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[注入输液器滴壶中药品的输注动力学]

[Infusion kinetics of drugs injected into the drip chamber of an infusion set].

作者信息

Galeazzi R L, Gerber A

出版信息

Schweiz Med Wochenschr. 1978 Dec 2;108(48):1917-20.

PMID:556331
Abstract

The infusion kinetics of drugs injected into the "drip-chamber" of an i.v. infusion set has never been studied, although this route of drug administration is used more and more frequently in hospitalized patients. The drug is eliminated from this "drip-chamber" and hence infused into the body by 1.-order kinetics. A half-life of administration can be calculated and experimentally verified. This t 1/2 is equal to the ratio of the volume of infusion fluid in the "drip-chamber" (which can be estimated) and the infusion velocity of the i.v. drip (which is chosen) with the ln 2 as the proportionality constant. Hence the velocity of administration of the drug is not constant. Just after the injection more of the drug reaches the body per unit time than later on. This type of drug administration should therefore not be used if high plasma concentrations at the beginning are to be avoided or a constant infusion is desired.

摘要

尽管静脉输液装置的“滴壶”给药途径在住院患者中使用得越来越频繁,但从未对注入该“滴壶”的药物的输注动力学进行过研究。药物从这个“滴壶”中消除,因此以一级动力学注入体内。给药半衰期可以计算并通过实验验证。这个t1/2等于“滴壶”中输液体积(可估算)与静脉滴注速度(可选择)的比值,比例常数为ln 2。因此,药物的给药速度不是恒定的。注射后立即每单位时间进入体内的药物比之后更多。因此,如果要避免开始时出现高血浆浓度或需要持续输注,就不应使用这种给药方式。

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