2013年6月10日 星期一

抗凝血劑

rtPA (actilyse) (recombinant tissue plasminogen activator) (50mg/vial)

 STEMI:
    >67kg (2支): 15mg ivd 1-2min      
                         50mg ivd 30min
                         35mg ivd 60min

   <=67kg 15mg ivd 1-2min
                 0.75mg/kg (50kg=37.5mg)
                 0.5mg/kg  (50kg=25mg)    

 急性中風
   > 100kg  (total 90mg)
          10% (9mg) ivd 1min; 90% (81mg) ivd 60min

  <= 100kg (0.9mg/ kg) (10% ivd 1min, 90% ivd 60min)
      50kg= 5mg/ 45mg
      60kg= 6mg/ 54mg
      70kg= 7mg/ 63mg
      80kg= 8mg/ 72mg


Heparin (25000u/vial)
    20000u in N/S 500ml, 50kg run 15ml/h; 60kg (18ml/h); 70kg (21ml/h)

LMWH
  Fragmin (5000 IU/amp): 2500IU sc q12

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