{"id":15327,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/"},"modified":"2013-12-22T17:00:00","modified_gmt":"2013-12-22T10:00:00","slug":"epinephrin-thuoc-chong-loan-nhip-tim","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/","title":{"rendered":"Epinephrin &#8211; Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim"},"content":{"rendered":"<p>    (Adrenalin)   <\/p>\n<p>    Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp b\u1ed5 sung ch\u1ec9 d\u00f9ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p h\u00e3n h\u1eefu, \u0111\u1eb7c bi\u1ec7t.   <\/p>\n<h2 id=\"ten-chung-quoc-te-epinephrin\">    T\u00ean chung qu\u1ed1c t\u1ebf Epinephrin   <\/h2>\n<p>    Epinephrine.   <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-epinephrin\">    D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Epinephrin   <\/h2>\n<p>    Dung d\u1ecbch ti\u00eam: Epinephrin hydroclorid 100 microgam\/ml (1: 10000), \u1ed1ng 10 ml.   <\/p>\n<p>    C\u00e1c d\u1ea1ng kh\u00e1c (M\u1ee5c 3.2; M\u1ee5c 21.4.3).   <\/p>\n<p style=\"text-align: center;\">    <a src=\"\/Documents\/1659_epinephrin-thuoc-chong-loan-nhip-tim.jpg\" target=\"_blank\" rel=\"noopener\">     <img decoding=\"async\" alt=\"epinephrin-thuoc-chong-loan-nhip-tim\" src=\"\/\/yhoccongdong.org\/Documents\/1659_epinephrin-thuoc-chong-loan-nhip-tim.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/a>   <\/p>\n<p style=\"text-align: center;\">    H\u00ecnh   <\/p>\n<h2 id=\"chi-dinh-epinephrin\">    Ch\u1ec9 \u0111\u1ecbnh Epinephrin   <\/h2>\n<p>    Ng\u1eebng tim; s\u1ed1c ph\u1ea3n v\u1ec7 (M\u1ee5c 3.2); ch\u1ec9 \u0111\u1ecbnh kh\u00e1c (M\u1ee5c 21.4.3).   <\/p>\n<h2 id=\"chong-chi-dinh-epinephrin\">    Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Epinephrin   <\/h2>\n<p>    Thu\u1ed1c d\u00f9ng trong c\u1ea5p c\u1ee9u, kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. Th\u1eadn tr\u1ecdng: Ph\u1ea3i theo d\u00f5i ch\u1eb7t ch\u1ebd khi g\u00e2y m\u00ea b\u1eb1ng halothan, cyclopropan v\u00ec c\u00f3 th\u1ec3 g\u00e2y rung th\u1ea5t; c\u01b0\u1eddng gi\u00e1p; b\u1ec7nh tim n\u1eb7ng; huy\u1ebft \u00e1p t\u0103ng; b\u00ed \u0111\u00e1i do t\u1eafc ngh\u1ebdn; gl\u00f4c\u00f4m g\u00f3c h\u1eb9p (\u0111\u00f3ng); \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng; chuy\u1ec3n d\u1ea1 giai \u0111o\u1ea1n 2.   <\/p>\n<h2 id=\"tuong-tac-thuoc-epinephrin\">    T\u01b0\u01a1ng t\u00e1c thu\u1ed1c Epinephrin   <\/h2>\n<p>    (Ph\u1ee5 l\u1ee5c 1).   <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-epinephrin\">    Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Epinephrin   <\/h2>\n<\/p>\n<p>    <em>     C\u00e1ch d\u00f9ng:    <\/em>    Ch\u00fa \u00fd khi d\u00f9ng thu\u1ed1c v\u00ec c\u00f3 nhi\u1ec1u lo\u1ea1i dung d\u1ecbch c\u00f3 n\u1ed3ng \u0111\u1ed9 kh\u00e1c nhau \u0111\u01b0\u1ee3c d\u00f9ng theo c\u00e1c \u0111\u01b0\u1eddng kh\u00e1c nhau. Ch\u1ec9 ti\u00eam t\u0129nh m\u1ea1ch dung d\u1ecbch epinephrin 1: 10 000.   <\/p>\n<p>    <em>     Li\u1ec1u d\u00f9ng:    <\/em>    Ng\u1eebng tim, ng\u01b0\u1eddi l\u1edbn, li\u1ec1u khuy\u00ean d\u00f9ng l\u00e0 0,5 &#8211; 1 mg, ti\u00eam t\u0129nh m\u1ea1ch qua m\u1ed9t t\u0129nh m\u1ea1ch trung t\u00e2m; n\u1ebfu c\u1ea7n, ti\u00eam l\u1eb7p l\u1ea1i c\u00e1ch nhau 3 &#8211; 5 ph\u00fat.   <\/p>\n<p>    <em>     Ghi ch\u00fa:    <\/em>    N\u1ebfu kh\u00f4ng ti\u00eam \u0111\u01b0\u1ee3c v\u00e0o t\u0129nh m\u1ea1ch trung t\u00e2m, c\u00f3 th\u1ec3 ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean m\u1ed9t li\u1ec1u nh\u01b0 tr\u00ean v\u00e0 sau \u0111\u00f3 b\u01a1m nhanh 20 ml dung d\u1ecbch natri clorid 0,9% (\u0111\u1ec3 thu\u1ed1c v\u00e0o nhanh h\u1ec7 tu\u1ea7n ho\u00e0n). N\u1ebfu ng\u1eebng tim, tr\u01b0\u1edbc khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n, c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u cao h\u01a1n nhi\u1ec1u (t\u1edbi 5 mg ti\u00eam t\u0129nh m\u1ea1ch). N\u1ebfu kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 b\u01a1m dung d\u1ecbch epinephrin qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n.   <\/p>\n<p>    Tr\u1ebb em: Li\u1ec1u khuy\u00ean d\u00f9ng, 7 &#8211; 27 microgam\/kg (trung b\u00ecnh 10 microgam\/kg).   <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-epinephrin\">    T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Epinephrin   <\/h2>\n<p>    Lo l\u1eafng, run, nh\u1ecbp tim nhanh, nh\u1ee9c \u0111\u1ea7u, l\u1ea1nh \u0111\u1ea7u chi, bu\u1ed3n n\u00f4n, n\u00f4n, v\u00e3 m\u1ed3 h\u00f4i, y\u1ebfu c\u01a1, ch\u00f3ng m\u1eb7t, gi\u1ea3m glucose m\u00e1u.   <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-epinephrin\">    Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Epinephrin   <\/h2>\n<p>    Qu\u00e1 li\u1ec1u g\u00e2y lo\u1ea1n nh\u1ecbp tim, xu\u1ea5t huy\u1ebft n\u00e3o, ph\u00f9 ph\u1ed5i. T\u00e1c d\u1ee5ng c\u1ee7a adrenalin r\u1ea5t ng\u1eafn, n\u00ean \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu l\u00e0 h\u1ed7 tr\u1ee3. C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1eb9n alpha (phentolamin), sau \u0111\u00f3 ti\u00eam thu\u1ed1c ch\u1eb9n beta (propranolol) \u0111\u1ec3 ch\u1ed1ng l\u1ea1i t\u00e1c d\u1ee5ng g\u00e2y co m\u1ea1ch v\u00e0 lo\u1ea1n nh\u1ecbp c\u1ee7a epinephrin. C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y gi\u00e3n m\u1ea1ch nhanh (glyceryl trinitrat).   <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-epinephrin\">    \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Epinephrin   <\/h2>\n<p>    B\u1ea3o qu\u1ea3n thu\u1ed1c \u1edf t\u1ee7 l\u1ea1nh (2 &#8211; 8    <sup>     o    <\/sup>    C), tr\u00e1nh \u00e1nh s\u00e1ng. Ph\u1ea3i b\u1ecf n\u1ebfu th\u1ea5y thu\u1ed1c chuy\u1ec3n sang m\u00e0u n\u00e2u h\u1ed3ng.   <\/p>\n<\/p>\n<p>    http:\/\/nidqc.org.vn\/duocthu\/453\/   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Epinephrin l\u00e0 Epinephrine. Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim. Thu\u1ed1c tim m\u1ea1ch.<\/p>\n","protected":false},"author":143,"featured_media":15328,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5456,5375,5317],"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>Epinephrin - Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Epinephrin - Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim - 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\/epinephrin-thuoc-chong-loan-nhip-tim\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Epinephrin - Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"Epinephrin - Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2013-12-22T10:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6547-thongtin-epinephrin-thuoc-chong-loan-nhip-tim.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"400\" \/>\n\t<meta property=\"og:image:height\" content=\"300\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/\",\"name\":\"Epinephrin - Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim - D\u1ef1 \u00e1n kh\u00e1c\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6547-thongtin-epinephrin-thuoc-chong-loan-nhip-tim.jpg\",\"datePublished\":\"2013-12-22T10:00:00+00:00\",\"dateModified\":\"2013-12-22T10:00:00+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/6df2c4823301496b552873b34070404a\"},\"description\":\"Epinephrin - Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim - D\u1ef1 \u00e1n kh\u00e1c\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/#primaryimage\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6547-thongtin-epinephrin-thuoc-chong-loan-nhip-tim.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6547-thongtin-epinephrin-thuoc-chong-loan-nhip-tim.jpg\",\"width\":400,\"height\":300},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/epinephrin-thuoc-chong-loan-nhip-tim\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Epinephrin &#8211; 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