[关于在重症监护病房中持续输注药品标准度的建议]
L Kreysing1,2, H Hilgarth3,4, M Bodenstein5,4
1Apotheke der Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Langenbeckstraße 1, 55131, Mainz, Deutschland.
德国重症监护室 (ICU) 持续静脉注射的全国标准是为了提高药物安全而制定的. 这份基于证据的41种活性物质和49种度的清单旨在减少重症监护机构的错误.
科学领域:
- 药理学 药理学是指药理学的学科.
- 密集护理医学 密集护理医学
- 药物安全 药物安全
背景情况:
- 在重症监护室 (ICU) 中,持续静脉注射是常见的.
- 建议使用标准化度和剂量调整,以尽量减少药物错误.
- 德国ICU的现行做法显示了活性成分和使用度的异质性.
研究的目的:
- 为德国ICU中成年人持续静脉注射制定全国标准.
- 提高药物安全性,减少重症监护机构的错误.
- 由ADKA/DIVI (德国重症医院药师联合会/德国重症和急诊医疗学科联合会) 发起的.
主要方法:
- 一个授权的专家组制定了标准度清单.
- 采用了基于共识的两阶段流程.
- 第一个阶段:关于活性物质的协议. 第二阶段:根据预先定义的标准,决定标准度.
主要成果:
- 该标准包括41种活性物质,49种建议度.
- 具体的例子包括氨酸 (2 . ),上腺素 (含有3个) ),苏芬坦尼尔 (含量为3. ) 和诺拉皮内弗林 (4 . ) 的情况.
- 该标准规定了适当的车辆溶液和长达24小时的物理化学稳定性.
结论:
- 开发的持续输液标准是实用的,基于证据的.
- 这些标准对于提高ICU中药物安全至关重要.
- 跨学科团队应促进这些标准在德国ICU的实施.
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