問題詳情

64.下列何者為septic shock的首選升壓劑?
(A)dobutamine
(B)dopamine
(C)epinephrine
(D)norepinephrine

參考答案

答案:D
難度:困難0.333
書單:沒有書單,新增

用户評論

【用戶】陳厚德

【年級】大三上

【評論內容】septic shock 治療升壓劑治療目標:MAP>65mmHg(MAP=2/3收縮壓+1/3舒張壓)藥物:norepinephrine為首選輸注液應使用crystalloids,如:N/S、Half saline、Lactate Ringer's更多詳細資訊:敗血症和敗血性休克的處理治療指引 2021

【用戶】passpass

【年級】高一下

【評論內容】uptodateFirst agent – Data that support norepinephrine as the first-line single agent in septic shock are derived from numerous trials that compared the use of one vasopressor to another

【用戶】帕拉迪島巨人

【年級】大三下

【評論內容】休克分成四種心因性(cardiogenic shock): dobutamine急性: dopamine敗血性(septic shock): norepinephrine過敏性(Anaphylactic shock): epinephrine

【用戶】passpass

【年級】高一下

【評論內容】跟這題很像~(´~`) 要分清楚是哪種休克49.林先生因動物咬傷感染,傷口處理後給與ampicillin/sulbactam,給藥後數分鐘發生過敏性休 克,下列何項為優先處置?(A)epinephrine SC(B)epinephrine IM(C)diphenhydramine IV(D)methylprednisolone IV編輯私有筆記及自訂標籤

【用戶】IG:Pharmabook

【年級】高一上

【評論內容】幫忙整理 koda & kimble p. 559 休克治療內文septic shock的治療中可考慮單用norepinephrine 或並用 強心劑在一篇收錄血液動力學不穩定的shock病人,比較dopamine or norepinephrine的療效療效指標:保持6hr以上血液動力學與氧氣的穩定達標率:dopamine (31%)   vs  norepinephrine (93%)在相同的study中,使用dopamine/dobutamine未能達標者,使用norepinephrine皆顯著扭轉低血壓、也顯著增加MAP、SVR、尿量 studies indicate that norepinephrine alone or in combination with inotropic agents can be beneficial in the management of septic shock Martin et al. compared the ability of dopamine and norepinephrine to reverse hemodynamic and metabolic abnormalities of hyperdynamic shock.76 They prospectively randomly assigned 32 volume-resuscitated patients with hyperdynamic sepsis to receive either dopamine or norepinephrine with the goal of achieving and maintaining normal hemodynamic and oxygen transport parameters for at least 6 hours. If goals were not achieved with one agent, the other agent was added. With the use of dopamine, 31% of patients met the predefined therapeuticgoals. In contrast, 93% of patients treated with norepinephrine met the predefined goals.In a similar study of patients in whom previous therapy with plasma volume expansion and dopamine or dobutamine had failed, norepinephrine reversed hypotension and significantly increased MAP, SVR, and urine output

【用戶】陳厚德

【年級】大三上

【評論內容】septic shock 治療升壓劑治療目標:MAP>65mmHg(MAP=2/3收縮壓+1/3舒張壓)藥物:norepinephrine為首選輸注液應使用crystalloids,如:N/S、Half saline、Lactate Ringer's更多詳細資訊:敗血症和敗血性休克的處理治療指引 2021

【用戶】passpass

【年級】高一下

【評論內容】uptodateFirst agent – Data that support norepinephrine as the first-line single agent in septic shock are derived from numerous trials that compared the use of one vasopressor to another

【用戶】帕拉迪島巨人

【年級】大三下

【評論內容】休克分成四種心因性(cardiogenic shock): dobutamine急性: dopamine敗血性(septic shock): norepinephrine過敏性(Anaphylactic shock): epinephrine

【用戶】passpass

【年級】高一下

【評論內容】跟這題很像~(´~`) 要分清楚是哪種休克49.林先生因動物咬傷感染,傷口處理後給與ampicillin/sulbactam,給藥後數分鐘發生過敏性休 克,下列何項為優先處置?(A)epinephrine SC(B)epinephrine IM(C)diphenhydramine IV(D)methylprednisolone IV編輯私有筆記及自訂標籤

【用戶】IG:Pharmabook

【年級】高一上

【評論內容】幫忙整理 koda & kimble p. 559 休克治療內文septic shock的治療中可考慮單用norepinephrine 或並用 強心劑在一篇收錄血液動力學不穩定的shock病人,比較dopamine or norepinephrine的療效療效指標:保持6hr以上血液動力學與氧氣的穩定達標率:dopamine (31%)   vs  norepinephrine (93%)在相同的study中,使用dopamine/dobutamine未能達標者,使用norepinephrine皆顯著扭轉低血壓、也顯著增加MAP、SVR、尿量 studies indicate that norepinephrine alone or in combination with inotropic agents can be beneficial in the management of septic shock Martin et al. compared the ability of dopamine and norepinephrine to reverse hemodynamic and metabolic abnormalities of hyperdynamic shock.76 They prospectively randomly assigned 32 volume-resuscitated patients with hyperdynamic sepsis to receive either dopamine or norepinephrine with the goal of achieving and maintaining normal hemodynamic and oxygen transport parameters for at least 6 hours. If goals were not achieved with one agent, the other agent was added. With the use of dopamine, 31% of patients met the predefined therapeuticgoals. In contrast, 93% of patients treated with norepinephrine met the predefined goals.In a similar study of patients in whom previous therapy with plasma volume expansion and dopamine or dobutamine had failed, norepinephrine reversed hypotension and significantly increased MAP, SVR, and urine output