MindMap Gallery [Doctor’s advice] 03 Digestive system
This is a mind map about [Doctor’s Order] 03 Digestive System. The treatment of the digestive system in the doctor’s order covers the use and dosage regulations of a variety of drugs. The administration method, dosage and frequency of different drugs are clarified, providing clear guidance for clinicians in prescribing.
Edited at 2024-11-18 08:49:24魯米:靈性覺醒的10個維度。當你停止尋找自己,便會找到整個宇宙,因為你正在尋找的東西,也在尋找你。任何你每天持之以恆在做的事情,都可以為你打開一扇通向精神深處的門。靜默中,我滑入祕境,萬般皆妙樂觀察身邊的神奇,不要聲張。你生而有翼,為何喜歡爬行?靈魂擁有了它自己的耳朵,能夠聽到頭腦無法理解的事情。向內尋求一切的答案吧,宇宙中的一切都在你體內。情人們並不最終相遇某處,這個世界沒有離別。傷口是光進入你內心的地方。
慢性心力衰竭,不僅僅是心率的快慢問題!它源於心肌收縮與舒張功能的下降,導致心輸出量不足,進而引發肺循環充血和體循環淤血。從病因、誘因到代償機制,心衰的病理生理過程複雜多樣。通過控制水腫、減輕心臟前後負荷、改善心臟舒縮功能,以及防治基本病因,我們可以有效應對這一挑戰。了解心衰的機制與臨床表現,掌握防治策略,才能更好地守護心臟健康。
缺血再灌注損傷是器官或組織恢復血液供應後,細胞功能代謝障礙和結構破壞反而加重的現象。其主要機制包括自由基生成增多、鈣超載以及微血管和白細胞的作用。心臟和腦是常見的受損器官,表現為心肌代謝和超微結構變化、心功能下降等。防治措施包括清除自由基、減輕鈣超載、改善代謝和控制再灌注條件,如低鈉、低溫、低壓等。理解這些機制有助於製定有效治療方案,減輕缺血性損傷。
魯米:靈性覺醒的10個維度。當你停止尋找自己,便會找到整個宇宙,因為你正在尋找的東西,也在尋找你。任何你每天持之以恆在做的事情,都可以為你打開一扇通向精神深處的門。靜默中,我滑入祕境,萬般皆妙樂觀察身邊的神奇,不要聲張。你生而有翼,為何喜歡爬行?靈魂擁有了它自己的耳朵,能夠聽到頭腦無法理解的事情。向內尋求一切的答案吧,宇宙中的一切都在你體內。情人們並不最終相遇某處,這個世界沒有離別。傷口是光進入你內心的地方。
慢性心力衰竭,不僅僅是心率的快慢問題!它源於心肌收縮與舒張功能的下降,導致心輸出量不足,進而引發肺循環充血和體循環淤血。從病因、誘因到代償機制,心衰的病理生理過程複雜多樣。通過控制水腫、減輕心臟前後負荷、改善心臟舒縮功能,以及防治基本病因,我們可以有效應對這一挑戰。了解心衰的機制與臨床表現,掌握防治策略,才能更好地守護心臟健康。
缺血再灌注損傷是器官或組織恢復血液供應後,細胞功能代謝障礙和結構破壞反而加重的現象。其主要機制包括自由基生成增多、鈣超載以及微血管和白細胞的作用。心臟和腦是常見的受損器官,表現為心肌代謝和超微結構變化、心功能下降等。防治措施包括清除自由基、減輕鈣超載、改善代謝和控制再灌注條件,如低鈉、低溫、低壓等。理解這些機制有助於製定有效治療方案,減輕缺血性損傷。
digestive system
Suppress acid and protect stomach
♦Proton pump inhibitors
Omeprazole
NS 100ml [IVgtt] bid Omeprazole sodium 40mg
NS 50ml [IVgtt] tid Omeprazole sodium 40mg
Esomeprazole 20mg qd/bid before meals
Ilaprazole
NS 100ml [Ivgtt] Ilaprazole sodium 10mg
peptic ulcer bleeding
pantoprazole
NS 100ml [IVgtt] qd Pantoprazole sodium 40mg
Pantoprazole sodium enteric-coated tablets 40mg qd
Peptic ulcer, moderate to severe reflux esophagitis; and/or acute upper gastrointestinal bleeding caused by
Rabeprazole
♦H₂ receptor blockers
Ranitidine
Famotidine
♦Medicine that neutralizes stomach acid
sodium bicarbonate
Sodium bicarbonate 125ml [Ivgtt] bid
Sodium bicarbonate tablets 0.5/1g tid
Aluminum magnesium plus suspension 15ml tid after meals/before going to bed
aluminum hydroxide
Wei Shuping
♦Gastrointestinal mucosal protective agent
aluminum sulfate
Potassium bismuth citrate
misoprostol
Rebamipide tablets 0.1g tid
Improve gastric mucosal lesions in acute/chronic gastritis (erosion, bleeding, edema), gastric ulcer
Gastrointestinal motility drugs
domperidone
Mosapride 1# tid
prokinetic drugs
Mesalazine enteric-coated tablets 1.0g tid
Compound azinamide enteric-coated tablets 1# tid
Inhibition
somatostatin
NS 50ml [intravenous pump] bid Somatostatin 3mg
Severe peptic ulcer bleeding, esophageal variceal bleeding Prevention and treatment of complications after pancreatic surgery Adjuvant treatment of pancreatic, biliary and pancreatic fistulas and diabetic ketoacidosis
Octreotide
NS 50ml [intravenous pump] bid Octreotide acetate 3ml
Gastric-esophageal variceal bleeding: Intravenous injection for up to 5 consecutive days, after which it is self-pay
Anti-inflammatory
Ulinastatin
5%GS 500ml [Ivgtt] qd Ulinastatin 100,000u
Suppression of systemic inflammatory response (SIRS)
Antiemetic
Tropisetron
NS 100ml [Ivgtt] Tropisetron hydrochloride 5mg
Antispasmodic and choleretic
Butyrosine methionine (Simeitai)
NS 100ml [Ivgtt] qd Adenosylmethionine Butanedisulfonate 1000mg
Intrahepatic cholestasis due to precirrhosis and cirrhosis; Intrahepatic cholestasis of pregnancy
Magnesium sulfate
Magnesium sulfate 7.5g [po] tid
Antispasmodic and choleretic: tid, change to qd after 3 days
Phloroglucinol
5%GS 250ml [Ivgtt] qd Phloroglucinol 6(12)ml
Antispasmodic: Acute spasmodic pain in the digestive tract and biliary tract Urethral, bladder, renal colic, gynecological spasmodic pain
654-2 (Anisodamine)
654-2 10mg IM
Relieve smooth muscle spasm, gastrointestinal colic, biliary spasm, Acute microcirculation disorder and organophosphorus poisoning
Protect liver
Glutathione
5%GS 250ml [Ivgtt] qd Glutathione 2.4g / 1.8g
Magnesium isoglycyrrhizinate
NS 250ml [IVgtt] qd Magnesium isoglycyrrhizinate 50mg
5%GS 250ml [Ivgtt] Magnesium isoglycyrrhizinate 150mg
norcantharidinate sodium
norcantharidin sodium chloride
Liver cancer; treatment of hepatitis, cirrhosis and hepatitis B virus carriers
Monoammonium glycyrrhizinate cysteine
Monoammonium glycyrrhizinate cysteine sodium chloride 100ml [IVgtt] qd
Anti-hepatotoxicity, reduce alanine aminotransferase, restore liver cell function Chronic active hepatitis, acute hepatitis, liver poisoning, early cirrhosis
Adenosine triphosphate (ATP)
5%GS 500ml [Ivgtt] Adenosine triphosphate disodium magnesium chloride 1/2 stick
po
Entecavir capsules 0.5mg qd aj
Anti-hepatitis B virus: fasting (2 hours before/after meals)
Bicyclol tablets 50mg tid
Treatment of elevated aminotransferases due to chronic hepatitis
Ursodeoxycholic acid 250mg bid
primary biliary cirrhosis
Liver protection tablets 1.44g tid
Diammonium glycyrrhizinate
Silybin capsules 2-4 capsules tid
Enema for bowel movement
cathartic medicine
Magnolia Exhaust Mixture 25ml bid
antidiarrheal medicine
Montmorillonite powder 3g tid
For acute and chronic diarrhea in adults and children
Magnesium sulfate
25% magnesium sulfate 40ml [gastric injection] tid
Laxative
Magnesium sulfate 7.5g [po] tid
Antispasmodic and choleretic: tid, change to qd after 3 days
5%GS 500ml [Ivgtt] Magnesium sulfate 2.5g
Anticonvulsants, used for pregnancy-induced hypertension, Used to lower blood pressure and treat preeclampsia and eclampsia
Magnesium sulfate 2.5g [external use] bid
For external use, injection wounds
rhubarb
Rhubarb 300g tid (per serving: 50g 100ml boiling water)
kaiselu
Kaiselu 40mg enema qd
Chinese patent medicine
Protect the stomach
Bifidobacterium quadruple live bacteria tablets 1.5g tid
Kangfuxin solution 10ml orally tid
Ulcer hemostasis
Naked Flower Purple Pearl Granules 3g orally tid
Anti-inflammation, detoxification, hemostasis
Chuanwang Xiaoyan Tablets 0.92g orally tid
Anti-inflammatory, detoxifying
Weisu granules 5g tid
Regulate qi, reduce bloating, and relieve stomach pain
Pingling stomach pain granules 5g tid
Promotes qi, activates blood circulation, relieves stomach pain
Improve circulation
Qiangli Dingxuan Capsules 1.6g tid
Lower blood pressure, lower lipids, reduce dizziness
Ganoderma lucidum extract tablets 0.3g tid
Zaoren Anshen Capsules 2.25g qn
Angong Niuhuang Pills 1.5g bid
Yangxuexue Naowan 2.5g tid
Maigui Fukang Capsules 1.8g tid
Promote rest and recuperation
Zhenqi Fuzheng Granules 15g bid
Improve human immunity and protect bone marrow and adrenal cortex functions Used for weakness caused by various diseases
Longgan Xiedan Capsule 1g tid
Shenqi Shiyiwei granules 2g tid
Reinforcing the spleen and replenishing qi (physical weakness, weakness of limbs)
Compound Danshen Dropping Pills 270mg tid
Promotes blood circulation and removes blood stasis, regulates qi and relieves pain
Simo Tang Oral Liquid 10ml tid
Suhuang cough capsule 1.35g orally tid
Cough relief
Gastroenterology
Anti-HP infection: 4 combinations
①Esomeprazole 20mg bid before meals
②Bismuth potassium citrate granules 220mg bid before meals
③Amoxicillin capsule 1g bid after meal
④ Furazolidone tablets 0.1g bid after meals
Stomach/colon polyps
♦Ilaprazole, omeprazole (acid-suppressing and stomach-protecting) ♦Tranexamic acid, Agkistrodon hemocoagulase (hemostasis) ♦Somatostatin (inhibits pancreatic enzyme secretion) ♦Octreotide (reduces portal pressure)
upper gastrointestinal bleeding
upper gastrointestinal tract
♦Ilaprazole (suppresses acid and protects stomach) ♦Adder adder hemocoagulase, tranexamic acid (hemostasis) ♦Torsemide (diuretic)
lower gastrointestinal tract
Cirrhosis
Hepatitis B cirrhosis decompensated bleeding
♦Omeprazole (suppresses acid and protects stomach) ♦Continuous infusion of octreotide (lowering portal pressure) ♦Tranexamic acid (to stop bleeding) ♦Replenish fluids and transfuse blood if necessary
Gastric esophageal variceal bleeding
bile duct stones
Suppress acid and protect stomach
Omeprazole
NS 100ml [Ivgtt] bid Omeprazole sodium 40mg
Rehydration
Compound potassium hydrogen phosphate
5%GS 500ml [Ivgtt] qd Potassium hydrogen phosphate compound 2ml
Anti-infection
piperacillin sodium stazol
NS 100ml [Ivgtt] bid Piperacillin Sodium Tatazol 4.5g
Metronidazole
Metronidazole potassium chloride 100ml bid
Metronidazole: against anaerobic bacteria If the side effects of vomiting are severe, change to morpholinidazole
Morlinidazole
Morlinidazole Sodium Chloride 100ml [Ivgtt] bid
Reduce the formation of drug-resistant bacteria
Antispasmodic and choleretic
Magnesium sulfate
Magnesium sulfate 7.5g orally tid
Antispasmodic and choleretic: tid, change to qd after 3 days
Phloroglucinol
5%GS 250ml [Ivgtt] qd Phloroglucinol 6(12)ml
hyperlipidemic acute pancreatitis
Suppress acid
pantoprazole
NS 100ml [Ivgtt] bid Pantoprazole 40mg
Inhibition
Octreotide
NS 48ml micropump q12h Octreotide acetate 0.3ml (4ml/h)
somatostatin
NS 50ml [Ivgtt] bid Somatostatin 3mg
Anti-inflammatory
Ulinastatin
5%GS 500ml [Ivgtt] qd Ulinastatin 100,000u
Suppression of systemic inflammatory response (SIRS)
Anti-infection
Ceftizoxime Sodium
NS 100ml [Ivgtt] bid Cefuroxime Sodium 2.0g
Liver protection: Clear
Glutathione
NS 100ml [Ivgtt] bid Glutathione 2.4g
Lower blood lipids
L-carnitine
L-carnitine 1.0ml iv tid
Promote fat metabolism and protect cardiovascular and cerebrovascular diseases
Fluid rehydration/nutritional support
5%GS 500ml [Ivgtt] qd Vitamin B₆ 0.2g Vitamin C 2g 10% potassium chloride 1.5ml Fat-soluble vitamin (Ⅱ) 2 bottles
Compound Amino Acid 9AA 500ml [Ivgtt] qd 10% potassium chloride 1.0ml (can be later)
other
♦Low molecular weight heparin sodium 3200u IH q12h ♦Laxative: 25% magnesium sulfate 40ml gastric injection tid ♦Hyperlipidemia: bezafibrate 2# PO tid ♦Cholesterol lowering: Atorvastatin 1# qd
temporary medical orders
antispasmodic
Phloroglucinol
5%GS 250ml [Ivgtt] Phloroglucinol 6.0mg
654-2 (Anisodamine)
654-2 10mg IM
Gastrointestinal antispasmodic
Balance solution (Lactated Ringer's sodium)
Ringer's Lactate 500ml [Ivgtt]
10%GS 500ml [Ivgtt]
10Potassium chloride 1.0 25% magnesium sulfate 2.5 Insulin 12u