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1、药 理 处 方 分 析精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 1 页，共 13 页精品文档收集于网络，如有侵权请联系管理员删除处方分析（一）患者，女，70岁，慢性支气管炎病史5年，因着凉病情加重4天，咳嗽、胸闷、痰多、喘息、夜晚不能入睡入院。查体：T：37.5，WBC：11 109/L，听诊两肺上部可闻及哮鸣音，诊断为慢性支气管炎急性发作。医生开出处方如下，分析是否合理用药，为什么？Rp：阿莫西林 0.25 g20 用法：0.5mg 3次/d 氨茶碱 0.2g10 用法：0.2g 3次/d 溴己新 8 mg20 用法：16 mg 3次/d【分析】：此处方属合理用药。原
2、因：慢支患者急性发作期要控制感染：根据致病菌的性质及药物敏感程度选择抗菌药。轻者，口服或肌注抗生素，重者，静脉注射抗菌谱较广的药物；祛痰止咳：选择乙酰半胱氨酸、溴己新或中药，痰液黏稠者可雾化吸入。老人、体弱及痰多者，不应使用如可待因等强镇咳剂；解痉平喘：氨茶碱、沙丁胺醇、异丙阿托品等平喘药均可。处方分析（二）患者，男，22岁，哮喘复发 3d，有 8 年哮喘史。伴轻度咳嗽，痰呈泡沫状，量不多。诊断：支气管哮喘。医生开出如下处方，请分析是否合理。Rp：醋酸泼尼松片 5mg 30 用法：5mg/d 3次/d 精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 2 页，共 13 页文档编
3、码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B
4、3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3
5、 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文
6、档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H
7、9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3
8、P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X
9、7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7精品文档收集于网络，如有侵权请联系管理员删除氨茶碱片 0.1g 20 用法：0.1g/次 3次/d 溴已新片 8mg 40 用法：16mg/次 3 次/d【分析】：此处方属合理处方。醋酸泼尼松为抗炎性平喘药物，适用于哮喘急性发作及其他平喘药物无效的重症患者；氨茶碱为疗效
10、可靠的平喘药，并与糖皮质激素有协同作用；溴已新为粘痰溶解药，有祛痰、止咳作用，可以帮助畅通呼吸道、缓解哮喘。三药合用疗效增强。处方分析（三）患者，男，42岁，消化性溃疡2年余，时轻时重，每当发作严重时就服用奥美拉唑，特点是服药后症状就消失，停药后就严重复发，无明显诱因近半个月加重。诊断：消化性溃疡。处方如下，分析是否合理用药，为什么？RP：奥美拉唑 20mg 7 用法：20mg 1次/d 阿莫西林 0.25g 40 用法：0.5mg 3次/d【分析】：此处方属合理用药。原因：治疗消化性溃疡重症单用一种药疗效一般不理想，症状缓解明显，但易复发，配伍抗幽门螺杆菌药可以提高治愈率，降低复发率。如果再
11、配伍胃黏膜保护药，疗效会更好。处方分析（四）精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 3 页，共 13 页文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3
12、ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档
13、编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9
14、B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P
15、3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7
16、文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8
17、H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7精品文档收集于网络，如有侵权请联系管理员删除患者，男，28岁，因与人发生口角口服大量药物，意识清醒，20min 后家人发现，立即送到医
18、院急诊。诊断：地西泮急性中毒。处方如下，分析是否合理用药，为什么？Rp：硫酸镁 15g 用法：立即口服【分析】：此处方属不合理用药。其目的是口服硫酸镁导泻，但硫酸镁少量吸收后，对中枢神经有抑制作用，故中枢抑制药中毒时不宜选用其导泻，应选用硫酸钠导泻，防止加重中毒。因为服地西泮时间不久，除了导泻外，还应该对患者进行洗胃。处方分析（五）王某，男，55岁，因近半年来经常出现上腹部隐痛，多在饭后半小时左右发生，没有反酸现象。诊断：胃溃疡。医生开出处方如下，请分析此处方是否合理？并说明理由。Rp：雷尼替丁片 0.15g50 用法：0.15g/次 2 次/d 早、晚饭后服硫糖铝片 0.25g 100 用法
19、：1.0g/次 4 次/d 饭后 2h服用【分析】：此处方不合理。此胃溃疡患者胃酸并不高，用抑酸药显然不妥，而是应服用胃粘膜保护剂；硫糖铝需在酸性环境中起保护胃粘膜作用，而雷尼替丁为抑酸药，可使胃内PH 升高而削弱硫糖铝的胃粘膜保护作用。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 4 页，共 13 页文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9
20、B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P
21、3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7
22、文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8
23、H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P
24、3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3
25、X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10
26、B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7精品文档收集于网络，如有侵权请联系管理员删除处方分析（六）江某，女，29岁，妊娠 40周，阵发性腹部剧痛。医生确定胎儿在2h内可以娩出，为分娩止痛，医生开出下列处方，请分析是否合理？为什么？Rp：盐酸吗啡注射液 10mg1支用法：10mg/次立即肌注【分析】：此处方不合理。吗啡禁用于分娩止痛。吗啡能通过胎盘屏障进入胎儿体内，抑制胎儿呼吸中枢，使新生儿自主呼吸受抑制；吗啡能对抗催产素兴奋子宫的作用而延长产程。处方分析（七）林某，女性，40岁，诊断为胆绞痛。医生开出红处方如下，分析该处方是否合理？为什么？Rp：盐酸哌替啶注射液 50mg
27、1 用法：50mg 肌内注射硫酸阿托品 0.5mg 1 用法：0.5mg 肌内注射【分析】：此处方合理。对于胆绞痛患者的治疗，单用哌替啶止痛会因其兴奋胆管括约肌、升高胆内压而影响(减弱)止痛效果；若单用阿托品止痛，其解痉止痛效果较差(对括约肌松弛作用不恒定)。二者合用可取长补短，既解痉又止痛，可产生协同作用。处方分析（八）精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 5 页，共 13 页文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8
28、H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P
29、3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3
30、X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10
31、B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A
32、9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6
33、A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I
34、10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7精品文档收集于网络，如有侵权请联系管理员删除黄某，女，60岁，近日来经常游走性关节疼痛，诊断为类风湿关节炎。医生开处方如下，分析是否合理，为什么？Rp：甲基泼尼松龙 1.0 3 5%葡萄糖 500ml 用法：1次/d 静脉滴注阿司匹林片 0.1 100 用法：0.2g/次 3次/d【分析】：此处方不合理。原因：风湿性关节炎属于反复发作的、累及多器官的自身免疫性疾病，应采用口服泼尼松，并采用隔日疗法（中等剂量长程疗法）。甲基泼尼松龙和阿司匹林均可损伤胃
35、粘膜，易引起消化性溃疡，甚至出血穿孔，不宜合用。处方分析（九）一位慢性心功能不全患者，因食用海产品诱发荨麻疹，医生开写了下列处方，请分析是否合理？为什么？Rp：地高辛片 0.25mg10 用法：0.25mg/次 1 次/d 10%葡萄糖酸钙注射液 10.0ml 25%葡萄糖注射液 20.0ml 混合缓慢静注，立即 扑尔敏片 4mg 10 用法：4mg/次 3次/d【分析】：此处方不合理。因为 地高辛能增加心肌细胞内Ca2+浓度，然后通过 Ca2+的兴奋-收缩偶联作用而加强心肌收缩力；葡萄糖酸钙含Ca2+，与地精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 6 页，共 13 页
36、文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8
37、H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P
38、3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3
39、X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10
40、B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A
41、9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6
42、A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7精品文档收集于网络，如有侵权请联系管理员删除高辛合用时，可使心肌细胞内Ca2+浓度明显增高，使心肌收缩过程明显增强，肌张力也明显增高，甚至可致心肌收缩期停搏。地高辛和钙剂均可提高心肌的自律性，合用时更易致快速型心律失常，如快速静注钙剂甚至可引起死亡。处方分析（十）
43、孙某，男，68岁，因双下肢浮肿，胸闷、气急入院，诊断为慢性心功能不全。医生开出处方如下，分析是否合理用药，为什么？Rp：地高辛片 0.25mg 10 用法：0.25mg/次 3 次/d 氢氯噻嗪片 25mg 30 用法：25mg/次 3 次/d 泼尼松片 5mg 30 用法：10mg/次 3 次/d【分析】：此处方属不合理用药。原因：氢氯噻嗪能促进钠、水排泄，减少血容量，降低心脏的前、后负荷，消除或缓解静脉瘀血及其所引起的肺水肿和外周水肿，但其可引起血钾降低；泼尼松具有保钠、排钾的作用，可引起水钠潴留而加重患者的水肿，同时降低血钾；氢氯噻嗪与泼尼松合用可明显降低血钾，地高辛在低血钾时易引起中毒
44、。处方分析（十一）精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 7 页，共 13 页文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档
45、编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9
46、B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P
47、3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7
48、文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8
49、H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P
50、3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7文档编码:CG8I10B8H9B3 HO7O6A9P3P3 ZV6L3A6A3X7精品文档收集于网络，如有侵权请联系管理员删除患者女性，62岁。高血压病多年，近年来劳累后常感胸前区闷痛。前天与邻居争吵，情绪激动，突感胸骨后绞痛，面色苍白，出冷