Bivalirudin ga allura

  • :
  • samfurin Detail

    samfurin Tags

    Bivalirudin ga allura

    250mg / vial ƙarfi

    Indication: Bivalirudin is indicated for use as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI).

    Clinical aikace-aikace: Shi ne usedfor igiyar jini allura da kuma igiyar jini drip.

    Alamomi da kuma amfani

    1.1 Percutaneous Transluminal jijiyoyin zuciya Angioplasty (PTCA)

    Bivalirudin for Allura da aka nuna ga yin amfani da matsayin anticoagulant a marasa lafiya tare da m angina jurewa percutaneous transluminal jijiyoyin zuciya angioplasty (PTCA).

    1.2 Percutaneous jijiyoyin zuciya Tsakani (PCI)

    Bivalirudin for Allura da wucin amfani da glycoprotein IIb / IIIa hanawa (GPI) kamar yadda aka jera a cikin

    Sauya-2 fitina da aka nuna ga yin amfani da matsayin anticoagulant a marasa lafiya jurewa percutaneous jijiyoyin zuciya baki (PCI).

    Bivalirudin for Allura ta nuna ga marasa lafiya da, ko a hadarin, heparin jawo thrombocytopenia (buga) ko heparin jawo thrombocytopenia da thrombosis ciwo (HITTS) jurewa PCI.

    1.3 Mu e tare da asfirin

    Bivalirudin for Allura cikin wadannan alamomi ne aka yi nufi ga yin amfani da asfirin, kuma an yi karatu ne kawai a marasa lafiya samun concomitant asfirin.

    1.4 rage mata Amfani

    A aminci da kuma tasiri na bivalirudin ga allura ba aka kafa a marasa lafiya tare da m jijiyoyin zuciya syndromes wanda ba jurewa PTCA ko PCI.

    2 sashi AND MULKI

    2.1 Nagari Kashi

    Bivalirudin for Allura ne ga igiyar jini gwamnati kawai.

    Bivalirudin for Allura da aka yi nufin amfani tare da asfirin (300 to 325 MG kullum) da kuma an yi karatu ne kawai a marasa lafiya samun concomitant asfirin.

    Ga marasa lafiya da suke ba sun buga / HITTS

    The shawarar kashi na bivalirudin ga allura ne igiyar jini (IV) bolus kashi na 0.75 MG / kg, bi nan da nan ta wani jiko na 1,75 MG / kg / h ga tsawon lokaci da PCI / PTCA hanya. Biyar min bayan da bolus kashi da aka gudanar, an kunna clotting lokaci (ACT) ya kamata a yi da wani ƙarin bolus na 0.3 MG / kg ya kamata a ba idan da ake bukata.

    GPI gwamnati kamata a yi la'akari a cikin taron da cewa duk wani yanayi da aka lissafa a cikin maye gurbin-2 na asibiti fitina bayanin ne ba.

    Ga marasa lafiya da suke yi Hit / HITTS

    The shawarar kashi na bivalirudin ga allura a cikin marasa lafiya da buga / HITTS jurewa PCI ne IV bolus na 0.75 MG / kg. Wannan ya kamata a bi da a ci gaba da jiko a wani kudi na 1,75 MG / kg / h, tsawon lokacin da hanya.

    Domin gudana magani post hanya

    Bivalirudin ga allura jiko iya ci gaba wadannan PCI / PTCA don har zuwa 4 hours post hanya a hankali na malamin lafiyarka.

    A marasa lafiya da ST kashi tadawa tsokar zuciya infarction (STEMI) ci gaba da bivalirudin ga allura jiko a wani kudi na 1,75 MG / kg / h wadannan PCI / PTCA don har zuwa 4 hours post-hanya ya kamata a dauke su magance hadarin stent thrombosis.

    Bayan hudu hours, wani ƙarin IV jiko na bivalirudin ga allura iya qaddamar a wani kudi na 0.2 MG / kg / h (low-rate jiko), don har zuwa 20 hours, idan da ake bukata.

    2.2 dosing a koda hanawa

    Babu rage a cikin bolus kashi ake bukata domin kowane mataki na koda hanawa. A jiko kashi na bivalirudin ga allura iya bukatar da za a rage, da kuma anticoagulant matsayi kula a marasa lafiya tare da koda hanawa. Marasa lafiya da matsakaici koda hanawa (30 zuwa 59 ml / min) ya sami wani jiko na 1,75 MG / kg / h. Idan creatinine yarda ne kasa da 30 ml / min, rage daga cikin jiko rate zuwa 1 MG / kg / h kamata a yi la'akari. Idan wani haƙuri ne a kan hemodialysis, jiko rate ya kamata a rage zuwa 0.25 MG / kg / h.

    2.3 Umurnai na Administration

    Bivalirudin for Allura ne aka yi nufi ga igiyar jini bolus allura da kuma ci gaba da jiko bayan reconstitution da dilution. Don kowane 250 MG vial, ƙara 5 ml na Bakararre Ruwa for Allura, USP. M swirl har duk abu ne narkar. Next, janye da kuma jefar 5 ml daga 50 ml jiko jakar dauke 5% Dextrose a Ruwa ko 0.9% sodium chloride for Allura. Sa'an nan kuma ƙara da abinda ke ciki na reconstituted vial da jiko jakar dauke 5% Dextrose a Ruwa ko 0.9% sodium chloride for Allura don ya haifar da wani karshe taro na 5 MG / ml (misali, 1 vial a 50 ml. 2 vials a 100 ml. 5 vials a 250 ml). A kashi da za a gudanar da aka gyara bisa ga haƙuri da nauyi (ga Table 1).

    Idan low-rate jiko aka yi amfani da bayan na farko jiko, wani m taro jakar ya kamata a shirya. Domin shirya wannan ƙananan taro, reconstitute 250 MG vial tare 5 ml na Bakararre Ruwa for Allura, USP. M swirl har duk abu ne narkar. Next, janye da kuma jefar 5 ml daga 500 ml jiko jakar dauke 5% Dextrose a Ruwa ko 0.9% sodium chloride for Allura. Sa'an nan kuma ƙara da abinda ke ciki na reconstituted vial da jiko jakar dauke 5% Dextrose a Ruwa ko 0.9% sodium chloride for Allura don ya haifar da wani karshe taro na 0.5 MG / ml. A jiko rate da za a gudanar ya kamata a zabi daga hannun daman shafi a Table 1.


  • Previous:
  • Next:

  • related Products

    WhatsApp Online Chat!