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心衰竭用藥
1.
鬱血性心衰竭治療藥物 鬱血性心衰竭(congestive heart failure;CHF): 心臟收縮力減低,無法唧送足夠的血液量以供應 身體需要,造成全身循環血液鬱積,而引發水腫症 狀,其可能的導因源於各種先天或後天的心臟疾 病。通常在五年內,會有50%死亡率
2.
強心藥 β 阻斷劑 動脈擴張劑 Bp 血管收縮素轉 換酶抑制劑 交感神經活性 R-A-A系統 HR 心律不整 Ag
Ⅱ Ag Ⅱ受體 Aldosterone分泌 拮抗劑 靜脈擴張劑 呼吸 困難 下肢水腫 肝腫大 利尿劑
3.
鬱血性心衰竭治療藥物 1.利尿劑 2.強心劑(增強心肌收縮藥物) 強心配醣體: β 1致效劑:dopamine 第Ⅲ型磷酸二酯酶(PDE)抑制劑 3. 血管擴張劑:動脈擴張劑 靜脈擴張劑 4.影響血管緊縮素藥物:血管收縮素轉換酶抑制劑 Ag
Ⅱ受體拮抗劑 5. β 阻斷劑
4.
強心配醣體(強心苷) 紫花毛地黃:digitoxin、digoxin 長葉毛地黃:deslanoside
毒毛旋花種子:ouabain 蟾蜍皮:Bufotoxin
5.
花博有毒!毛地黃隨手可摸 無警語 2011/04/01 台北園區竟出現有毒植物毛地黃!在新生園區, 一入園的大片花海,和未來館對面的廁所走道旁, 全都種滿含有劇毒的毛地黃,路過民眾只要伸手 就能碰到,卻不知毛地黃有危險性,其實從根莖 葉,到花瓣通通有毒,不小心誤食,輕一點的嘔 吐、拉肚子,嚴重的甚至引起心臟麻痺,導致休 克死亡,但花博總部除了花種介紹牌之外,完全 沒有另外設置警告標語,讓民眾驚呼,太誇張。
6.
2k+ 毛地黃的強心作用機轉 毛地黃 Na+ Na+ Ca 2+ Na+-K+ ATPase k+ATP 3Na+ Na+ ADP+P Ca 2+ Ca+增加 Na+增加 心肌收縮 Ca
2+肌漿膜
7.
藥理作用 強心作用:加強心臟收縮力、心輸出量、縮 小心臟舒張容積、 增加收縮效力以降低耗 氧量 減慢心跳速度:興奮迷走神經,抑制房室節傳 導,引起心跳變慢,心電圖呈P-R延長,當大劑 量時會引起房室傳導阻斷(A-V
block),引發 心室心博過速,甚至產生心室纖維顫動 治療心房纖維性顫動、心房撲動
8.
藥理作用 利尿作用:因提高心輸出量而增加腎血 流量及腎小球過濾率,使排尿量增加, 改善心衰竭引起的水腫
9.
10.
副作用、毒性 治療指數小,毒性大,長期使用造成蓄積 作用(Therapeutic range
0.8~2.0ng/ml) 中毒症狀:1.噁心,嘔吐,厭食,腹瀉 2.視覺異常(黃視),頭痛,幻覺 3.心臟房室傳導阻斷,心室 纖維顫動(致死原因)
11.
副作用、毒性 低血鉀 、高血鈣、低血鎂會加強毛地 黃的毒性: K+會抑制毛地黃與Na+-K+ATPase結合, 所以低血鉀時會加強毛地黃的作用而 產生心律不整
12.
解毒劑 立即停藥並監測血K+濃度 口服或注射KCl
給予抗心律不整藥phenytoin 、 lidocaine 、procainamide IV毛地黃抗體,以快速降低血中濃度
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