{"id":9732,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/midazolam-thuoc-tien-me\/"},"modified":"2024-03-17T01:32:25","modified_gmt":"2024-03-16T18:32:25","slug":"midazolam-thuoc-tien-me","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/midazolam-thuoc-tien-me\/","title":{"rendered":"Midazolam – Thu\u1ed1c ti\u1ec1n m\u00ea"},"content":{"rendered":"
\n

Thu\u1ed1c\u00a0h\u01b0\u1edbng\u00a0t\u00e2m\u00a0th\u1ea7n\u00a0c\u00f3\u00a0t\u00e1c\u00a0d\u1ee5ng\u00a0an\u00a0th\u1ea7n\u00a0g\u00e2y\u00a0ng\u1ee7\u00a0nhanh,\u00a0m\u1ea1nh\u00a0v\u00e0\u00a0ng\u1eafn,\u00a0k\u00e8m\u00a0theo\u00a0m\u1ea5t\u00a0tr\u00ed\u00a0nh\u1edb\u00a0m\u1ed9t\u00a0th\u1eddi\u00a0gian\u00a0ng\u1eafn. <\/p>\n

T\u00ean chung qu\u1ed1c t\u1ebf Midazolam <\/h2>\n

Midazolam <\/p>\n

D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Midazolam <\/h2>\n

Vi\u00ean n\u00e9n 15 mg. Thu\u1ed1c ti\u00eam: 1 mg\/ml, l\u1ecd\u00a050 ml; 5 mg\/ml, \u1ed1ng 2 ml, \u1ed1ng 5 ml, \u1ed1ng 10 ml. <\/p>\n

\"midazolam-thuoc-tien-me\" <\/p>\n

Hi\u0300nh\u00a0Midazolam <\/em> <\/p>\n

Ch\u1ec9 \u0111\u1ecbnh Midazolam <\/h2>\n

an th\u1ea7n k\u00e8m theo qu\u00ean; d\u00f9ng trong n\u1ed9i soi, th\u1ee7 thu\u1eadt ng\u1eafn;\u00a0ph\u1ed1i h\u1ee3p v\u1edbi g\u00e2y t\u00ea; ti\u1ec1n m\u00ea v\u00e0 kh\u1edfi m\u00ea g\u00e2y ng\u1ee7 ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c\u00a0m\u00ea; an th\u1ea7n g\u00e2y ng\u1ee7 d\u00f9ng trong ph\u00f2ng ch\u0103m s\u00f3c t\u0103ng c\u01b0\u1eddng; tr\u1ea1ng th\u00e1i\u00a0\u0111\u1ed9ng kinh. <\/p>\n

Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Midazolam <\/h2>\n

Khi kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ti\u1ec7n h\u1ed3i s\u1ee9c h\u00f4 h\u1ea5p, tu\u1ea7n ho\u00e0n.\u00a0Qu\u00e1 m\u1eabn; suy h\u00f4 h\u1ea5p c\u1ea5p n\u1eb7ng; s\u1ed1c do gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n; suy\u00a0tim n\u1eb7ng; nh\u01b0\u1ee3c c\u01a1; ph\u1ee5 n\u1eef cho con b\u00fa; tr\u1ebb s\u01a1 sinh, ng\u01b0\u1eddi b\u1ecb s\u1ed1c, h\u00f4n m\u00ea\u00a0hay nhi\u1ec5m \u0111\u1ed9c r\u01b0\u1ee3u c\u1ea5p. Gl\u00f4c\u00f4m g\u00f3c \u0111\u00f3ng; ti\u00eam v\u00e0o khoang m\u00e0ng nh\u1ec7n. <\/p>\n

Th\u1eadn tr\u1ecdng Midazolam <\/h2>\n

Ng\u01b0\u1eddi cao tu\u1ed5i, suy ki\u1ec7t: ph\u1ea3i gi\u1ea3m li\u1ec1u; suy tim, b\u1ec7nh tim d\u1ec5 b\u1ecb gi\u1ea3m huy\u1ebft \u00e1p n\u1eb7ng; suy h\u00f4 h\u1ea5p nh\u1eb9: d\u1ec5 suy th\u1edf; tr\u1ebb em d\u01b0\u1edbi 15 kg kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng n\u1ed3ng \u0111\u1ed9 qu\u00e1 1 mg\/ml; d\u00f9ng l\u00e2u c\u00f3 th\u1ec3 g\u00e2y ph\u1ee5 thu\u1ed9c thu\u1ed1c; kh\u00f4ng d\u00f9ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 ng\u01b0\u1eddi s\u1eed d\u1ee5ng m\u00e1y m\u00f3c tr\u01b0\u1edbc l\u00fac l\u00e0m vi\u1ec7c 12 gi\u1edd; kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u khi d\u00f9ng thu\u1ed1c. Khuy\u1ebfn c\u00e1o kh\u00f4ng\u00a0d\u00f9ng cho ng\u01b0\u1eddi c\u00f3 thai 3 th\u00e1ng \u0111\u1ea7u (Ph\u1ee5 l\u1ee5c 2). <\/p>\n

Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Midazolam <\/h2>\n

D\u00f9ng an th\u1ea7n (trong n\u1ed9i soi g\u00e2y t\u00ea): <\/em> Ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm (trong 30 gi\u00e2y\u00a0kho\u1ea3ng 2 mg\/ph\u00fat): <\/p>\n

Ng\u01b0\u1eddi l\u1edbn li\u1ec1u \u0111\u1ea7u: 2 – 2,5 mg, n\u1ebfu kh\u00f4ng \u0111\u1ee7 th\u00eam 1 mg; ng\u01b0\u1eddi cao tu\u1ed5i\u00a0gi\u1ea3m li\u1ec1u: li\u1ec1u \u0111\u1ea7u 0,5 – 1 mg, kh\u00f4ng \u0111\u1ee7 th\u00eam 0,5 – 1 mg. Th\u00f4ng th\u01b0\u1eddng\u00a0t\u1ed5ng li\u1ec1u: ng\u01b0\u1eddi l\u1edbn 3,5 – 7,5 mg, ng\u01b0\u1eddi cao tu\u1ed5i t\u1ed1i \u0111a l\u00e0 3,5 mg. <\/p>\n

Tr\u1ebb em ti\u00eam t\u0129nh m\u1ea1ch trong v\u00f2ng 2 – 3 ph\u00fat: 6 th\u00e1ng – 5 tu\u1ed5i: li\u1ec1u \u0111\u1ea7u\u00a050 – 100 microgam\/kg (t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 6 mg), t\u1eeb 6 – 12 tu\u1ed5i: li\u1ec1u \u0111\u1ea7u\u00a025 – 50 microgam\/kg (t\u1ed1i \u0111a kh\u00f4ng qu\u00e1 10 mg).\u00a0Ti\u00eam b\u1eafp: \u1edf tr\u1ebb em 1 – 15 tu\u1ed5i: 50 – 150 microgam\/kg, t\u1ed1i \u0111a l\u00e0 10 mg.
\u0110\u1eb7t h\u1eadu m\u00f4n: tr\u1ebb em tr\u00ean 6 th\u00e1ng: 300 – 500 microgam\/kg. <\/p>\n

D\u00f9ng k\u1ebft h\u1ee3p trong g\u00e2y m\u00ea: <\/em> Ti\u00eam t\u0129nh m\u1ea1ch ng\u01b0\u1eddi l\u1edbn 30 – 100\u00a0microgam\/kg, nh\u1eafc l\u1ea1i khi c\u1ea7n ho\u1eb7c nh\u1ecf gi\u1ecdt t\u0129nh m\u1ea1ch 30 – 100\u00a0microgam\/kg\/gi\u1edd, ng\u01b0\u1eddi cao tu\u1ed5i gi\u1ea3m li\u1ec1u, tr\u1ebb em kh\u00f4ng d\u00f9ng.
D\u00f9ng ti\u1ec1n m\u00ea: Ti\u00eam b\u1eafp s\u00e2u ng\u01b0\u1eddi l\u1edbn 70 – 100 microgam\/kg (ng\u01b0\u1eddi cao\u00a0tu\u1ed5i 25 – 50 microgam\/kg) (tr\u01b0\u1edbc kh\u1edfi m\u00ea 20 \u0111\u1ebfn 60 ph\u00fat, li\u1ec1u th\u00f4ng\u00a0th\u01b0\u1eddng 2 – 3 mg), tr\u1ebb em 1 – 15 tu\u1ed5i 80 – 200 microgam\/kg, tr\u1ebb em tr\u00ean\u00a06 th\u00e1ng \u0111\u1eb7t h\u1eadu m\u00f4n 300 – 500 microgam\/kg 15 – 30 ph\u00fat tr\u01b0\u1edbc khi\u00a0kh\u1edfi m\u00ea. <\/p>\n

D\u00f9ng kh\u1edfi m\u00ea: <\/em> Ng\u01b0\u1eddi l\u1edbn 150 – 200 microgam\/kg ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm\u00a0c\u00f9ng v\u1edbi ti\u1ec1n m\u00ea (ng\u01b0\u1eddi cao tu\u1ed5i gi\u1ea3m li\u1ec1u 100 – 200 microgam\/kg). N\u1ebfu\u00a0kh\u00f4ng c\u00f3 ti\u1ec1n m\u00ea: 300 – 350 microgam\/kg (ng\u01b0\u1eddi cao tu\u1ed5i gi\u1ea3m li\u1ec1u 150\u00a0– 300 microgam\/kg). Li\u1ec1u t\u0103ng l\u00ean theo t\u1eebng b\u01b0\u1edbc, c\u00e1ch nhau 2 ph\u00fat m\u1ed7i\u00a0l\u1ea7n kh\u00f4ng qu\u00e1 5 mg. T\u1ed1i \u0111a: 600 microgam\/kg. Kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng\u00a0cho tr\u1ebb em. <\/p>\n

D\u00f9ng an th\u1ea7n trong ch\u0103m s\u00f3c t\u0103ng c\u01b0\u1eddng: <\/em> Ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm, ban \u0111\u1ea7u\u00a030 – 300 microgam\/kg cho th\u00e0nh t\u1eebng \u0111\u1ee3t 1 – 2,5 mg c\u00e1ch 2 ph\u00fat m\u1ed9t l\u1ea7n,\u00a0sau \u0111\u00f3 ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch, 30 – 200\u00a0microgam\/kg\/gi\u1edd; gi\u1ea3m li\u1ec1u (ho\u1eb7c b\u1ecf li\u1ec1u ban \u0111\u1ea7u) \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh b\u1ecb\u00a0gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n, co m\u1ea1ch ho\u1eb7c gi\u1ea3m th\u00e2n nhi\u1ec7t; n\u1ebfu c\u0169ng
d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 opi, c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u th\u1ea5p h\u01a1n. Tr\u1ebb s\u01a1 sinh d\u01b0\u1edbi\u00a032 tu\u1ea7n tu\u1ed5i thai, ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch 30 microgam\/kg\/gi\u1edd. Tr\u1ebb s\u01a1 sinh\u00a0tr\u00ean 32 tu\u1ea7n tu\u1ed5i thai v\u00e0 tr\u1ebb d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 60\u00a0microgam\/kg\/gi\u1edd; tr\u1ebb tr\u00ean 6 th\u00e1ng tu\u1ed5i, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm, ban \u0111\u1ea7u 50\u00a0– 200 microgam\/kg, sau \u0111\u00f3 ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch 60 – 120\u00a0microgam\/kg\/gi\u1edd. <\/p>\n

T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Midazolam <\/h2>\n

Bu\u1ed3n n\u00f4n, suy h\u00f4 h\u1ea5p, ng\u1eebng th\u1edf, nh\u1ea5t\u00a0l\u00e0 li\u1ec1u cao ho\u1eb7c ti\u00eam nhanh; huy\u1ebft \u00e1p gi\u1ea3m m\u1ea1nh; ng\u1ee7 g\u00e0 k\u00e9o d\u00e0i; t\u00e1c\u00a0d\u1ee5ng ngh\u1ecbch l\u00fd: v\u1eadt v\u00e3, lo l\u1eafng. Co gi\u1eadt \u1edf tr\u1ebb thi\u1ebfu th\u00e1ng v\u00e0 tr\u1ebb nh\u1ecf. <\/p>\n

Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Midazolam <\/h2>\n

Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, bi\u1ec3u hi\u1ec7n suy h\u00f4 h\u1ea5p v\u00e0 gi\u1ea3m huy\u1ebft \u00e1p.\u00a0Ph\u1ea3i h\u00f4 h\u1ea5p nh\u00e2n t\u1ea1o v\u00e0 truy\u1ec1n d\u1ecbch.\u00a0C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c \u0111\u1ed1i kh\u00e1ng flumazenil nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5:\u00a0n\u00f4n, \u00a0bu\u1ed3n n\u00f4n, t\u0103ng huy\u1ebft \u00e1p, nh\u1ecbp tim nhanh v\u00e0 gi\u1ea3i ph\u00f3ng cate-cholamin. <\/p>\n<\/p>\n

http:\/\/nidqc.org.vn\/duocthu\/92\/ <\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

Midazolam.Thu\u1ed1c ti\u1ec1n m\u00ea.Thu\u1ed1c g\u00e2y m\u00ea, thu\u1ed1c t\u00ea.<\/p>\n","protected":false},"author":143,"featured_media":9733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5405,5404,5406,5317],"tags":[],"series":[],"coauthors":[2170],"acf":[],"yoast_head":"\nMidazolam - Thu\u1ed1c ti\u1ec1n m\u00ea - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Midazolam - Thu\u1ed1c ti\u1ec1n m\u00ea - 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\/midazolam-thuoc-tien-me\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Midazolam - Thu\u1ed1c ti\u1ec1n m\u00ea - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"Midazolam - 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