在儿科急诊室的兴奋管理药物治疗
Kelsey Brasel1, Elizabeth LaScala1, Erin Weeda2
1Medical University of South Carolina, Pharmacy Services, Charleston, SC.
Pediatric emergency care
|January 22, 2025
概括
二胺单疗是治疗急诊室儿科动荡症的最常见选择,尽管目前还没有标准治疗方法. 很少注意到不良事件,但需要进一步研究以确定最佳的治疗方案.
科学领域:
- 儿科急救医学 儿科急救医学
- 药理学 药理学是指药理学的学科.
- 临床实践 临床实践
背景情况:
- 在儿科急诊室 (PEDs) 的激动通常需要在非药物方法失败后服用药物.
- 治疗儿科激动症的证据有限.
- 描述当前的处方实践对于改善护理至关重要.
研究的目的:
- 分析一次性或按需 (PRN) 药物的处方模式,用于PED中的激发.
- 确定最常用的药物和治疗方案.
- 评估这些治疗方法的有效性和安全性.
主要方法:
- 从2021年7月到2022年6月的PED中对109名患者遭遇的回顾性图表审查.
- 包括抗精神病药物,二胺,巴比酸盐,二胺,克洛尼丁,胺,和guanfacine.
- 检查了最初的处方模式,需要重复剂量和不良事件.
主要成果:
- 二胺单疗是最常见的初始治疗方案 (43%).
- 抗精神病单一治疗 (21%) 和抗精神病药物,二胺和二胺 (15%) 的组合也很常见.
- 11%的患者需要在120分钟内服用第二剂; 一名患者出现了额外金字塔症状.
结论:
- 没有确定PED中儿科激动症的标准治疗方案.
- 二胺单疗是最常用的方法.
- 需要进一步的研究来确定最佳的治疗策略和改善患者的治疗结果.
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