Norepinephrine (Levophed): tsis cuam tshuam rau CO tsuas yog nce me me ntawm koob tshuaj tsawg. Thawj tshuaj ntawm xaiv hauv cov neeg mob septic. Phenylephrine (Neosynephrine) yog ib qho ntshiab α1-agonist thiab zoo tagnrho rau cov neeg mob hypotension thiab tachycardia. Zam hauv SCI (siv dopamine thawj kab, txawm tias ua ntej cov kua dej).
Thaum twg koj siv phenylephrine es tsis txhob norepinephrine?
Y Piv rau norepinephrine, phenylephrine ua rau lub plawv dhia qis, nce hauv cov hlab ntsha tawg (zoo dua diastolic txhaws), thiab tsis txo qis hauv plawv. Qhov no txhawb kev siv phenylephrine rau cov neeg mob uas muaj
hypotension thiab hnyav tachycardia (xws li hypotensive atrial fibrillation).
Qhov txawv ntawm norepinephrine thiab phenylephrine yog dab tsi?
Muaj tsis muaj qhov sib txawvntawm norepinephrine thiab phenylephrine hais txog kev ua haujlwm hemodynamics thaum lawv raug tswj hwm ua thawj kab vasopressor tus neeg sawv cev hauv septic shock. Phenylephrine tsis muaj txiaj ntsig zoo dua li norepinephrine los tiv thaiv sepsis ntsig txog arterial hypotension.
Thaum twg phenylephrine nyiam?
Phenylephrine tau pom tias muaj txiaj ntsig zoo hauv kev tawm tsam feem ntau ntsib hypotension txuam nrog tus txha caj qaum(60% txog 70%) hauv cov neeg mob obstetric thiab tau dhau los ua vasopressor nyiam hauv qhov chaw no.
Thaum twg phenylephrine siv hauv kev poob siab?
Phenylephrine, vasopressor FDA-Kev pom zoo siv rau hauv kev poob siab septic, raug pom zoo ua lwm yam vasopressor thaum septic shock yog qhov nyuaj los ntawm tachyarrhythmia kom txo tau cov teeb meem plawv.
