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首页 > 医学词汇大全 > Aminophylline
Aminophylline

呼吸

关键词呼吸 药物 平喘药

词汇介绍

拓展阅读

解析

Aminophylline   /,æmə'nɑfəlɪn/ 

释    义   n. [药] 氨茶碱

例    句   To determine the plasma concentration of aminophylline, and design the individuation project. 测定氨茶碱血药浓度,并设计个体化给药方案。

概述

药物概述 商品名或别名:乙烯双胺茶碱( Diphyllin),Euphyllin,Thephyllamin。分类:化学:黄嘌呤类。治疗学:平喘药。妊娠分类:C 指征和剂量(1)治疗支气管哮喘。口服:成人0.15~0.2g,tid或qid;儿童每次 3~5mg/kg,tid。静注:首次 5.6mg/kg,推注速度不得高于0.2mg/(kg·min)。如果患者在 24h 内已经用过茶碱,首次剂量应减半,溶于25%~50%葡萄糖 20~40ml 内缓慢静注。如果患者的肝肾

Impact of weekly case-based tele-education on quality of care in a limited resource medical intensive care unit复制标题

基于每周病例的远程教育对有限资源医疗重症监护室护理质量的影响

发表时间:2019-06-14

影响因子:7.0

作者: Kovacevic P

期刊:Crit Care

Patient demographics and acuity were similar before (2015) and 2 years after (2016 and 2017) the intervention. Sixteen providers (10 physicians, 4 nurses, and 2 physical therapists) evaluated changes in the ICU structure and processes after the intervention. Structural changes prompted by the intervention included standardized admission and rounding practices, incorporation of a pharmacist and physical therapist into the interprofessional ICU team, development of ICU antibiogram and hand hygiene programs, and ready access to point of care ultrasound. Process changes included daily sedation interruption, protocolized mechanical ventilation management and liberation, documentation of daily fluid balance with restrictive fluid and transfusion strategies, daily device assessment, and increased family presence and participation in care decisions. Less effective (dopamine, thiopental, aminophylline) or expensive (low molecular weight heparin, proton pump inhibitor) medications were replaced with more effective (norepinephrine, propofol) or cheaper (unfractionated heparin, H2 blocker) alternatives.

译文

干预前(2015年)和干预后两年(2016年和2017年)患者的人口统计学和敏锐度相似。干预后,有16名医疗服务提供者(10名医生,4名护士和2名物理治疗师)评估了ICU结构和过程的变化。干预导致的结构变化包括标准化的入院和四舍五入做法,将药剂师和理疗师纳入跨专业的ICU团队,制定ICU抗菌素检查和手部卫生计划以及随时可以使用即时护理超声。流程更改包括每日镇静中断,协议的机械通气管理和解放,记录每日液体平衡以及限制性液体和输血策略,每日器械评估以及家庭人数增加和参与护理决策。疗效较差的药物(多巴胺,硫喷妥钠,氨茶碱)或昂贵的药物(低分子量肝素,质子泵抑制剂)被更有效的药物(去甲肾上腺素,丙泊酚)或更便宜的药物(普通肝素,H2受体阻滞剂)替代。