::SANSAIHOSPITAL::
Dopamine 250 mg/10 mlDopamine 250 mg/10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Dopamine ????? …………….......... mg????IV: D5W, D5S, NSS, D5S/2………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Dopamine ????? …………….......... mg????IV: D5W, D5S, NSS, D5S/2………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................????????? tachyarrhythmia ???? ventricular fibrillation ???????????????????? Phenytoin ??????????????? ???????????????????????????????? ergotamine ????? peripheral constriction ???? gangrene ???????????? tachyarrhythmia ???? ventricular fibrillation ???????????????????? Phenytoin ??????????????? ???????????????????????????????? ergotamine ????? peripheral constriction ???? gangrene ????????????????????????? >160/90 mmHgHR >120 /min?????????????????? cardiac arrhythmia?????????????????????? >160/90 mmHgHR >120 /min?????????????????? cardiac arrhythmia???????????? ?????? 24 ???????High alert drug ???????????????? ???????????? ?????? 24 ???????High alert drug ???????????????? Dopamine 250 mg/10 mlDopamine 250 mg/10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Dopamine ????? …………….......... mg????IV: D5W, D5S, NSS, D5S/2………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Dopamine ????? …………….......... mg????IV: D5W, D5S, NSS, D5S/2………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................????????? tachyarrhythmia ???? ventricular fibrillation ???????????????????? Phenytoin ??????????????? ???????????????????????????????? ergotamine ????? peripheral constriction ???? gangrene ???????????? tachyarrhythmia ???? ventricular fibrillation ???????????????????? Phenytoin ??????????????? ???????????????????????????????? ergotamine ????? peripheral constriction ???? gangrene ????????????????????????? >160/90 mmHgHR >120 /min?????????????????? cardiac arrhythmia?????????????????????? >160/90 mmHgHR >120 /min?????????????????? cardiac arrhythmia???????????? ?????? 24 ???????High alert drug ???????????????? ???????????? ?????? 24 ???????High alert drug ???????????????? Norepinephrine inj. 4 mg/4 mlNorepinephrine inj. 4 mg/4 ml??????…………....????………………………………………….Ward…………. ?????…………………………………...???????? Norepinephrine ?????…….......... mg????IV: D5W ,D5S……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????………….................??????…………....????………………………………………….Ward…………. ?????…………………………………...???????? Norepinephrine ?????…….......... mg????IV: D5W ,D5S……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????………….................?????????????????????????????? blood volume ????????????????????????????? antidepressant ???? amitriptyline, nortriptyline ?????? metabisulfite ???????????????????????????????? ?????????????????????????????? blood volume ????????????????????????????? antidepressant ???? amitriptyline, nortriptyline ?????? metabisulfite ???????????????????????????????? ???????????????BP >160/90 mmHgHR > 120 / minSigns ??? extravasation ??? vasoconstriction : ??????????? ?????? ?????????????????????? ???????????????BP >160/90 mmHgHR > 120 / minSigns ??? extravasation ??? vasoconstriction : ??????????? ?????? ?????????????????????? ???????????? ?????? 24 ???????High alert drug ???????????????? ???????????? ?????? 24 ???????High alert drug ???????????????? Norepinephrine inj. 4 mg/4 mlNorepinephrine inj. 4 mg/4 ml??????…………....????………………………………………….Ward…………. ?????…………………………………...???????? Norepinephrine ?????…….......... mg????IV: D5W ,D5S……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????………….................??????…………....????………………………………………….Ward…………. ?????…………………………………...???????? Norepinephrine ?????…….......... mg????IV: D5W ,D5S……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????………….................?????????????????????????????? blood volume ????????????????????????????? antidepressant ???? amitriptyline, nortriptyline ?????? metabisulfite ???????????????????????????????? ?????????????????????????????? blood volume ????????????????????????????? antidepressant ???? amitriptyline, nortriptyline ?????? metabisulfite ???????????????????????????????? ???????????????BP >160/90 mmHgHR > 120 / minSigns ??? extravasation ??? vasoconstriction : ??????????? ?????? ?????????????????????? ???????????????BP >160/90 mmHgHR > 120 / minSigns ??? extravasation ??? vasoconstriction : ??????????? ?????? ?????????????????????? ???????????? ?????? 24 ???????High alert drug ???????????????? ???????????? ?????? 24 ???????High alert drug ???????????????? Amiodarone inj. 150 mg/3 mlAmiodarone inj. 150 mg/3 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? amiodarone ?????…….......... mg????IV: D5W ……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? amiodarone ?????…….......... mg????IV: D5W ……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ?????????? NSS,heparin,cefazolin,furosemide,NaHCO3??????????? severe sinus node dysfunction , severe bradycardia ????????????????? ????????? ?????????? NSS ,heparin,cefazolin,furosemide,NaHCO3??????????? severe sinus node dysfunction , severe bradycardia ????????????????? ????????? ?????????????????? VF,VT,heart blockBP<90/60 mmHg ???? HR< 60 min ?????????????????? VF,VT,heart blockBP<90/60 mmHg ???? HR< 60 min High alert drug ????????????????High alert drug ???????????????? Amiodarone inj. 150 mg/3 mlAmiodarone inj. 150 mg/3 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? amiodarone ?????…….......... mg????IV: D5W ……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? amiodarone ?????…….......... mg????IV: D5W ……………….………………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ?????????? NSS,heparin,cefazolin,furosemide,NaHCO3??????????? severe sinus node dysfunction , severe bradycardia ????????????????? ??????????????????? NSS ,heparin,cefazolin,furosemide,NaHCO3??????????? severe sinus node dysfunction , severe bradycardia ????????????????? ????????? ?????????????????? VF,VT,heart blockBP<90/60 mmHg ???? HR< 60 min ?????????????????? VF,VT,heart blockBP<90/60 mmHg ???? HR< 60 min High alert drug ????????????????High alert drug ????????????????Nicardipine inj.2 mg/2 ml, 10mg/10 mlNicardipine inj.2 mg/2 ml, 10mg/10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Nicardipine ?????…….......... mg????IV: D5W, D5S, NSS, D5S/2….………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Nicardipine ?????…….......... mg????IV: D5W, D5S, NSS, D5S/2….………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ??????????? advance aortic stenosis?????????????????? amiodarone ???????????? bradycardia, AV block, sinus arrest?????????????????? Fentanyl ?????????? severe hypotension?????????? sodium bicarbonate?????????????????? small peripheral veins???????????????????????????? 12 ??????? ??????????? advance aortic stenosis?????????????????? amiodarone ???????????? bradycardia, AV block, sinus arrest?????????????????? Fentanyl ?????????? severe hypotension?????????? sodium bicarbonate?????????????????? small peripheral veins???????????????????????????? 12 ??????? ????????????????BP <90/60 mmHg , HR >120 / minLab: hyperkalemia >5.0 ????????????????BP <90/60 mmHg , HR >120 / minLab: hyperkalemia >5.0 High alert drug ???????????????? High alert drug ???????????????? Nicardipine inj.2 mg/2 ml, 10mg/10 mlNicardipine inj.2 mg/2 ml, 10mg/10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Nicardipine ?????…….......... mg????IV: D5W, D5S, NSS, D5S/2….………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Nicardipine ?????…….......... mg????IV: D5W, D5S, NSS, D5S/2….………….ml?????????………………… ???????????…………………....?????????………………………??????…………................. ??????????? advance aortic stenosis?????????????????? amiodarone ???????????? bradycardia, AV block, sinus arrest?????????????????? Fentanyl ?????????? severe hypotension?????????? sodium bicarbonate?????????????????? small peripheral veins???????????????????????????? 12 ??????? ??????????? advance aortic stenosis?????????????????? amiodarone ???????????? bradycardia, AV block, sinus arrest?????????????????? Fentanyl ?????????? severe hypotension?????????? sodium bicarbonate?????????????????? small peripheral veins???????????????????????????? 12 ??????? ????????????????BP <90/60 mmHg , HR >120 / minLab: hyperkalemia >5.0 ????????????????BP <90/60 mmHg , HR >120 / minLab: hyperkalemia >5.0 High alert drug ???????????????? High alert drug ???????????????? Streptokinase inj. 1.5 mIU/vialStreptokinase inj. 1.5 mIU/vial??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………… ???????????…………………....?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………… ???????????…………………....?????????………………………??????…………................. ????????????: streptokinase 1,500,000 unit (1 vial) ??????????? Normal saline 5 ml ???????????????? ????????????????????????????????????????? ??????????????????????????????????? ????????????????????? NSS ???? D5W ???????????????????????? 45 mL. ??????????????????????????????????????? 100 ml.? ????????????????????????????????? ?????????????????????????????????? ????????????: ???????? IV Infusion ?? 60 ???? ????????????: streptokinase 1,500,000 unit (1 vial) ??????????? Normal saline 5 ml ???????????????? ????????????????????????????????????????? ??????????????????????????????????? ????????????????????? NSS ???? D5W ???????????????????????? 45 mL. ??????????????????????????????????????? 100 ml.? ????????????????????????????????? ?????????????????????????????????? ????????????: ???????? IV Infusion ?? 60 ???? ???????????????BP <90/60 mmHgCardiac arrhythmia?????????????????Allergic reaction: ??? ???? ???????? ???????? ???????????????BP <90/60 mmHgCardiac arrhythmia?????????????????Allergic reaction: ??? ???? ???????? ???????? ????????????????????????????????? 25°C ??? 8 ??. ???????????????? 25 ??. High alert drug ???????????????? ????????????????????????????????? 25°C ??? 8 ??. ???????????????? 25 ??. High alert drug ???????????????? Streptokinase inj. 1.5 mIU/vialStreptokinase inj. 1.5 mIU/vial??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………… ???????????…………………....?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………… ???????????…………………....?????????………………………??????…………................. ????????????: streptokinase 1,500,000 unit (1 vial) ??????????? Normal saline 5 ml ???????????????? ????????????????????????????????????????? ??????????????????????????????????? ????????????????????? NSS ???? D5W ???????????????????????? 45 mL. ??????????????????????????????????????? 100 ml.? ????????????????????????????????? ?????????????????????????????????? ????????????: ???????? IV Infusion ?? 60 ???? ????????????: streptokinase 1,500,000 unit (1 vial) ??????????? Normal saline 5 ml ???????????????? ????????????????????????????????????????? ??????????????????????????????????? ????????????????????? NSS ???? D5W ???????????????????????? 45 mL. ??????????????????????????????????????? 100 ml.? ????????????????????????????????? ?????????????????????????????????? ????????????: ???????? IV Infusion ?? 60 ???? ???????????????BP <90/60 mmHgCardiac arrhythmia?????????????????Allergic reaction: ??? ???? ???????? ???????? ???????????????BP <90/60 mmHgCardiac arrhythmia?????????????????Allergic reaction: ??? ???? ???????? ???????? ????????????????????????????????? 25°C ??? 8 ??. ???????????????? 25 ??. High alert drug ???????????????? ????????????????????????????????? 25°C ??? 8 ??. ???????????????? 25 ??. High alert drug ????????????????10% Calcium gluconate inj. 10 ml10% Calcium gluconate inj. 10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 10%Calcium gluconate…….......... ml????IV: D5W, D10W , LRS….………….ml?????????………………… ???????????…………………....?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 10%Calcium gluconate…….......... ml????IV: D5W, D10W , LRS….………….ml?????????………………… ???????????…………………....?????????………………………??????………….................????????? bicarbonate ?????????????????????????????? IV ????? ???????????????????????????? hyperkalemia ??? IV push ??????? 5 ???????? drip ????????? ?????????? 100 mg/min???????????????????? digoxin??????????????? ???? skin necrosis ??? ????????? bicarbonate ?????????????????????????????? IV ????? ???????????????????????????? hyperkalemia ??? IV push ??????? 5 ???????? drip ????????? ?????????? 100 mg/min???????????????????? digoxin??????????????? ???? skin necrosis ??? ???????????????BP <90/60 mmHg EKG ??????? arrhythmia, bradycardia ?????????????????? : ???????????????? ???????????????????????????: ???????????????????? ?????????????????????BP <90/60 mmHg EKG ??????? arrhythmia, bradycardia ?????????????????? : ???????????????? ???????????????????????????: ???????????????????? ???????????????????????????????????????? 24 ??. High alert drug ?????????????????????????????????????????????????? 24 ??. High alert drug ????????????????10% Calcium gluconate inj. 10 ml10% Calcium gluconate inj. 10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 10%Calcium gluconate…….......... ml????IV: D5W, D10W , LRS….………….ml?????????………………… ???????????…………………....?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 10%Calcium gluconate…….......... ml????IV: D5W, D10W , LRS….………….ml?????????………………… ???????????…………………....?????????………………………??????………….................????????? bicarbonate ?????????????????????????????? IV ????? ???????????????????????????? hyperkalemia ??? IV push ??????? 5 ???????? drip ????????? ?????????? 100 mg/min???????????????????? digoxin??????????????? ???? skin necrosis ??? ????????? bicarbonate ?????????????????????????????? IV ????? ???????????????????????????? hyperkalemia ??? IV push ??????? 5 ???????? drip ????????? ?????????? 100 mg/min???????????????????? digoxin??????????????? ???? skin necrosis ??? ???????????????BP <90/60 mmHg EKG ??????? arrhythmia, bradycardia ?????????????????? : ???????????????? ???????????????????????????: ???????????????????? ?????????????????????BP <90/60 mmHg EKG ??????? arrhythmia, bradycardia ?????????????????? : ???????????????? ???????????????????????????: ???????????????????? ???????????????????????????????????????? 24 ??. High alert drug ?????????????????????????????????????????????????? 24 ??. High alert drug ????????????????Midzaolam inj. 5 mg/1 mlMidzaolam inj. 5 mg/1 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? midazolam ….......... mg????IV: D5W,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? midazolam ….......... mg????IV: D5W,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................?????????????????: ?????????? deep I.M. ???????????????????????????????????????????????: ?????????? slow I.V. ??????? 2–5 ???? ?????????????? 1 – 5 mg/mL,Continuous I.V. infusion: ??????? infusion pump ????????????? ????????????????????????????????? 0.5 mg/mL ???? NSS ???? D5W?????????????????: ?????????? deep I.M. ???????????????????????????????????????????????: ?????????? slow I.V. ??????? 2–5 ???? ?????????????? 1 – 5 mg/mL,Continuous I.V. infusion: ??????? infusion pump ????????????? ????????????????????????????????? 0.5 mg/mL ???? NSS ???? D5W???????????????????????????????? ??? O2 sat < 95%Bradycardia ???? BP < 90/60 mmHg ?????? secretion ??????????????????????????????????????????????????????????????????????????????? ??? O2 sat < 95%Bradycardia ???? BP < 90/60 mmHg ?????? secretion ???????????????????????????????????????????????????? 24 ??.???????????????????????????? High alert drug ???????????????? ????? 24 ??.???????????????????????????? High alert drug ???????????????? Midzaolam inj. 5 mg/1 mlMidzaolam inj. 5 mg/1 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? midazolam ….......... mg????IV: D5W,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? midazolam ….......... mg????IV: D5W,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................?????????????????: ?????????? deep I.M. ???????????????????????????????????????????????: ?????????? slow I.V. ??????? 2–5 ???? ?????????????? 1 – 5 mg/mL,Continuous I.V. infusion: ??????? infusion pump ????????????? ????????????????????????????????? 0.5 mg/mL ???? NSS ???? D5W?????????????????: ?????????? deep I.M. ???????????????????????????????????????????????: ?????????? slow I.V. ??????? 2–5 ???? ?????????????? 1 – 5 mg/mL,Continuous I.V. infusion: ??????? infusion pump ????????????? ????????????????????????????????? 0.5 mg/mL ???? NSS ???? D5W???????????????????????????????? ??? O2 sat < 95%Bradycardia ???? BP < 90/60 mmHg ?????? secretion ??????????????????????????????????????????????? ???????????????????????????????? ??? O2 sat < 95%Bradycardia ???? BP < 90/60 mmHg?????? secretion ???????????????????????????????????????????????????? 24 ??.???????????????????????????? High alert drug ???????????????? ????? 24 ??.???????????????????????????? High alert drug ???????????????? Morphine sulfate inj.10 mg/1 mlMorphine sulfate inj.10 mg/1 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Morphine sulfate ….......... mg????IV: D5W………………….ml?????????………………????????????………………………..?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Morphine sulfate ….......... mg????IV: D5W………………….ml?????????………………????????????………………………..?????????………………………??????…………................. SC, IM ?????????????? IV push 1 amp ??????????? sterile water for injection 2 ml (?????????????? 1 mg/ml)????????? 3-5 ????IV infusion: ??????????? D5W 10 ml (?????????????????? 1 mg/ml) start 1-10mg/hr ??????? maximum dose ??????????????? SC, IM ?????????????? IV push 1 amp ??????????? sterile water for injection 2 ml (?????????????? 1 mg/ml)????????? 3-5 ????IV infusion: ??????????? D5W 10 ml (?????????????????? 1 mg/ml) start 1-10mg/hr ??????? maximum dose ??????????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ???? PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ???? PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? High alert drug ????????????????High alert drug ????????????????Morphine sulfate inj.10 mg/1 mlMorphine sulfate inj.10 mg/1 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Morphine sulfate ….......... mg????IV: D5W………………….ml?????????………………????????????………………………..?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Morphine sulfate ….......... mg????IV: D5W………………….ml?????????………………????????????………………………..?????????………………………??????…………................. SC, IM ?????????????? IV push 1 amp ??????????? sterile water for injection 2 ml (?????????????? 1 mg/ml)????????? 3-5 ????IV infusion: ??????????? D5W 10 ml (?????????????????? 1 mg/ml) start 1-10mg/hr ??????? maximum dose ??????????????? SC, IM ?????????????? IV push 1 amp ??????????? sterile water for injection 2 ml (?????????????? 1 mg/ml)????????? 3-5 ????IV infusion: ??????????? D5W 10 ml (?????????????????? 1 mg/ml) start 1-10mg/hr ??????? maximum dose ??????????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ???? PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ???? PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? High alert drug ????????????????High alert drug ????????????????Pethidine HCl inj. 50 mg/1 mlPethidine HCl inj. 50 mg/1 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Pethidine HCl….......... mg????IV: SWFI,D5W………………….ml?????????………… ?????? ???????????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Pethidine HCl….......... mg????IV: SWFI,D5W………………….ml?????????………… ?????? ???????????????…………………...?????????………………………??????………….................??????????????????????????????????????????????? (10 mg/ml) ???????????????? pupil ???????????????????????? 15 ???? ???????? 1 ??????? ????????????????? 1 ??????? 2 ????? ??????? ???????? ????????????????????????????????? ?????????????????????????????? ???????????? ??????????????? ?????????????? ??? ???????????? ??????????????????????????????????????????????? (10 mg/ml) ???????????????? pupil ???????????????????????? 15 ???? ???????? 1 ??????? ????????????????? 1 ??????? 2 ????? ??????? ???????? ????????????????????????????????? ?????????????????????????????? ???????????? ??????????????? ?????????????? ??? ???????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ????PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ????PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? High alert drug ????????????????High alert drug ????????????????Pethidine HCl inj. 50 mg/1 mlPethidine HCl inj. 50 mg/1 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Pethidine HCl….......... mg????IV: SWFI,D5W………………….ml?????????………… ?????? ???????????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Pethidine HCl….......... mg????IV: SWFI,D5W………………….ml?????????………… ?????? ???????????????…………………...?????????………………………??????………….................??????????????????????????????????????????????? (10 mg/ml) ???????????????? pupil ???????????????????????? 15 ???? ???????? 1 ??????? ????????????????? 1 ??????? 2 ????? ??????? ???????? ????????????????????????????????? ?????????????????????????????? ???????????? ??????????????? ?????????????? ??? ???????????? ??????????????????????????????????????????????? (10 mg/ml) ???????????????? pupil ???????????????????????? 15 ???? ???????? 1 ??????? ????????????????? 1 ??????? 2 ????? ??????? ???????? ????????????????????????????????? ?????????????????????????????? ???????????? ??????????????? ?????????????? ??? ???????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ????PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? ??????????????? RR < 12 ?????/???? ???? BP<90/60 mmHg, ????PR<60/minPupils < 2 min ????????? 1 ?????????????????????????? High alert drug ????????????????High alert drug ????????????????Potassium chloride inj. 20 mEq/10 mlPotassium chloride inj. 20 mEq/10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Potassium chloride….............. mEq ????IV: NSS……………ml (???????????????????????????????????? K) ?????????………………????????????………………………..?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Potassium chloride….............. mEq ????IV: NSS……………ml (???????????????????????????????????? K) ?????????………………????????????………………………..?????????………………………??????…………................. ??????? IV push ???? IV bolus??????? IV fluid ?????? K+ ????? loading????????????????????? ??????????????100 mEq/L ???????????? Infusion pump????????????????????????????????????????????????????????????? IV push ???? IV bolus??????? IV fluid ?????? K+ ????? loading????????????????????? ??????????????100 mEq/L ???????????? Infusion pump??????????????????????????????????????????????????????????????????????????????????????????? potassium sparing diuretic ???? amiloride(moduretic) ???? spironolactone ???? ACEIBP>160/110???? < 90/60 mmHg HR<60 ???? >100 ????? ??????? ?????? arrhythmia ?????????????????? ??????????? ??????????????? ??????? ?????? ????????????????????????????????? ???????? ????????????????????????????????????? potassium sparing diuretic ???? amiloride(moduretic) ???? spironolactone ???? ACEIBP>160/110???? < 90/60 mmHg HR<60 ???? >100 ????? ??????? ?????? arrhythmia ?????????????????? ??????????? ??????????????? ??????? ?????? ????????????????????????????????? ???????? High alert drug ????????????????High alert drug ????????????????Potassium chloride inj. 20 mEq/10 mlPotassium chloride inj. 20 mEq/10 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Potassium chloride….............. mEq ????IV: NSS……………ml (???????????????????????????????????? K) ?????????………………????????????………………………..?????????………………………??????…………................. ??????…………....????………………………………………….Ward………….…?????…………………………………...???????? Potassium chloride….............. mEq ????IV: NSS……………ml (???????????????????????????????????? K) ?????????………………????????????………………………..?????????………………………??????…………................. ??????? IV push ???? IV bolus??????? IV fluid ?????? K+ ????? loading????????????????????? ??????????????100 mEq/L ???????????? Infusion pump????????????????????????????????????????????????????????????? IV push ???? IV bolus??????? IV fluid ?????? K+ ????? loading????????????????????? ??????????????100 mEq/L ???????????? Infusion pump??????????????????????????????????????????????????????????????????????????????????????????? potassium sparing diuretic ???? amiloride(moduretic) ???? spironolactone ???? ACEIBP>160/110???? < 90/60 mmHg HR<60 ???? >100 ????? ??????? ?????? arrhythmia ?????????????????? ??????????? ??????????????? ??????? ?????? ????????????????????????????????? ???????? ????????????????????????????????????? potassium sparing diuretic ???? amiloride(moduretic) ???? spironolactone ???? ACEIBP>160/110???? < 90/60 mmHg HR<60 ???? >100 ????? ??????? ?????? arrhythmia ?????????????????? ??????????? ??????????????? ??????? ?????? ????????????????????????????????? ???????? High alert drug ????????????????High alert drug ????????????????Warfarin tablet 2 mg ,5 mgWarfarin tablet 2 mg ,5 mg??????…………....????……………………………….………….Ward………….…?????………………………………..…...????????????………………….…….....(………… mg/wk)?????????………………………??????…………....................??????…………....????……………………………….………….Ward………….…?????………………………………..…...????????????………………….…….....(………… mg/wk)?????????………………………??????…………....................???? baseline INR ??????????????????????????????? warfarin ??????????????????? ???????????? ???????????????????????????????? ???? ?????????????????? ????????????? lumbar block anesthesia , ???????????????????????????, ???????????????? malignant hypertension , blood dyscrasias (eg hemophillia, ITP) , pericarditis , pericardial effusion , bacterial endocarditis ???????????????????? (????????????????? mechanical heart valve ??????????????????????????? thromboembolism) ,???????? ,????????????? eclamsia ???? pre-eclamsia ???? baseline INR ??????????????????????????????? warfarin ??????????????????? ???????????? ???????????????????????????????? ???? ?????????????????? ????????????? lumbar block anesthesia , ???????????????????????????, ???????????????? malignant hypertension , blood dyscrasias (eg hemophillia, ITP) , pericarditis , pericardial effusion , bacterial endocarditis ???????????????????? (????????????????? mechanical heart valve ??????????????????????????? thromboembolism) ,???????? ,????????????? eclamsia ???? pre-eclamsia ??????????????????INR > 3???????????????????????????????????INR > 3?????????????????High alert drug ????????????????High alert drug ????????????????Warfarin tablet 2 mg ,5 mgWarfarin tablet 2 mg ,5 mg??????…………....????……………………………….………….Ward………….…?????………………………………..…...????????????………………….…….....(………… mg/wk)?????????………………………??????…………....................??????…………....????……………………………….………….Ward………….…?????………………………………..…...????????????………………….…….....(………… mg/wk)?????????………………………??????…………....................???? baseline INR ??????????????????????????????? warfarin ??????????????????? ???????????? ???????????????????????????????? ???? ?????????????????? ????????????? lumbar block anesthesia , ???????????????????????????, ???????????????? malignant hypertension , blood dyscrasias (eg hemophillia, ITP) , pericarditis , pericardial effusion , bacterial endocarditis ???????????????????? (????????????????? mechanical heart valve ??????????????????????????? thromboembolism) ,???????? ,????????????? eclamsia ???? pre-eclamsia ???? baseline INR ??????????????????????????????? warfarin ??????????????????? ???????????? ???????????????????????????????? ???? ?????????????????? ????????????? lumbar block anesthesia , ???????????????????????????, ???????????????? malignant hypertension , blood dyscrasias (eg hemophillia, ITP) , pericarditis , pericardial effusion , bacterial endocarditis ???????????????????? (????????????????? mechanical heart valve ??????????????????????????? thromboembolism) ,???????? ,????????????? eclamsia ???? pre-eclamsia ??????????????????INR > 3???????????????????????????????????INR > 3?????????????????High alert drug ????????????????High alert drug ????????????????7.5%NaHCO3 inj. 3.75 g/50 ml (44.6mEq)7.5%NaHCO3 inj. 3.75 g/50 ml (44.6mEq)??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 7.5% NaHCO3 ….............. ml????IV: D5NSS, NSS………………………………..ml?????????………………????????????………………………..?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 7.5% NaHCO3 ….............. ml????IV: D5NSS, NSS………………………………..ml?????????………………????????????………………………..?????????………………………??????………….................??????????????? Ampho B ,Atropine,Calcium gluconate, Ciprofloxacin,Dopamine - ?????????????????????????????? 0.5 mEq/mlAdult :I.V. bolus???????? 1mEq/kg/dose 1 ????? ,Maintenance 0.5 mEq/kg/dose ??? 10 ???? flush IV line ??????????????????????????????? Ampho B ,Atropine,Calcium gluconate, Ciprofloxacin,Dopamine - ?????????????????????????????? 0.5 mEq/mlAdult :I.V. bolus???????? 1mEq/kg/dose 1 ????? ,Maintenance 0.5 mEq/kg/dose ??? 10 ???? flush IV line ????????????????????????????????????????????? tetany, ?????? calcium gluconate ???????????????? ?????? diazepam 0.1-0.25 mg/kg ??????????????????????????????????? hypokalemia ??????? cellulitis????????????????????????????? tetany, ?????? calcium gluconate ???????????????? ?????? diazepam 0.1-0.25 mg/kg ??????????????????????????????????? hypokalemia ??????? cellulitisHigh alert drug ????????????????High alert drug ????????????????7.5%NaHCO3 inj. 3.75 g/50 ml (44.6mEq)7.5%NaHCO3 inj. 3.75 g/50 ml (44.6mEq)??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 7.5% NaHCO3 ….............. ml????IV: D5NSS, NSS………………………………..ml?????????………………????????????………………………..?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 7.5% NaHCO3 ….............. ml????IV: D5NSS, NSS………………………………..ml?????????………………????????????………………………..?????????………………………??????………….................??????????????? Ampho B ,Atropine,Calcium gluconate, Ciprofloxacin,Dopamine - ?????????????????????????????? 0.5 mEq/mlAdult :I.V. bolus???????? 1mEq/kg/dose 1 ????? ,Maintenance 0.5 mEq/kg/dose ??? 10 ???? flush IV line ??????????????????????????????? Ampho B ,Atropine,Calcium gluconate, Ciprofloxacin,Dopamine - ?????????????????????????????? 0.5 mEq/mlAdult :I.V. bolus???????? 1mEq/kg/dose 1 ????? ,Maintenance 0.5 mEq/kg/dose ??? 10 ???? flush IV line ????????????????????????????????????????????? tetany, ?????? calcium gluconate ???????????????? ?????? diazepam 0.1-0.25 mg/kg ??????????????????????????????????? hypokalemia ??????? cellulitis????????????????????????????? tetany, ?????? calcium gluconate ???????????????? ?????? diazepam 0.1-0.25 mg/kg ??????????????????????????????????? hypokalemia ??????? cellulitisHigh alert drug ????????????????High alert drug ????????????????Enoxaparin inj 40 mg/0.4 mlEnoxaparin inj 40 mg/0.4 ml??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………………???????? subcutaneous ?????????………………………??????…………...................??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………………???????? subcutaneous ?????????………………………??????…………...................??????? IM?????????????????????????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????? Amikacin inj , Amiodarone inj , Amphotericin B, Atracurium inj , Ciprofloxacin inj , Dobutamine inj ?????????????????????????? Warfarin , Aspirin , NSAIDs Clopidogrel ,Dextran 40 , steroids??????? IM?????????????????????????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????? Amikacin inj , Amiodarone inj , Amphotericin B, Atracurium inj , Ciprofloxacin inj , Dobutamine inj ?????????????????????????? Warfarin , Aspirin , NSAIDs Clopidogrel ,Dextran 40 , steroids???????????????????????????????????????????????????????????? ???? ?????????????????????????????????????????????????????????????????????????????????????????????????????? ???? ??????????????????????????????????????????High alert drug ???????????????? High alert drug ???????????????? Enoxaparin inj 40 mg/0.4 mlEnoxaparin inj 40 mg/0.4 ml??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………………???????? subcutaneous ?????????………………………??????…………...................??????…………....????………………………………………….Ward………….…?????…………………………………...?????????………………………???????? subcutaneous ?????????………………………??????…………...................??????? IM?????????????????????????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????? Amikacin inj , Amiodarone inj , Amphotericin B, Atracurium inj , Ciprofloxacin inj , Dobutamine inj ?????????????????????????? Warfarin , Aspirin , NSAIDs Clopidogrel ,Dextran 40 , steroids??????? IM?????????????????????????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????? Amikacin inj , Amiodarone inj , Amphotericin B, Atracurium inj , Ciprofloxacin inj , Dobutamine inj ?????????????????????????? Warfarin , Aspirin , NSAIDs Clopidogrel ,Dextran 40 , steroids???????????????????????????????????????????????????????????? ???? ?????????????????????????????????????????????????????????????????????????????????????????????????????? ???? ??????????????????????????????????????????High alert drug ???????????????? High alert drug ???????????????? 50%Magnesium sulfate 2 ml50%Magnesium sulfate 2 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 50%magnesium sulfate ….......... ml????IV: D5W ,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 50%magnesium sulfate ….......... ml????IV: D5W ,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................?????????? clindamycin , dobutamine, hydrocortisone, Ampho B??????? IV ???? dilute ???????? ???? D5W ???? NSS ????????????????? 20 %?????????? clindamycin , dobutamine, hydrocortisone, Ampho B??????? IV ???? dilute ???????? ???? D5W ???? NSS ????????????????? 20 %???????????????BP<90/60 mmHg ???? RR< 14 /minEKG ?? arrhythmiaUrine output< 100 ml in 4 hr Serum magnesium >2.5 mg/dl??????????????? 3 ????? ??????????????????????????????: ???????? ??????? ????????? ??????? ????????? ????????????????? ????? ??? deep tendon reflex ??????????? ???????????????BP<90/60 mmHg ???? RR< 14 /minEKG ?? arrhythmiaUrine output< 100 ml in 4 hr Serum magnesium >2.5 mg/dl??????????????? 3 ????? ??????????????????????????????: ???????? ??????? ????????? ??????? ????????? ????????????????? ????? ??? deep tendon reflex ??????????? High alert drug ???????????????? High alert drug ???????????????? 50%Magnesium sulfate 2 ml50%Magnesium sulfate 2 ml??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 50%magnesium sulfate ….......... ml????IV: D5W ,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................??????…………....????………………………………………….Ward………….…?????…………………………………...???????? 50%magnesium sulfate ….......... ml????IV: D5W ,NSS………………….ml?????????………………… ???????????…………………...?????????………………………??????………….................?????????? clindamycin , dobutamine, hydrocortisone, Ampho B??????? IV ???? dilute ???????? ???? D5W ???? NSS ????????????????? 20 %?????????? clindamycin , dobutamine, hydrocortisone, Ampho B??????? IV ???? dilute ???????? ???? D5W ???? NSS ????????????????? 20 %???????????????BP<90/60 mmHg ???? RR< 14 /minEKG ?? arrhythmiaUrine output< 100 ml in 4 hr Serum magnesium >2.5 mg/dl??????????????? 3 ????? ??????????????????????????????: ???????? ??????? ????????? ??????? ????????? ????????????????? ????? ??? deep tendon reflex ??????????? ???????????????BP<90/60 mmHg ???? RR< 14 /minEKG ?? arrhythmiaUrine output< 100 ml in 4 hr Serum magnesium >2.5 mg/dl??????????????? 3 ????? ??????????????????????????????: ???????? ??????? ????????? ??????? ????????? ????????????????? ????? ??? deep tendon reflex ??????????? High alert drug ???????????????? High alert drug ???????????????? ................
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