than-trong-thiopental\">    Th\u1eadn tr\u1ecdng Thiopental   <\/h2>\n<p>    Gi\u1ea3m huy\u1ebft \u00e1p: khi m\u1ea5t n\u01b0\u1edbc, ch\u1ea3y m\u00e1u n\u1eb7ng, b\u1ec7nh tim n\u1eb7ng; suy gan n\u1eb7ng (Ph\u1ee5 l\u1ee5c 5); nh\u01b0\u1ee3c c\u01a1; suy th\u1eadn (Ph\u1ee5 l\u1ee5c 4); ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 tr\u1ebb em d\u01b0\u1edbi 1 tu\u1ed5i, ph\u1ee5 n\u1eef mang thai (Ph\u1ee5 l\u1ee5c 2); suy h\u00f4 h\u1ea5p, hen. C\u1ea7n th\u1eadn tr\u1ecdng khi ti\u00eam: n\u1ebfu ti\u00eam ra ngo\u00e0i t\u0129nh m\u1ea1ch, ph\u1ea3i ng\u1eebng ngay v\u00ec thu\u1ed1c g\u00e2y ho\u1ea1i t\u1eed; ti\u00eam v\u00e0o \u0111\u1ed9ng m\u1ea1ch g\u00e2y \u0111au ch\u00e1y b\u1ecfng d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed chi v\u00ec co m\u1ea1ch, ph\u1ea3i x\u1eed l\u00fd ngay b\u1eb1ng papaverin pha lo\u00e3ng ho\u1eb7c lidocain 1% v\u00e0o m\u1ea1ch m\u00e1u \u0111\u00f3. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c (Ph\u1ee5 l\u1ee5c 1).   <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-thiopental\">    Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Thiopental   <\/h2>\n<p>    C\u00e1ch d\u00f9ng: H\u00f2a tan \u1ed1ng 0,5 g ho\u1eb7c 1 g b\u1ed9t v\u00e0o 20 ho\u1eb7c 40 ml n\u01b0\u1edbc c\u1ea5t pha ti\u00eam \u0111\u1ec3 \u0111\u01b0\u1ee3c dung d\u1ecbch c\u00f3 n\u1ed3ng \u0111\u1ed9 2,5%, pha ngay tr\u01b0\u1edbc khi ti\u00eam.    <br \/>    N\u1ebfu dung d\u1ecbch c\u00f3 v\u1ea9n \u0111\u1ee5c, k\u1ebft t\u1ee7a ho\u1eb7c pha l\u00e2u tr\u00ean 24 gi\u1edd ph\u1ea3i b\u1ecf.   <\/p>\n<p>    Li\u1ec1u d\u00f9ng:   <\/p>\n<p>    Kh\u1edfi m\u00ea: Ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm trong 10 &#8211; 15 gi\u00e2y dung d\u1ecbch 2,5%, ng\u01b0\u1eddi l\u1edbn 100 &#8211; 150 mg (gi\u1ea3m li\u1ec1u v\u00e0 ti\u00eam ch\u1eadm h\u01a1n \u1edf ng\u01b0\u1eddi cao tu\u1ed5i ho\u1eb7c suy nh\u01b0\u1ee3c), ti\u1ebfp theo ti\u00eam th\u00eam 100 &#8211; 150 mg n\u1ebfu c\u1ea7n, tu\u1ef3 theo \u0111\u00e1p \u1ee9ng sau 60 gi\u00e2y; ho\u1eb7c t\u1ed1i \u0111a 4 mg\/kg; tr\u1ebb em: 2 &#8211; 7 mg\/kg, ti\u00eam l\u1ea1i n\u1ebfu c\u1ea7n, tu\u1ef3 theo \u0111\u00e1p \u1ee9ng sau 60 gi\u00e2y.   <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-thiopental\">    T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Thiopental   <\/h2>\n<p>    Gi\u1ea3m huy\u1ebft \u00e1p (ph\u1ea3i gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi cao tu\u1ed5i); suy h\u00f4 h\u1ea5p; co th\u1eaft thanh qu\u1ea3n; d\u1ecb \u1ee9ng; ban da; s\u1ed1c ph\u1ea3n v\u1ec7; ho; \u0111au n\u01a1i ti\u00eam do vi\u00eam t\u0129nh m\u1ea1ch.   <\/p>\n<p>    C\u1ea7n l\u01b0u \u00fd: Sau m\u00ea thu\u1ed1c chuy\u1ec3n h\u00f3a ch\u1eadm n\u00ean m\u1ed9t v\u00e0i t\u00e1c d\u1ee5ng an th\u1ea7n bu\u1ed3n ng\u1ee7 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i trong v\u00f2ng 24 gi\u1edd.   <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-thiopental\">    Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Thiopental   <\/h2>\n<p>    Suy h\u00f4 h\u1ea5p: ph\u1ea3i h\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3 \u0111\u1ebfn khi t\u1ec9nh, n\u1eb7ng k\u00e9o d\u00e0i c\u1ea7n th\u1edf m\u00e1y. Tr\u1ee5y m\u1ea1ch: d\u00f9ng c\u00e1c thu\u1ed1c v\u1eadn m\u1ea1ch (adrenalin, dopamin..) v\u00e0 truy\u1ec1n d\u1ecbch. Ng\u1eebng tim: b\u00f3p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c ngay.   <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-thiopental\">    \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Thiopental   <\/h2>\n<p>    B\u1ea3o qu\u1ea3n d\u01b0\u1edbi 30oC, tr\u00e1nh \u00e1nh s\u00e1ng. \u0110\u1ec3 l\u00e2u thu\u1ed1c bi\u1ebfn ch\u1ea5t, khi pha c\u00f3 m\u00e0u \u0111\u1ecf, k\u1ebft t\u1ee7a kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng.   <\/p>\n<\/p>\n<p>    T\u00e0i li\u1ec7u tham kh\u1ea3o   <\/p>\n<p>    http:\/\/nidqc.org.vn\/duocthu\/40\/   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thiopental &#8211; Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch<\/p>\n","protected":false},"author":143,"featured_media":10509,"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 - 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