{"id":10614,"date":"2016-05-11T02:58:23","date_gmt":"2016-05-10T19:58:23","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/ketamin-thuoc-me-theo-duong-tinh-mach\/"},"modified":"2024-03-17T02:41:50","modified_gmt":"2024-03-16T19:41:50","slug":"ketamin-thuoc-me-theo-duong-tinh-mach","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/ketamin-thuoc-me-theo-duong-tinh-mach\/","title":{"rendered":"Ketamin &#8211; Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch"},"content":{"rendered":"<h2 id=\"ten-chung-quoc-te-ketamin\">T\u00ean chung qu\u1ed1c t\u1ebf Ketamin<\/h2>\n<p>Ketamine hydrochloride<\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-ketamine\">D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Ketamine<\/h2>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 400px; height: 300px;\" src=\"\/\/yhoccongdong.org\/Documents\/1287_ketamin---thuoc-me-theo-duong-tinh-mach.jpg\" alt=\"Ketamin - Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch\" \/><\/p>\n<p style=\"text-align: center;\">Hinh: <span style=\"line-height: 1.6em;\"> L\u1ecd 20 ml: 10 mg\/ml pha v\u1edbi n\u01b0\u1edbc mu\u1ed1i \u0111\u1eb3ng\u00a0tr\u01b0\u01a1ng. L\u1ecd 10 ml (50 mg\/ml), 5 ml (100 mg\/ml): c\u00f3 ch\u1ee9a ch\u1ea5t b\u1ea3o qu\u1ea3n\u00a0benzalkonium clorid. <\/span><\/p>\n<h2 id=\"chi-dinh-ketamine\">Ch\u1ec9 \u0111\u1ecbnh Ketamine<\/h2>\n<p>D\u00f9ng kh\u1edfi m\u00ea v\u00e0 duy tr\u00ec m\u00ea; gi\u1ea3m \u0111au trong c\u00e1c th\u1ee7 thu\u1eadt\u00a0ng\u1eafn nh\u01b0ng g\u00e2y \u0111au: c\u1eaft l\u1ecdc t\u1ed5 ch\u1ee9c ho\u1ea1i t\u1eed, thay b\u0103ng trong b\u1ecfng, ch\u1ee5p\u00a0\u0111i\u1ec7n quang, m\u1ed5 m\u1eaft khi kh\u00f4ng c\u00f3 t\u0103ng nh\u00e3n \u00e1p, tai m\u0169i h\u1ecdng, r\u0103ng h\u00e0m\u00a0m\u1eb7t, n\u1eafn x\u01b0\u01a1ng, ch\u1ec9nh h\u00ecnh, soi \u0111\u1ea1i tr\u00e0ng, m\u1ed5 l\u1ea5y thai.<\/p>\n<h2 id=\"chong-chi-dinh-ketamin\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Ketamin<\/h2>\n<p>Nhi\u1ec5m \u0111\u1ed9c gi\u00e1p; ti\u1ec1n s\u1eed tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, ch\u1ea5n\u00a0th\u01b0\u01a1ng s\u1ecd n\u00e3o, kh\u1ed1i u ho\u1eb7c xu\u1ea5t huy\u1ebft trong n\u00e3o ho\u1eb7c c\u00e1c nguy\u00ean nh\u00e2n\u00a0kh\u00e1c l\u00e0m t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd; t\u0103ng huy\u1ebft \u00e1p; c\u00f3 ti\u1ec1n s\u1eed tai bi\u1ebfn m\u1ea1ch m\u00e1u\u00a0n\u00e3o; suy v\u00e0nh; s\u1ea3n ph\u1ee5 c\u00f3 s\u1ea3n gi\u1eadt, ti\u1ec1n s\u1ea3n gi\u1eadt; t\u1ed5n th\u01b0\u01a1ng m\u1eaft v\u00e0 t\u0103ng\u00a0nh\u00e3n \u00e1p; b\u1ec7nh t\u00e2m th\u1ea7n, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1ea3o gi\u00e1c.<\/p>\n<h2 id=\"than-trong-ketamine\">Th\u1eadn tr\u1ecdng Ketamine<\/h2>\n<p>D\u1ec5 c\u00f3 r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n khi t\u1ec9nh (\u1ea3o gi\u00e1c), v\u00ec c\u00f2n ph\u1ea3n x\u1ea1\u00a0thanh h\u1ea7u khi m\u00ea n\u00ean tr\u00e1nh tr\u1ef1c ti\u1ebfp \u0111\u1ed9ng ch\u1ea1m, \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n ph\u1ea3i\u00a0c\u00f3 thu\u1ed1c gi\u00e3n c\u01a1; mang thai (<a href=\"https:\/\/yhoccongdong.com\/thongtin\/phu-luc-2-dung-thuoc-trong-thoi-ky-mang-thai\/\" target=\"_blank\" rel=\"noopener\">Ph\u1ee5 l\u1ee5c 2<\/a>); n\u00ean ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm (trong\u00a060 gi\u00e2y) \u0111\u1ec3 tr\u00e1nh g\u00e2y ng\u1eebng th\u1edf t\u1ea1m th\u1eddi; m\u1ed5 n\u1ed9i t\u1ea1ng n\u00ean ph\u1ed1i h\u1ee3p th\u00eam\u00a0thu\u1ed1c m\u00ea ho\u1eb7c thu\u1ed1c gi\u1ea3m \u0111au; ng\u01b0\u1eddi nhi\u1ec5m \u0111\u1ed9c r\u01b0\u1ee3u c\u1ea5p; m\u1eaft: ch\u1ea5n\u00a0th\u01b0\u01a1ng m\u1eaft, t\u0103ng nh\u00e3n \u00e1p; b\u1ec7nh t\u00e2m th\u1ea7n; \u0111\u1ed9ng kinh: \u1ea3o gi\u00e1c, r\u1ed1i lo\u1ea1n\u00a0t\u00e2m th\u1ea7n; th\u1eadn tr\u1ecdng khi l\u00e1i xe, l\u00e0m vi\u1ec7c v\u1edbi m\u00e1y m\u00f3c; tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u\u00a0trong 24 gi\u1edd; kh\u00f4ng pha l\u1eabn barbiturat v\u1edbi ketamin c\u00f9ng b\u01a1m ti\u00eam v\u00ec g\u00e2y\u00a0k\u1ebft t\u1ee7a. Trong th\u1eddi gian h\u1ed3i t\u1ec9nh, ph\u1ea3i \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m y\u00ean nh\u01b0ng ph\u1ea3i\u00a0theo d\u00f5i. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c (<a href=\"https:\/\/yhoccongdong.com\/thongtin\/phu-luc-1-tuong-tac-thuoc\/\" target=\"_blank\" rel=\"noopener\">Ph\u1ee5 l\u1ee5c 1<\/a>).<\/p>\n<h2 id=\"lieu-luong-va-cach-dung-ketamine\">Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Ketamine<\/h2>\n<p>Kh\u1edfi m\u00ea<\/p>\n<ul>\n<li>Ti\u00eam t\u0129nh m\u1ea1ch, ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em: 1 &#8211; 2 mg\/kg trong 60 gi\u00e2y (2 mg\/kg\u00a0th\u01b0\u1eddng t\u00e1c d\u1ee5ng 5 &#8211; 10 ph\u00fat). Kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 4,5 mg\/kg.<\/li>\n<li>Ti\u00eam b\u1eafp, ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em: 5 &#8211; 10 mg\/kg (10 mg\/kg th\u01b0\u1eddng t\u00e1c d\u1ee5ng\u00a012 &#8211; 25 ph\u00fat). Kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 13 mg\/kg.<\/li>\n<li>Nh\u1ecf gi\u1ecdt t\u0129nh m\u1ea1ch dung d\u1ecbch ch\u1ee9a 1 mg\/ml, ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em, t\u1ed5ng\u00a0li\u1ec1u kh\u1edfi m\u00ea 0,5 &#8211; 2 mg\/kg;<\/li>\n<\/ul>\n<p>Duy tr\u00ec m\u00ea (d\u00f9ng b\u01a1m \u0111i\u1ec7n): 10 &#8211; 45 microgam\/kg\/ph\u00fat, t\u1ed1c \u0111\u1ed9 \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u00e1p \u1ee9ng.<\/p>\n<p>Gi\u1ea3m \u0111au v\u00e0 an th\u1ea7n: Ti\u00eam b\u1eafp, ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em: b\u1eaft \u0111\u1ea7u 2 &#8211; 4\u00a0mg\/kg; n\u1ebfu ti\u00eam t\u0129nh m\u1ea1ch, kh\u1edfi \u0111\u1ea7u 0,2 &#8211; 0,75 mg\/kg trong 2 &#8211; 3 ph\u00fat,\u00a0sau \u0111\u00f3 ti\u1ebfp t\u1ee5c truy\u1ec1n t\u0129nh m\u1ea1ch 5 &#8211; 20 microgam\/kg\/ph\u00fat.<\/p>\n<h2 id=\"tac-dung-khong-mong-muon-ketamin\">T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Ketamin<\/h2>\n<p>R\u1ed1i lo\u1ea1n h\u00e0nh vi khi h\u1ed3i t\u1ec9nh (trong v\u00e0i\u00a0gi\u1edd \u0111\u1ebfn 24 gi\u1edd sau ); t\u0103ng huy\u1ebft \u00e1p, m\u1ea1ch nhanh, c\u00f3 th\u1ec3 c\u00f3 lo\u1ea1n nh\u1ecbp tim;\u00a0\u0111au v\u00f9ng ti\u00eam; suy h\u00f4 h\u1ea5p: co th\u1eaft thanh qu\u1ea3n; t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt.\u00a0Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed: Suy h\u00f4 h\u1ea5p: x\u1eed tr\u00ed b\u1eb1ng h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p \u0111\u1ebfn khi t\u1ef1 th\u1edf\u00a0t\u1ed1t.<\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-ketamin\">\u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Ketamin<\/h2>\n<p>B\u1ea3o qu\u1ea3n \u1edf nhi\u1ec7t \u0111\u1ed9 ph\u00f2ng. Tr\u00e1nh \u00e1nh s\u00e1ng.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/nidqc.org.vn\/duocthu\/43\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> http:\/\/nidqc.org.vn\/duocthu\/43\/ <\/span> <\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ketamin l\u00e0 Ketamine hydrochloride.Thu\u1ed1c m\u00ea theo \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.Thu\u1ed1c g\u00e2y m\u00ea.Thu\u1ed1c g\u00e2y m\u00ea, thu\u1ed1c t\u00ea.<\/p>\n","protected":false},"author":143,"featured_media":10615,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5480,5405,5517,5404,5317],"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>Ketamin - 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