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    全科醫生診包中的急診用藥

    個人點滴 任運興 244℃ 0評論

    全科醫生診包中的急診用藥

    全科醫生診包中的急診用藥
    原文作者John MurtaghJohn Murlagh,澳大利亞Monash 大學全科醫學系兼職教授和Melbourne大學的全科醫學專家。1966年畢業于Monash大學,1986年擔任《Australian Family Physician》雜志主編,1988年獲得醫學博士學位,1993年被Monash大學聘為教授。1995年,鑒于他在醫學教育、研究和著作方面的卓越貢獻,被授予澳大利亞勛章,他的著作《Murtagh’s General Practice》被奉為澳大利亞全科醫生的“圣經”。譯者:楊輝,澳大利亞Monash大學初級衛生保健學院教授
    在很多人的印象中,只有邊遠地區和農村的醫務工作者才背著藥箱為患者服務,其實不然。城市社區衛生服務也需要配備隨身攜帶的診包。全科醫生要根據居民的需要出診,給急癥患者提供緊急的藥品服務。全科醫生的急診/出診服務在工作小時之外,夜間和假期顯得尤為重要。那么他們的藥箱里應該配備哪些藥品呢?中國已經研究制定了基本藥物目錄,但這并不意味著全科醫生的診包里要配備所有這些基本藥物,而是要通過研究和實踐,精選出全科醫學急診服務的基本藥物。Murtagh教授在本案例中,介紹了澳大利亞全科醫生診包中配備的各種急診用藥,包括注射藥、口服藥、噴霧藥和局部用藥,并且詳細地介紹了各種急診用注射藥品的劑量、適應證和注意事項。澳大利亞全科醫生診包的設計值得中國同行借鑒。

    在全科醫學和醫院服務中,一定要配備最新的基本藥物,才能解決前來急診患者的醫療需要。我們這些做全科醫生的,往往要攜帶診包,里面放著這些基本藥物以備急用。

    澳大利亞做過一項研究,調查500多名全科醫生的診包,發現醫生們往往在診包中準備至少有15種注射藥品,還有各種口服藥品和藥劑。澳大利亞全科醫生診包中最常見的藥品包括腎上腺素、抗膽堿藥苯扎托品、鎮靜藥安定、胰高血糖素、強鎮靜藥氟哌啶醇、氫化可的松、麻醉劑納洛酮以及舒喘寧吸入劑。

    全科醫生診包中的注射藥品

    研究表明,全科醫生診包中應該配備如下基本的急診藥物。表1列出了這些注射藥品的名稱、劑量、適應證和注意事項。

    全科醫生診包中的口服藥品

    ——解熱鎮痛藥

    ——抗菌藥物

    ——止瀉藥

    ——止吐藥

    ——抗組織胺類藥

    ——鎮靜藥

    ——三硝酸甘油酯(硝酸甘油)

    ——腸溶阿司匹林(心肌梗死患者適用)

    ——舒馬普坦(英明格)

    全科醫生診包中的噴霧藥品

    ——三硝酸甘油酯

    ——沙丁胺醇 (儲霧罐)

    全科醫生診包中的局部用藥

    ——麻醉眼藥水

    轉載請注明:每天一點心理學 » 全科醫生診包中的急診用藥

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