各种皮试液的配制
头孢唑啉钠 (先锋霉素v)0.5
ns
0.5g + ns 2ml →250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml (50vg)
链霉素
1.0 100万u
ns
1.0 +ns 3.5ml →25万 u/ml 取0.1ml,0.1ml,0.4ml。
2500 u/ml
0.1ml (100u)
tat
1500 iu
ns
取原液0.1ml +ns 0.9ml→150iu
150iu/ml
0.1ml(15iu)
普鲁卡因
0.25% /2ml
ns
取原液0.1ml
0.25%
0.1ml(0.25mg)
碘过敏试验
ns
1.口服5%~10%ki tid 3天
2.皮内注射碘造影剂0.1ml
3.静脉缓慢注射30%泛影葡胺1ml
细胞色素c
15mg/2ml
ns
取原液0.1ml+ ns 0.9ml→0.75mg/ml
0.75mg/ml
0.1ml(0.075mg)
低分子右旋糖苷
500ml
ns
取原液0.1ml皮内注射
半合成青霉素类(氨苄、氧哌嗪、阿莫西林)
0.5
ns
0.5g + ns 2ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
头孢呋辛钠
0.25
ns
0.5g + ns 2ml → 125mg/ml 取 0.4ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
头孢菌素类(头孢拉啶、头孢噻肟、复达欣、菌必治)
0.5
ns
0.5g + ns 2ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
头孢派酮钠舒巴坦纳
0.75
ns
0.75g + ns 3ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
菌必治
1.0
ns
1.0g + ns 4ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
头孢呋辛钠
1.5
ns
0.5g + ns 6ml → 125mg/ml 取 0.4ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
头孢哌酮
2.0
ns
2.0g + ns 8ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
头孢哌酮
4.0
ns
4.0g + ns 16ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
元欣
0.6
ns
0.6g + ns 6ml → 100mg/ml 取 0.1ml,0.1ml,0.5ml。
500vg/ml
0.1ml(50vg)
泰能
0.5
ns
0.5g + ns 2ml → 250mg/ml 取 0.2ml,0.1ml,0.1ml。
500vg/ml
0.1ml(50vg)
青霉素类询问青霉素过敏史,头孢菌素类询问头孢菌素过敏史。以上取自教科书、杂志、药品说明书,仅供参考。
注意药品剂量的变化,但是皮试液浓度(0.1ml(50vg))并没有变化,配制皮试的时候,只是首次添加的生理盐水呈现倍数关系。
掌握一个技巧,0.5g/支, + ns 2ml,取0.2,0.1,0.1。
0.75g/支, + ns 3ml,取0.2,0.1,0.1。
1.0g/支, + ns 4ml,取0.2,0.1,0.1。
1.5g/支, + ns 6ml,取0.2,0.1,0.1。
们医院所有头孢类都用头孢唑啉钠做皮试:
1.头孢唑啉钠0.5g+n.s 2.5ml
2.取上液0.1ml+n.s 0.9ml
3.取上液0.1ml+n.s 0.9ml
4.取上液0.3ml+n.s 0.9ml
5.取上液0.1ml+n.s 0.9ml即为皮试液
习惯记忆为:两个0.1,一个0.3,再一个0.1
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