Alprostadil/Prostin VR 500mcg/mL/Amp Alprostadil (PGE1)/Promostan 20μg/Vial Amiodarone/Cordarone 150mg/3mL/Amp Atracurium/Genso 25mg/2.5mL/Amp 2-8 C 常用藥物之安定性與泡製法 KMTTH pharmacy 開瓶即棄 1 Amp + NS 25-250mL -- 0.01-0.4 mcg/kg/min : 24 hrs : 24 hrs (2) 2-3 Vial + NS 500mL qd- bid Over 2 hrs. (14 天 ) : 24hrs in polyolefin 容器 DEHP 材質 (2) IV bolus: 1Amp +D5W 100mL over 10min. IVD: 6 Amp + D5W 500mL(1.8mg/mL) D5W only!! VT: 300mg Af: 250mg 34mL/hr for 6h then 17mL for 18h Genso :8 Amp +NS 80mL (2mg/mL) Genso :0.4-0.5mg/kg (IBW) Genso :0.3-0.6mg/kg/hr (60kg 9-18mL/hr) :24 hrs (2) Atropine/Atropine 1mg/mL/Amp Unknown 25 Amp + NS 250mL (0.1mg/mL) 0.5-1 mg 5-10mL/hr Botulinum toxin typea/botox 100U/Vial Cacium chloride/vitacal 20mL/Amp Cis-atracurium/Nimbex 10mg/5mL/Amp Desmopressin/DDAVP 4μg/mL/Amp Diazepam 10mg/2mL/Amp Dexmedetomidine/Precedex 200mcg/2mL/Vial Diltiazem/Herbesser 50mg/Amp :6 週 (3) 1. 5 Amp in 500mL 2. N Amp in NS X ml - -- 1-3 Amp over 5-10 min 1. Over 24h. 2. Over (N 70 BW) hrs. 5 Amp + NS 25 ml (1mg/mL) 0.15 to 0.2 mg/kg IV bolus 1~3μg/kg/min (60kg 3.6~10.8 ml/hr) :24 hrs (2) 4 Amp+ NS 50mL for 30min q12h -- -- :24 hrs (2) IVD: 1amp +NS 500mL 稀釋後 : 24 hrs 48 hrs (5) :24 hrs (2) ( 建議用玻璃瓶 ) PVC 1 vial + 48 ml N/S (4 μg/ml) Step1: 1Amp+NS 5mL(2mL for bolus) Step2: residual 3mL+NS 57mL (0.5mg/mL) -- 15-50mL/hr 20mg (Step 1 solution 2mL) for 2min 0.5-1 μg/kg >10 min (60 kg: 7.5~15 ml) then 0.2-1 μg/kg/h (60 kg: 3~15mL/h) 10-20mL/hr (max: <720mL/day) 1
Dobutamine/Gendobu 250mg/20mL/Vial Dopamine/Dopamin 200mg/5mL/Amp Epinephrine/Adrenalin 1mg/mL/Amp Esmolol 100mg/10mL/Vial Esomeprazole/Nexium 40mg/Vial :24 hrs 2 Vial + NS or D5W 500mL (1mg/mL) -- 2~20μg/kg/min, max: 40μg/kg/min (60kg: 7.2-72mL/hr) 4 Amp + NS 500mL (1.6mg/mL) -- 2-40mL/hr :24 hrs (2) 丟棄 5 Amp + NS 500mL (10μg/mL) ETT: 1 Amp + NS 9mL ( 分 2 次投予 ) -- 6-60 ml/hr :7 days Undiluted. 0.05mL/kg over 1min. 0.3-1.8mL/kg/hr :12hrs in NS (60kg: 18-108mL/hr) 每 1vial + NS 100mL (0.4mg/mL) -- IV 3mins or IV infusion 10-30 min. Pump: Loading 2vial 30min +following continuous infusion (0.8mg/mL)*3day. 2 vial + NS 100mL (0.8mg/mL) -- 10mL/hr Fentanyl 0.5mg/10mL/Amp 開封稀釋後 ;24 hrs 1 Amp + NS 40 ml (10μg/mL) 1 ml 原液或 5mL 稀釋液 0.5~2μg/kg/hr (60kg: 3~12 ml/hr) Furosemide/Rasitol 20mg/2ml/Amp ;24 hrs 避開太陽光 Undiluted 1-4 amp over 1-2min qd-qid <24mL/hr (max: 2g) Gabexate/ Foy 100mg/Vial Unknown 20Vial + D5W 500mL (4mg/mL) 15-30mL/hr Heparin/Agglutex 25,000U/5mL/Vial 5000U/5mL/Vial Heparin/Heparin 25,000U/5mL/Vial 5000U/5mL/Vial Hydrocortisone/Hydrocortisone CYH 100mg/Vial 開封未稀釋 : 1 個月內或以 不超過 10 次穿刺 取藥為原則 (4) 稀釋後 (250U/mL): 24hrs (4) 開封未稀釋 : 需置於 4-8 冰箱, 安定期為 14 天 (2) 開封稀釋後 : 72 hrs (2) 20000 U + NS 500mL (40U/mL) 1mL/kg (Max 125 ml) 12-20 U/kg/h (60 kg: 18-30 ml/h) 20000 U + NS 500mL 1mL/kg (Max 125 ml) 12-20 U/kg/h (60 kg: 18-30 ml/h) IVP/ IM: 1 vial + 2 ml Aq or NS IVD: 1 vial + 100~1000mL NS IVP > 30 sec -- Regular Insulin human/insulin 開封未稀釋 : 2.5 ml + NS 250 ml -- As guideline 2
Actrapid 1000 U/10mL/Vial 42 days Insulin Glargine/Insulin Lantus 300U/3mL/Pen Insulin Glargine/Insulin Toujeo 450U/1.5mL/Pen Insulin Detemir/Insulin Levemir 300U/3mL/Pen Insulin Premixed 30/ NovoMix 30 300U/3mL Insulin Premixed 50/ NovoMix 50 300U/3mL Insulin Aspart/Insulin NovoRapid 300U/3mL Isophane insulin Human /Insulatard 1000 U/10mL/Vial 稀釋 (1U/mL): 24hrs :1 個月 :1 個月 (1U/mL) :42 days :1 個月 :1 個月 :1 個月 1) :1 個月 Iron sucrose Fe 3+ : 100mg/5mL/Amp 1 Amp + N/S 100mL -- Over 15~30 mins Isoproterenol/Proternol-L 0.2mg/mL/Amp Labetalol/Trandate 25mg/5mL/Amp Levetiracetam/Keppra 500mg/5mL/Vial Lidocaine/Xylocaine 100mg/5mL/Amp Lidocaine ( 局麻 )/Xylocaine 400mg/20mL/Vial Lidocaine+E/Lidophrine+E 局麻 400mg/20mL/Bot :24 hrs 10Amp + D5W 500mL (4μg/mL) -- 15-60mL/hr 20 Amp + NS 400mL (1mg/mL) 1-2Amp for 1-2 min, :24 hrs q5-10min repeat 15-120mL/hr :24 hrs 1 Vial + NS or D5W 100 ml -- IV over 15 mins 20 Amp +D5W 400mL (4 mg/ml) -- 15-60 ml/hr :24 hrs (2) :3 天 : 開瓶後 3 天內 用畢 Undiluted -- -- Undiluted -- -- 3
Lorazepam/Anxicam 2mg/mL/Amp Methylprednisolone/Solu-medrol 40mg, 500mg/Vial MgSO 4 2gm/20mL/Amp Midazolam/Dormicum 5mg/mL/Amp Midazolam/Midatin 15mg/3mL/Amp Milrinone/Primacor 10mg/10mL/Vial Nicardipine/Nicarpine 10mg/10mL/Amp Nimodipine/Nimotop 10mg/50mL/Vial Norepinephrine/Norepinephrine 4mg/4mL/Vial (4hrs) :4 hrs ( 混合液 ) (4) :4 hrs ( 混合液 ) (4) :48 hrs :24 hrs in container (2) :24hrs ( 混合液 ) <5 :3 天 ( 混合液 ) :24 hrs( 混合液 ) <5 :3 天 ( 混合液 ) 5 Amp + NS 45mL (0.2mg/mL) 或 以等體積稀釋液稀釋後使用 以廠商的專用稀釋液 (sterile water, SW) 稀釋 --40mg+1mL SW --500mg+7.8mL SW 如需泡製成大量靜脈輸液時, 可用 D5W, NS 100mL 稀釋 0.5-1 Amp Initial: 5mL/hr, titrate to (BW 0.2-0.4) ml/hr -- <250mg: over 5 min 5 Amp + D5W 500mL (20mg/mL) 1Amp over 2min 40mL/hr 10Amp +NS 40mL (1mg/mL) 1Amp + NS 12mL or 5Amp + NS 60mL (1mg/mL) 0.05mg/kg 2.5-3mL 0.05mg/kg 2.5-3mL >250mg: over 30 min 1.5-15 ml/hr 1.5-15 ml/hr :3 天 (in NS) (2) 1Amp + NS 40mL (0.2mg/mL) 50μg/kg 0.375-0.75μg/kg/min :24 hrs (2) Undiluted 投予時應或日光下安定 10 hrs (2) 2Amp + NS 20mL (0.5mg/mL) Undiluted (0.2mg/ml)! 請以 3-way 投予 (via central line) ( 原 液 : 溶液 =1:4) PVC (60kg:6.5-13mL/hr)(Max:1.13mg/kg/day) -- 0.03-0.36 mg/kg/hr -- 15μg/kg/h (60kg: 4.5mL/hr) 2 hrs 30μg/kg/hr (9mL/kg) :24 hrs (2) 2 Vial +D5W 500mL (16μg/mL) -- 1~12 μg/min 3.75-45mL/hr NTG Premix injection :24 hrs (4) 200μg/mL PVC -- 1.5-120 ml/hr NTG/Glyceryl trinitrate 50mg/10mL/Amp :24 hrs 1 Amp+ D5W 490mL (100μg/mL) PVC -- 3-180 ml/hr 4
NTG/Millisrol 5mg/10mL/Amp Octreotide/Sandostatin 0.1mg/mL/Amp Omeprazole/Losec 40mg/Vial Pamidronate/Pamisol 15mg/5mL/Vial Pantoprazole/ Pantoloc 40mg/Vial Parecoxib/Dynastat 40mg/Vial Phenobarbital/Phenobitol 100mg/mL/Amp Phenytoin/Aleviatin 250mg/5mL/Amp Pralidoxime/PAM 500mg/20mL/Amp Propofol /Fresofol Propofol /Propofol-Lipuro 200mg/20mL/Amp (2 週 ) : 7 天 in glass container :24 hrs (2) 10 Amp+ D5W 150mL (200μg/mL) PVC -- 1.5-90 ml/hr 6 Amp + NS 120mL (5 μg/ml) -- 5-10 ml/hr 5 days :24 hrs 6 Amp + NS 500mL (1.2μg/mL) -- 20~40 ml/hr 5 days :12 hrs in NS. 6 hrs in D5W 6hrs in NS (1mg/mL) :24hrs (2) L/R (Ca 2+ ) :24 hrs (4) NS, D5W only :12-24hrs NS, D5W only :24 hrs (2) 每 1vial + NS 100mL (0.4mg/mL) -- Over 20-30 min. 2vial + NS 200mL (0.4mg/mL) 2 次 -- 20mL/hr 4-6 Vial + NS 250~500mL 不可 bolus IVD 2~4 hr IVP: 1 vial + NS 10mL IVD: 1 vial + NS 100 ml Pump: 5 vial + NS or D5W 500mL (0.4 mg/ml) IVP: Over 2 min IVD: Over 15 min Pump: 8mg/hr=20mL/hr IM, IV: 1vial +NS 2mL -- IV: Over 15 sec. 丟棄 10Amp + NS 40mL (20mg/mL) (2) N/S only * 廠商建議之給藥途徑 :IM, SC, not IV. IV bolus: Undiluted IVA: 0.5Amp + N/S 20mL 1 st :40mL>20min 2 nd :20mL>20 min MD: 0.5Amp q8h IM, SC 0.3-0.4mL/kg/day (max: 20mL) Over 20min Over 20min Over 3min Unknown Undiluted (25mg/mL) 2-4 amp for 10-30min 20mL/hr :6 hrs( 稀釋液 ) 12 小時需更換 set 與 丟棄剩餘藥品 Undiluted (10mg/mL) 0.25-1mg/kg (60kg 1.5-6mL) 1 Amp + D5W 20mL (5mg/mL) 0.25-1mg/kg (60kg 3-12mL) 0.3-3mg/kg/hr (60kg 1.8-18 ml/hr) 0.3-3mg/kg/hr (60kg 3.6-36mL/hr) 5
Somatostatin/Somatosan 3mg/Amp ( 稀釋液 50μg/mL):8 hrs (2) Tetanus toxoid 1mL/Vial :1 天 Theophylline ethylenediamine/ Asiphylline 250mg/10mL/Amp Valproate/Depakine 400mg/Vial Vasopressin/Pitressin 20U/mL/Amp :5 hrs in plastic syringes (2) 1 Amp + NS 36mL (83 μg/ml) -- 3mL/ hr 2 Amp + NS 500mL (12μg/mL) -- 20mL/hr 2 Amp + NS500mL (1mg/mL) 6mg/kg or 1 amp + NS 50mL for 20min 0.2-0.7mg/kg/hr :24 hrs IV bolus: 2 Vial + 8mL SW ( 廠商 ) 15mg/kg Over 5min IVA: 1vial + NS 50mL IVD: 2vial + NS 100mL Unknown Bleeding: 20Amp + D5W 500mL (0.8 U/mL) Septic shock: 1amp+ D5W 25mL or 10Amp + D5W 250mL (0.8U/mL) VT/VF: undiluted Over 20min 1-10mg/kg/hr (60kg: 7.5-75mL/hr) -- 15-30mL/hr (max: 67.5mL/hr) -- 3mL/hr (max: 30mL/hr) 2 Amp 注意事項 : 1. 本資料僅供參考, 實際配製方式與滴速仍需依照醫師之處方 如遇特殊個案而需特殊泡製法時, 請與藥師聯絡 2. 禁止使用, 停用 3. 表格內之配製溶液為廠商建議之標準泡製溶液, 但非唯一可相容之溶液 4. 貯存條件中的為廠商建議之貯存環境, 而非絕對之貯存條件 5. 藥品若非當次用完, 剩餘藥量欲留待下次再給時, 必須以建議的貯存條件來處理未使用完的藥品 Amp 製劑一律開瓶即棄, 欄位內的安定性時間是指已泡製好的藥品以連續輸注的方式給藥時, 必須在安定時效內給完, 未給完的部分一律丟棄 6. 資料會經常更新, 請密切注意新版本的資料 7. Ref: 仿單 (2) Micromedex (3) 經研究證實泡製放至 6 週後, 仍維持其效價 ; 但若考量其重複抽針可能造成橡皮塞皮屑掉落且放置時間過長可能導致細菌孳長, 仍建議其安定性為 3 天 (4) 廠商資料 (5) 其他文獻 6