BivalirfenDon allura

250MG / VILE ƙarfin

Nuni:BivalirfenAna nuna don amfani dashi azaman maganin rigakafi a cikin marasa lafiya yana fuskantar aikin jijiyoyin jiki na ƙwaƙwalwa (PCI).

Aikace-aikacen asibiti: ana amfani da allurar cutar allura da kuma zubar da ruwa na intrasi.

Alamar da amfani

1.1 parcutaneous translastal jijiyoyin angioplasty (PTCA)

Ana nuna wa Balbududin don allura don yin amfani dashi azaman maganin rigakafi a cikin marasa lafiya da ake iya amfani da shi a cikin tsallake-glogutial corcutial (PTCA).

1.2 placutaneous tsangwama (PCI)

Ba'alirudin Don allurar rigakafi tare da amfani da Glycoprotein Iib / IIIIA IIIA) kamar yadda aka jera a cikin

An nuna fitina ta 2 don amfani dashi azaman maganin rigakafi a cikin marasa lafiya yana fuskantar aikin jijiyoyin jiki na cututtukan zuciya (PCI).

Shekaru Don alluna ana nuna wa allura da, ko a hadarin, Heparin da ke jawo Thomboccenia da Heparin da ke jawo PCI.

1.3 US E tare da Asfirin

Ba'alirudin don allurar an yi niyya ne don amfani da asfirin kuma an yi nazarin shi kawai a cikin marasa lafiya da ke karbar asfirin.

1.4 Iyakar Amfani da

Lafiya da ingancin Bhivirudin don allura ba a kafa su cikin cututtukan cututtukan cuta da cututtukan zuciya masu rauni ba waɗanda ba sa fuskantar PTCA ko PCI.

2 sashi da gudanarwa

2.1 shawarar da aka ba da shawarar

Ba'alirudin don allurar mulki ne kawai.

Ba'alirudin don allurar an yi nufin amfani da asfirin (300 zuwa 325 MG Daily) kuma an yi nazarin kawai a cikin marasa lafiya da ke karbar asfirin.

Don marasa lafiya waɗanda ba su da hurawa / titts

Abubuwan da aka ba da shawarar na Ba'alirudin don allura ne na ciki (IV) kashi 0.75 MG / kg nan da nan ta hanyar jiko na tsarin PCI / PTCA. An gudanar da mintina biyar bayan da aka gudanar da lokaci na Bolus, lokacin da aka kunna shi (Dokar) ya kamata a yi kuma ana bayar da ƙarin Bolus na 0.3 MG / KG / KG / YAYA KG / YAYA.

Ya kamata a yi la'akari da gwamnatin GPI a cikin lamarin cewa duk wani yanayi da aka jera a cikin bayanin gwajin gwajin asibiti 2 yana nan.

Don marasa lafiya da suka buga / titts

Abubuwan da aka ba da shawarar na Ba'alirudin don allura a cikin marasa lafiya tare da Hit / Hitts suna faruwa PCI shine na IV Bolus na 0.75 MG / kg. Wannan ya kamata a biyo bayan ci gaba da jiko a cikin kudi na 1.75 mg / kg / h na tsawon lokacin.

Don Tsarin Jiyya mai gudana

Bivenirudin don yin maganin rigakafi na iya ci gaba da bin PCI / PTCA na har zuwa 4 hours post a cikin wannan shawarar da likitan likita.

A cikin marasa lafiya da st fashion hadar da inforction engontion (salla) cigaba da hadarin jiko na 1.75 MG / KG / kg / kg / kg / kg

Bayan sa'o'i hudu, wani ƙarin jiko na IVirudin don allurar na iya farawa a cikin kudi na 0.2 MG / KG / h (ƙananan jiko), don har zuwa awanni 20, idan an buƙata.

2.2 Dosing a cikin Rashin Tsarin Karen

Babu ragi a cikin kashi na Bolus don kowane mataki na lalata na renal. Yankunan jiko na Ba'alirudin don allura na iya rage, kuma ana iya saitawar tsarin antiicoulant a cikin marasa lafiya da lalata da na koda. Marasa lafiya tare da matsakaici na jiki lalata (30 zuwa 59 ml / min) ya kamata ya sami jiko na 1.75 mg / h. Idan sharewar Creatinine kasa da 30 ml / min, ragewar jiko na 1 mg / kg / h ya kamata a yi la'akari. Idan mai haƙuri yana kan hemodialysis, ya kamata a rage yawan jiko na 0.25 MG / KG / H.

Umarnin 2.3 don gudanarwa

Ba'alirudin don allura an yi nufin allurar bolus da kuma ci gaba da jiko bayan sulhu da dilution. Ga kowane vial 250 mg, ƙara 5 ml na ruwa mai bakararre don allura, USP. A hankali swirl har sai an narkar da dukkan kayan. Bayan haka, ya janye, da kuma jakar 5 ml daga jakar roba 50% cikin ruwa ko 0.9% sodium chloride don allura. Sa'an nan kuma ƙara abubuwan da ke cikin sake fasalin vial ga jakar jiko da ke ɗauke da 5% na ruwa don allura don yin watsi da na ƙarshe na 5 MG; 2 vials a cikin 100 ml; 5 Vials a cikin 250 ml). Ana daidaita shi a bisa ga nauyin mai haƙuri (duba Table 1).

Idan ana amfani da karancin jiko bayan jiko na farko, ya kamata a shirya jakar taro. Don shirya wannan ƙaramar taro, sake gina vial 250 ml tare da 5 ml na ruwa mai bakararre don allura, USP. A hankali swirl har sai an narkar da dukkan kayan. Bayan haka, ya janye, ya watsar da 5 ml daga jakar 500 ml daga jakar 5% na cikin ruwa ko 0.9% sodium chloride don allura. Sa'an nan kuma ƙara abubuwan da ke cikin sake fasalin vial ga jakar jakar da ke ɗauke da 5% na ruwa na chloride don allura don magance ƙarshen 0.5 mg / ml. Za a zaɓi jiko da za'a zaɓa daga shafi dama daga cikin tebur 1.