Bivalirudin la isku duro

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    Bivalirudin la isku duro

    250mg / Xoog ku shubtay

    Tilmaan: Bivalirudin waxaa lagu tilmaamay in loo isticmaalo sida daawada xinjirowga lidka ku ah ee bukaanka lagu faragelinta KORONARKAR (PCI).

    codsiga Clinical: Waa duridda xididdaha usedfor iyo faleebo xididka.

    Muujinaya IYO ISTICMAALKA

    1.1 KORONARKAR Transluminal halista Qalliinka (PTCA)

    Bivalirudin Durayo waxaa lagu tilmaamay in loo isticmaalo sida daawada xinjirowga lidka ku ah in bukaanka qaba angina deganayn lagu angioplasty KORONARKAR transluminal coronary (PTCA).

    1.2 Intervention KORONARKAR (PCI)

    Bivalirudin Durayo iyadoo la isticmaalayo meelgaarka ah ee inhibitor glycoprotein IIb / IIIa (GPI) sida ku qoran ee

    BEDDEL-2 maxkamad ayaa la tilmaamay in loo isticmaalo sida daawada xinjirowga lidka ku ah ee bukaanka lagu faragelinta KORONARKAR (PCI).

    Bivalirudin Durayo waxa lagu tilmaamayaa bukaanka qaba, ama khatar ugu jira, heparin Torombositobiiniya laaluusheen (dhuftay) ama heparin laaluusheen Torombositobiiniya iyo thrombosis syndrome (HITTS) lagu PCI.

    1.3 Us e la Aspirin

    Bivalirudin Durayo ee muujinaya kuwaas waxaa loogu tala galay in lagu isticmaalo aspirin iyo ayaa lagu soo bartay oo keliya in bukaanlayda qaadato aspirin saameen.

    1.4 Xaddidaadda Isticmaal

    The ammaanka iyo waxtarka bivalirudin duro aan la aasaasay bukaanka qaba syndromes coronary ba'an kuwaas oo aan PTCA ama PCI maray.

    2 qiyaasta IYO MAAMULKA

    2.1 Qiyaasta talinayo

    Bivalirudin Durayo waa maamulka xididka oo keliya.

    Bivalirudin Durayo waxaa loogu tala galay in lagu isticmaalo aspirin (300 ilaa 325 mg maalin kasta) iyo ayaa lagu soo bartay oo keliya in bukaanlayda qaadato aspirin saameen.

    Waayo, bukaanka kuwaas oo aan ka dhacay / HITTS

    Qiyaasta taliyay bivalirudin la isku duro waa (IV) bolusdose xididka of 0.75 mg / kg, raaceen by galiyey ah 1.75 mg / kg / h mudada PCI / Nidaamka PTCA ah. Shan daqiiqo ka dib bolusdose ayaa maamula, wakhti shaqeysiin xinjirowga (ACT) waa in loo sameeyaa oo bolusdose dheeraad ah 0.3 mg / kg waa in la siiyaa haddii loo baahdo.

    Maamulka GPI waa in la tixgeliyaa ay dhacdo in mid ka mid ah xaaladaha ku taxan ee BEDDEL-2 Tilmaanta Tijaabo caafimaad joogo.

    Waayo, bukaanka ka dhacay / HITTS

    Qiyaasta taliyay bivalirudin la isku duro ee bukaanka qaba ku dhuftay / HITTS PCI tijaabada waa bolusdose IV of 0.75 mg / kg ah. Tani waa in la raaco by galiyey joogto ah heer ah 1.75 mg / kg / h mudada of habka.

    Waayo, nidaamka post daawayn socota

    Bivalirudin for galiyey duray way sii socda PCI / PTCA ilaa 4 saacadood post nidaamka ikhtiyaar u ah dhakhtar daaweynta.

    In bukaanka qaba quruxsan gabal sii ST Wadnaxanuun myocardial (STEMI) ee bivalirudin ee faleebo duro heer ah 1.75 mg / kg / h socda PCI / PTCA ilaa 4 saacadood post-habka loo tixgeliyo waa si loo yareeyo khatarta ka mid ah thrombosis stent.

    afar saacadood ka dib, la galiyey IV dheeraad ah bivalirudin la isku duro, waxaa curin kara heer ah 0.2 mg / kg / h (faleebo-heerka u hooseeya), ilaa 20 saacadood, haddii loo baahdo.

    2.2 Qadarka Qaadashada ee Dhimantahay Kelyaha

    No hoos u bolusdose waxaa loo baahan yahay degree mid ka mid ah dhantaalan kelyaha. Qiyaasta galiyey of bivalirudin la isku duro waxay u baahan karaan in la dhimay, iyo xaaladda daawada xinjirowga lidka ku socdo in bukaanka qaba itaaldarro kelyaha. Bukaanka qaba itaaldarro kelyaha dhexdhexaad (30 ilaa 59 mL / min) waa in ay helaan faleebo ah ee 1.75 mg / kg / h. Haddii ansixin kariyaatiniin uu ka yar yahay 30 mL / min, yaraynta heerka galiyey 1 mg / kg / h waa in la tixgeliyaa. Haddii bukaan-socodka waa on kelyaha, heerka galiyey waa in la hoos u dhigay 0,25 mg / kg / h.

    2.3 Tilmaamaha Maamulka

    Bivalirudin Durayo waxaa loogu talagalay duro bolusdose xididka iyo faleebo joogto ah ka dib markii dib-iyo Barxo. Si kasta oo ku shubtay 250 mg, ku dar 5 ml oo nadiif ah Water Durayo, USP. Si jilicsan u warwareeji ilaa qalab oo dhan waa baabba'ay. Next, ka bixi oo iska tuur 5 mL ka bac 50 mL faleebo ku jiraan 5% dextrose in Water ama 0.9% Chloride Sodium Durayo. Ka dibna ku dar ka kooban yahay waxay fijaankeedii ku-dheeyey in bac galiyey oo ay ku jiraan 5% dextrose in Water ama 0.9% Chloride Sodium Durayo in ay dhali uruuray final of 5 mg / mL (tusaale ahaan, 1 shubtay in 50 mL; 2 fijaan ee 100 mL; 5 fijaan ee 250 mL). Qiyaasta in loo maamulo waxaa laga beddelo sida uu miisaanka bukaanka (fiiri Shaxda 1).

    Haddii faleebo-heerka u hooseeya waxaa loo isticmaalaa ka dib markii galiyey hore, bac-fiirsashada hoose waa in la diyaariyaa. Si loo diyaariyo this fiirsashada hoose, dib weelka 250 mg oo la 5 ml oo nadiif ah Water Durayo, USP. Si jilicsan u warwareeji ilaa qalab oo dhan waa baabba'ay. Next, ka bixi oo iska tuur 5 mL ka bac 500 galiyey mL ka kooban 5% dextrose in Water ama 0.9% Chloride Sodium Durayo. Ka dibna ku dar ka kooban yahay waxay fijaankeedii ku-dheeyey in bac galiyey oo ay ku jiraan 5% dextrose in Water ama 0.9% chloride Sodium Durayo in ay dhali uruuray kama dambaysta ah ee 0.5 mg / mL. Heerka galiyey in loo maamulo waa in ka khaanadda midige ee la doortay ee Table 1.


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