全科急诊用药 急症处理

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1、全科急诊用药急症处理全科急诊用药  急症处理：1.高热            10%~25%安乃近2~3滴每侧滴鼻          复方氨基比林  2ml    im  st！          柴胡              2~4ml  im  st！          口服可选用阿司匹林，复方阿司匹林，对乙酰氨基酚（扑热息痛）及吲哚美辛（消炎痛）          冬眠疗法：氯丙嗪  25mg  im  st！                            异丙嗪  25mg  im  st！2.上消化道出血      A.积极补充血

2、容量      （1）右旋糖酐-40  500ml  静滴                                    （2）输入足量全血，另开通路  B  止血药              （1）肝硬变食道胃底静脉曲张破裂出血                                  5%葡萄糖  500ml                                                                静滴0.2~0.4U/分                                  垂体后

3、叶素  6~8U                                10%葡萄糖      10ml                                          静脉推注即继而以25~50ug/小时的速度持续静滴                              奥曲肽（善得定）  0.1ml                          （2）消化性溃疡出血                                    处方一：  生理盐水  20ml                      

4、                                   静推  每12小时一次                                                    雷尼替丁  0.15                                  处方二：  生理盐水            20ml                                                                        静推  QD                                

5、             奥美拉唑（洛赛克）  40mg                                  处方三：  去甲肾上腺素        8mg                                                               分次口服或经胃管注入胃内                                              冰盐水              150ml                                  处方四：  生理盐水      

6、      20ml                                                                         口服4~6小时/次                                           凝血酶              2000u注：同时可以应用酚磺乙胺（止血敏）、氨基己酸、氨甲苯酸（止血芳酸）等常规止血药。3.过敏性休克  处方一：  肾上腺素            1mg    皮下注射  st！                                  

7、极严重时            生理盐水  10ml                                                                                静推  st！                                                      肾上腺素  1mg                        处方二：  生理盐水            10ml                                                    

8、          静推  st！                                  地塞米