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Talk about mect
Indications and contraindications of transshipment
1, indications and contraindications of transport: The indications and contraindications of diuretics come from users: What are the contraindications of transport?
-What are the taboos of Wei Benkai's patient transport?
1. Contents [1] Diuretics are drugs that act on the kidney, increase Na+, Cl- plasma and water, and produce diuretic effect. Diuretics are mainly used for edema caused by heart, kidney and diseases, and also for non-edematous diseases, such as hypertension, kidney calculi's disease, diabetes insipidus and hypercalcemia.
1. 1 What kind of patients are forbidden to transport diuretics?
Loop diuretics, also known as diuretics, mainly act on the thick segment of ascending branch of medullary loop, inhibit Na+-K+-2Cl- co-transport through loop diuretics, affect the dilution and concentration process, and play a powerful diuretic role. Principles of safe transportation for critically ill patients.
The classic loop diuretic (furosemide) belongs to diuretics. Clinically, it is often used in patients with acute pulmonary edema, brain edema, severe edema, hypercalcemia and heart failure, and in severe cases, it is also used in other diuretics. Its binding rate with plasma protein is 9 1%-97%, and almost all of them bind with albumin. This combination makes it possible to reach the proximal tubule of the kidney and then reach its target. What are the taboos for transporting patients?
Clinical application characteristics
Diuretic effect is strong and rapid, and there is an obvious dose-effect relationship: with the increase of dose, diuretic effect is obviously enhanced, and glomerular filtration rate will not decrease while increasing renal tubular fluid flow. Urine volume began to increase 2~5 minutes after intravenous injection, and reached the peak after 0.5~ 1.5 hours, and the drug effect lasted for 4~6 hours. Principles of transporting critically ill patients.
Because it does not significantly increase the cardiac load, it can be used for patients with cardiac insufficiency as appropriate. Because of its rapid and powerful diuretic effect, special attention should be paid to prevent water-electrolyte disorder caused by excessive diuresis in application. Clinical application characteristics Because the blood volume of renal edema can be low, thiazide diuretics can reduce the reabsorption of phosphorus by renal tubules, leading to secondary hypophosphatemia. Usually not.
2. Indications and contraindications of transshipment: The indications and contraindications of PCI come from the user: zjfmooer.
Indications and contraindications of percutaneous coronary intervention in chest pain center
What are the indications and contraindications of mect? According to the guidelines and the actual situation of our hospital, the indications and contraindications of PCI in our hospital are as follows:
I. signs
1. Direct PCI:
(1) If it is feasible immediately and can be done in time (see a doctor-balloon expansion time)
(2) Age
(3) Conventional stent placement. 2. Transporting PCI: High-risk STEMI patients to hospitals without direct PCI conditions, especially those with or without thrombolytic contraindications for more than 3 hours, can be transported to our hospital for PCI operation as soon as possible while being antithrombotic (antiplatelet or anticoagulant). 3. Emergency PCI after thrombolysis: Patients receiving thrombolysis, age
Second, contraindications (1) diseases. (2) Contrast agent allergy. (3) What are the transport contraindications for critically ill patients who are allergic to antiplatelet and/or scaffold materials?
The above is about the indications and contraindications of diuretics, and it is about the sharing of indications and contraindications of diuretics. Read the indications and contraindications of transshipment, I hope this will help everyone!
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