值班常用藥物 Medication

DKA (Diabeteic ketoacidosis)

Insulin (100 U regular insulin in 100 mL NS) run at 0.1 U/kg/h, keep glucose > 250 mg/dl 

If K<3.5, may postpone insulin until K>3.5 mEq/L

Ref:

Rosen & Barkin’s 5-Minute Emergency Medicine Consult 5TH EDITION

Atrial fibrillation

Rhythm control:  

- Amiodarone: 

 - 5–7 mg/kg over 30–60 min, then 1.2–1.8 g/d continuous infusion or in divided PO doses until 10 g total   - 600–800 mg/d divided dose until 10 g total, then 200–400 mg/d maintenance 

Rate control:

Antithrombotic therapy( If duration>48hrs, or not sure)

- Heparin: Load 80 U/kg IV; infusion at 18 U/kg/h. 

- Low-molecular-weight heparin: 1 mg/kg SC BID 

- Warfarin sodium: 2.5–5 mg/d PO, (based on INR)

- Aspirin: 50–325 mg/d 

- DOAC(dabigatran, rivaroxaban, apixaban, and edoxaban)

Ref:

1. Rosen & Barkin’s 5-Minute Emergency Medicine Consult 5TH EDITION

2. 2019 AHA/ACC/HRS Focused Update of the 2014 Guideline for Management of Patients with Atrial Fibrillation