اوردرنویسی قلب دکتر سیامک نوراللهی
اوردرهای اولیه دارویی اورژانس قلب عبارتند از:
Amiodarone 150mg iv stat in 15 min
Adenosine 6mg iv then if no response 12mg iv stat
Lidocaine 1mg/kg iv stat
Procainamide 25mg in 1 min iv stat
Magnesium sulfate 2gr iv stat
Verapamil 3mg over 2 min
Propranolol 0.5mg/kg iv
Metoprolol 25mg po
Heparin 60u/kg iv stat
Digoxin 0.25mg iv q6h
Atropin 0.5-3mg iv stat
Epinephrine 5 mic/kg/min
Dopamine 5 mic/kg/min
Dobutamine 2 mic/kg/min
Nitroglycerin 5 mic/min
Norepinephrine 2 mic//min
Glucagon 3 mg iv stat
Streptokinase 250000 u iv over 30 min then 100000 u/h iv infusion
Enoxaparin 1mg/kg sc
Warfarin 5 mg po daily
Furosemide 40-100 mg iv stat
Hydralazine 10 mg iv stat
Phentolamine 5 mg iv stat
Captopril 25 mg po stat
Nitroprusside 5 mic/kg/min
Losartan 25 mg po
Spironolactone 25 mg po
Hydrochlorthiazide 6.25 mg po
Indomethacin 25 mg qid
Colchicine 1 mg/day
ASA 325 mg po
Morphine sulfate 3 mg iv
Atorvastatin 80 mg po stat
Amlodipine 5 mg po
Nitroglycerin sublingual × 3 q5min if pain
Oxazepam 10 mg at night
Plavix 300 mg po stat
Haloperidol 2 mg iv stat
Calcium gluconate 10 cc iv stat in 2 min