2013年7月13日 星期六

血液系統用藥

A. 抗貧血藥
     Ferric-hydroxide-sucrose complex 400/ml, 5ml/vial 20mg/ml (Fe-Back inj 2% (eq. to trivalent iron 20mg/ml) (1st day: 2.5ml; 2nd day: 5ml; 3rd day: 10ml)
     Folic acid (A) (5mg (5000ug)/#)) (adult: 200ug; 孕婦: 400ug)
     Iron polysaccharide complex (Ferich 150mg/cap) (2-3mg/kg/d; 60kg=150mg)
     Mecobalamin (Vit B12) (methycobal 500ug/ 1ml/ amp; 0.5mg/#) (1# tid; 1 amp qd)
  
B. 抗凝血劑 & Thrombolytic agents

  抗凝血劑
     Warfarin (coumadin 1mg/#, 5mg/#) (10-15mg/d x2-4d, then 2-10mg/d by aPTT)
     Heparin (1000 IU/0.2ml, 25000IU/5ml/vial)
     Dalteparin (B) (LMWH) (Fragmin pre-filled syringe 5000 IU/0.2ml)

  Thrombolytic agents
     r-tPA (actilyse 50mg/50ml/vial) (肺栓塞: 100mg ivd 2 hrs; AMI)
     Urokinase (60000 IU/vial; urokinase-GCBT 6000IU/vial)

C. Antiplatelet agents
     Buflomedil (B), (Loftyl 150mg/#) (2-4#/day)
     Tirofiban (aggrastat inj. 12.5mg/50ml/vial)
     Dipyridamol (persantin 25mg/#, inj 10mg/2ml/amp)
     Plopidogrel (B) (plavix, 75mg) (1#qd) (預防recent MI, recent stroke, 週邊動脈疾病)
     Cilostazol (pletaal 50mg/#) (100mg bid)
     Aspirin (B) (Tapal, 100mg/cap)

D. Hemostatics
     tranexamic acid (transamine inj (250mg/cap; 250mg/5ml/amp)
     Phytonadione (vit K1 inj 10mg/1ml/amp)

E. Blood replensher
     Albumin serum human (C) (25% inj. 50ml/bot)
     recombinant Human Erythropoietin (C) (EPO 2000U/1 ml 洗腎室專用; Recormon 5000U/0.3ml)

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