{"id":136211,"date":"2025-08-31T01:41:41","date_gmt":"2025-08-30T18:41:41","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=136211"},"modified":"2025-09-05T16:25:43","modified_gmt":"2025-09-05T09:25:43","slug":"adrenalin-1mg-1ml-vinphaco","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/adrenalin-1mg-1ml-vinphaco\/","title":{"rendered":"Adrenalin 1mg\/1ml Vinphaco"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, d<a href=\"https:\/\/vnras.com\/drug\/\">\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m V\u0129nh Ph\u00fac c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 893110172024 (S\u0110K c\u0169: VD-27151-17)<\/strong><\/p>\n<h2>Adrenalin 1mg\/1ml Vinphaco l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i<strong> l\u1ecd thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>D\u01b0\u1ee3c ch\u1ea5t: Adrenalin \u2026&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..1mg<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: Complexon III, natri metabisulfit, natri clorid, acid hydrocloric, n\u01b0\u1edbc c\u1ea5t pha ti\u00eam \u2026 v\u1eeba \u0111\u1ee7 1 ml.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 893110172024 (S\u0110K c\u0169: VD-27151-17)<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 2 v\u1ec9 x 5 \u1ed1ng x 1ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 30 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Adrenalin l\u00e0 m\u1ed9t ch\u1ea5t c\u01b0\u1eddng giao c\u1ea3m t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp, c\u00f3 kh\u1ea3 n\u0103ng k\u00edch th\u00edch c\u1ea3 th\u1ee5 th\u1ec3 alpha v\u00e0 beta, trong \u0111\u00f3 t\u00e1c \u0111\u1ed9ng tr\u00ean th\u1ee5 th\u1ec3 beta m\u1ea1nh h\u01a1n. T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c thay \u0111\u1ed5i t\u00f9y theo li\u1ec1u d\u00f9ng v\u00e0 ph\u1ea3n \u1ee9ng b\u00f9 tr\u1eeb c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>Tr\u00ean tim m\u1ea1ch: l\u00e0m t\u0103ng t\u1ea7n s\u1ed1 v\u00e0 l\u1ef1c co b\u00f3p tim, t\u0103ng cung l\u01b0\u1ee3ng tim, t\u0103ng nhu c\u1ea7u oxy c\u01a1 tim, \u0111\u1ed3ng th\u1eddi g\u00e2y co m\u1ea1ch v\u00e0 n\u00e2ng huy\u1ebft \u00e1p t\u00e2m thu.<\/p>\n<p>Tr\u00ean h\u00f4 h\u1ea5p: g\u00e2y gi\u00e3n c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n nhanh ch\u00f3ng, c\u1ea3i thi\u1ec7n th\u00f4ng kh\u00ed nh\u01b0ng l\u00e0m d\u1ecbch ti\u1ebft \u0111\u1eb7c h\u01a1n.<\/p>\n<p>Tr\u00ean th\u1ea7n kinh trung \u01b0\u01a1ng: \u00edt th\u1ea5m qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o nh\u01b0ng v\u1eabn c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch.<\/p>\n<p>Tr\u00ean ti\u00eau h\u00f3a: gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t, gi\u1ea3m b\u00e0i ti\u1ebft d\u1ecbch ti\u00eau h\u00f3a.<\/p>\n<p>Tr\u00ean ti\u1ebft ni\u1ec7u \u2013 sinh d\u1ee5c: l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u th\u1eadn, h\u1ea1 tr\u01b0\u01a1ng l\u1ef1c b\u00e0ng quang, \u1ee9c ch\u1ebf co t\u1eed cung khi mang thai.<\/p>\n<p>Tr\u00ean chuy\u1ec3n h\u00f3a: t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do gi\u1ea3m ti\u1ebft insulin v\u00e0 k\u00edch th\u00edch ph\u00e2n gi\u1ea3i glycogen; \u0111\u1ed3ng th\u1eddi t\u0103ng acid b\u00e9o t\u1ef1 do, kali huy\u1ebft t\u01b0\u01a1ng v\u00e0 chuy\u1ec3n h\u00f3a c\u01a1 b\u1ea3n.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: t\u00e1c d\u1ee5ng xu\u1ea5t hi\u1ec7n nhanh sau khi ti\u00eam b\u1eafp ho\u1eb7c d\u01b0\u1edbi da, nh\u01b0ng \u0111\u01b0\u1eddng d\u01b0\u1edbi da h\u1ea5p thu ch\u1eadm h\u01a1n.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: thu\u1ed1c nhanh ch\u00f3ng b\u1ecb b\u1ea5t ho\u1ea1t b\u1edfi men catechol-O-methyltransferase (COMT) v\u00e0 monoamin oxydase (MAO) t\u1ea1i gan v\u00e0 nhi\u1ec1u m\u00f4.<\/p>\n<p>Th\u1ea3i tr\u1eeb: ch\u1ea5t chuy\u1ec3n h\u00f3a th\u1ea3i ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh, m\u1ed9t ph\u1ea7n d\u01b0\u1edbi d\u1ea1ng nguy\u00ean v\u1eb9n ho\u1eb7c li\u00ean h\u1ee3p.<\/p>\n<h2>Thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>C\u1ea5p c\u1ee9u s\u1ed1c ph\u1ea3n v\u1ec7 ho\u1eb7c c\u00e1c d\u1ea1ng s\u1ed1c c\u00f3 gi\u00e3n m\u1ea1ch, t\u1ee5t huy\u1ebft \u00e1p k\u00e8m suy tim.<\/p>\n<p>Ng\u1eebng tim, \u0111\u1eb7c bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p rung th\u1ea5t kh\u00f4ng \u0111\u00e1p \u1ee9ng s\u1ed1c \u0111i\u1ec7n.<\/p>\n<p>Hen ph\u1ebf qu\u1ea3n n\u1eb7ng, hen \u00e1c t\u00ednh ph\u1ed1i h\u1ee3p c\u00f9ng c\u00e1c thu\u1ed1c kh\u00e1c.<\/p>\n<p>Kh\u00f3 th\u1edf thanh qu\u1ea3n \u1edf tr\u1ebb nh\u1ecf.<\/p>\n<p>Ti\u00eam qua n\u1ed9i soi \u0111\u1ec3 c\u1ea7m m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean.<\/p>\n<p>Ph\u1ed1i h\u1ee3p trong g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 ho\u1eb7c g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng nh\u1eb1m gi\u1ea3m h\u1ea5p thu to\u00e0n th\u00e2n v\u00e0 k\u00e9o d\u00e0i hi\u1ec7u l\u1ef1c g\u00e2y t\u00ea.<\/p>\n<p>Gi\u1ea3m \u0111au trong s\u1ea3n khoa khi ph\u1ed1i h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 thu\u1ed1c g\u00e2y t\u00ea v\u00e0 gi\u1ea3m \u0111au.<\/p>\n<figure id=\"attachment_136221\" aria-describedby=\"caption-attachment-136221\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-136221\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Adrenalin-1mg1ml.jpg\" alt=\"Adrenalin 1mg\/1ml Vinphaco\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Adrenalin-1mg1ml.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Adrenalin-1mg1ml-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Adrenalin-1mg1ml-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Adrenalin-1mg1ml-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/Adrenalin-1mg1ml-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-136221\" class=\"wp-caption-text\">Thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco d\u00f9ng c\u1ea5p c\u1ee9u shock ph\u1ea3n v\u1ec7<\/figcaption><\/figure>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p>S\u1ed1c ph\u1ea3n v\u1ec7: Ti\u00eam b\u1eafp ho\u1eb7c ti\u00eam d\u01b0\u1edbi da 0,3 \u2013 0,5 ml dung d\u1ecbch 1:1000 (1 mg\/ml), c\u00f3 th\u1ec3 nh\u1eafc l\u1ea1i sau 20 \u2013 30 ph\u00fat. N\u1ebfu kh\u00f4ng \u0111\u00e1p \u1ee9ng, c\u00f3 th\u1ec3 ti\u00eam t\u0129nh m\u1ea1ch 3 \u2013 5 ml dung d\u1ecbch 1:10.000. Tr\u01b0\u1eddng h\u1ee3p tr\u1ee5y m\u1ea1ch n\u1eb7ng c\u00f3 th\u1ec3 ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o tim.<\/p>\n<p>Ng\u1eebng tim: Ti\u00eam t\u0129nh m\u1ea1ch 0,5 \u2013 1 mg, l\u1eb7p l\u1ea1i sau 3 \u2013 5 ph\u00fat. C\u00f3 th\u1ec3 truy\u1ec1n t\u0129nh m\u1ea1ch li\u00ean t\u1ee5c 0,2 \u2013 0,6 mg\/ph\u00fat n\u1ebfu c\u1ea7n. Li\u1ec1u \u1edf tr\u1ebb em trung b\u00ecnh 10 microgam\/kg.<\/p>\n<p>S\u1ed1c nhi\u1ec5m khu\u1ea9n: Khi c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c th\u1ea5t b\u1ea1i, c\u00f3 th\u1ec3 truy\u1ec1n t\u0129nh m\u1ea1ch 0,5 \u2013 1 microgam\/kg\/ph\u00fat.<\/p>\n<p>Hen ph\u1ebf qu\u1ea3n c\u1ea5p: Ti\u00eam d\u01b0\u1edbi da 0,5 mg, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 20 ph\u00fat.<\/p>\n<p>Kh\u00f3 th\u1edf \u1edf tr\u1ebb nh\u1ecf: Ti\u00eam d\u01b0\u1edbi da v\u1edbi li\u1ec1u 0,01 ml\/kg dung d\u1ecbch 1 mg\/ml.<\/p>\n<p>Ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a tr\u00ean: Ti\u00eam qua n\u1ed9i soi dung d\u1ecbch 1:10.000, m\u1ed7i l\u1ea7n 0,5 ml, ti\u00eam quanh \u1ed5 ch\u1ea3y m\u00e1u.<\/p>\n<p>Gi\u1ea3m \u0111au s\u1ea3n khoa ho\u1eb7c g\u00e2y t\u00ea: Th\u00eam adrenalin v\u00e0o thu\u1ed1c t\u00ea ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi sufentanil \u2013 bupivacain \u0111\u1ec3 k\u00e9o d\u00e0i th\u1eddi gian gi\u1ea3m \u0111au.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>C\u00f3 th\u1ec3 d\u00f9ng <strong>dung d\u1ecbch Adrenalin 1mg\/1ml Vinphaco<\/strong> b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eam b\u1eafp, ti\u00eam d\u01b0\u1edbi da, ti\u00eam t\u0129nh m\u1ea1ch, truy\u1ec1n t\u0129nh m\u1ea1ch ho\u1eb7c ti\u00eam v\u00e0o n\u1ed9i nh\u00e3n.<\/p>\n<p>Khi c\u1ea5p c\u1ee9u s\u1ed1c ph\u1ea3n v\u1ec7, v\u1ecb tr\u00ed ti\u00eam b\u1eafp th\u00edch h\u1ee3p l\u00e0 m\u1eb7t tr\u01b0\u1edbc \u2013 ngo\u00e0i \u0111\u00f9i.<\/p>\n<p>Kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam tr\u1ef1c ti\u1ebfp dung d\u1ecbch ch\u01b0a pha lo\u00e3ng v\u00e0o t\u0129nh m\u1ea1ch.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi m\u1eabn c\u1ea3m v\u1edbi Adrenalin ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong thu\u1ed1c<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u0111ang \u0111\u01b0\u1ee3c g\u00e2y m\u00ea b\u1eb1ng cyclopropan, halothan ho\u1eb7c thu\u1ed1c m\u00ea c\u00f9ng nh\u00f3m.<\/p>\n<p>Ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf MAO trong v\u00f2ng 14 ng\u00e0y g\u1ea7n \u0111\u00e2y.<\/p>\n<p>Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh tim n\u1eb7ng, suy m\u1ea1ch v\u00e0nh, gi\u00e3n c\u01a1 tim.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ecb u tuy\u1ebfn ti\u1ec1n li\u1ec7t g\u00e2y b\u00ed ti\u1ec3u.<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 t\u1ed5n th\u01b0\u01a1ng n\u00e3o ho\u1eb7c s\u1ed1c kh\u00f4ng ph\u1ea3i do ph\u1ea3n v\u1ec7.<\/p>\n<p>B\u1ec7nh nh\u00e2n gl\u00f4c\u00f4m g\u00f3c h\u1eb9p ho\u1eb7c nguy c\u01a1 gl\u00f4c\u00f4m g\u00f3c \u0111\u00f3ng.<\/p>\n<p>L\u01b0u \u00fd: Trong t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u s\u1ed1c ph\u1ea3n v\u1ec7, kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i v\u1edbi Adrenalin.<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<p>Kh\u00f4ng ti\u00eam dung d\u1ecbch Adrenalin \u0111\u1eadm \u0111\u1eb7c tr\u1ef1c ti\u1ebfp v\u00e0o t\u0129nh m\u1ea1ch.<\/p>\n<p>Ng\u01b0\u1eddi qu\u00e1 m\u1eabn v\u1edbi catecholamin, b\u1ec7nh nh\u00e2n c\u01b0\u1eddng gi\u00e1p, b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, lo\u1ea1n nh\u1ecbp, t\u0103ng huy\u1ebft \u00e1p, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch c\u1ea7n \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, ng\u01b0\u1eddi \u0111ang d\u00f9ng glycosid tim, quinidin ho\u1eb7c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng c\u1ea7n theo d\u00f5i s\u00e1t.<\/p>\n<p>Ti\u00eam nh\u1ea7m v\u00e0o \u0111\u1ea7u chi (ng\u00f3n tay, ng\u00f3n ch\u00e2n\u2026) c\u00f3 th\u1ec3 g\u00e2y thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, ho\u1ea1i t\u1eed, c\u1ea7n x\u1eed tr\u00ed y t\u1ebf ngay.<\/p>\n<p>Ti\u00eam t\u0129nh m\u1ea1ch nhanh c\u00f3 th\u1ec3 g\u00e2y bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 lo\u1ea1n nh\u1ecbp, xu\u1ea5t huy\u1ebft n\u00e3o, th\u1eadm ch\u00ed t\u1eed vong.<\/p>\n<p>T\u00e1 d\u01b0\u1ee3c natri metabisulfit trong thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c co th\u1eaft ph\u1ebf qu\u1ea3n, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ecb hen ph\u1ebf qu\u1ea3n.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Adrenalin c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u ph\u1ea3n \u1ee9ng kh\u00f4ng mong mu\u1ed1n, ph\u1ea7n l\u1edbn li\u00ean quan \u0111\u1ebfn vi\u1ec7c k\u00edch th\u00edch qu\u00e1 m\u1ee9c h\u1ec7 th\u1ea7n kinh giao c\u1ea3m.<\/p>\n<h4>Th\u01b0\u1eddng g\u1eb7p (ADR &gt; 1\/100)<\/h4>\n<p>To\u00e0n th\u00e2n: c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, v\u00e3 m\u1ed3 h\u00f4i.<\/p>\n<p>Tim m\u1ea1ch: \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, h\u1ed3i h\u1ed9p, nh\u1ecbp nhanh, huy\u1ebft \u00e1p t\u0103ng.<\/p>\n<p>Th\u1ea7n kinh: run tay ch\u00e2n, b\u1ed3n ch\u1ed3n, ch\u00f3ng m\u1eb7t, d\u1ecb c\u1ea3m.<\/p>\n<p>Ti\u00eau h\u00f3a: t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt.<\/p>\n<p>Da: t\u00e1i nh\u1ee3t, \u0111\u1ed5 m\u1ed3 h\u00f4i nhi\u1ec1u.<\/p>\n<h4>\u00cdt g\u1eb7p (1\/1000 &lt; ADR &lt; 1\/100)<\/h4>\n<p>Ti\u00eau h\u00f3a: bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i k\u00e8m theo t\u00ecnh tr\u1ea1ng ch\u00e1n \u0103n.<\/p>\n<p>Th\u1ea7n kinh: m\u1ea5t ng\u1ee7, s\u1ee3 h\u00e3i, d\u1ec5 k\u00edch th\u00edch, b\u1ed3n ch\u1ed3n.<\/p>\n<p>H\u00f4 h\u1ea5p: kh\u00f3 th\u1edf, ph\u00f9 ph\u1ed5i.<\/p>\n<p>Ti\u1ebft ni\u1ec7u \u2013 sinh d\u1ee5c: ti\u1ec3u kh\u00f3, b\u00ed ti\u1ec3u.<\/p>\n<h4>Hi\u1ebfm g\u1eb7p (ADR &lt; 1\/1000)<\/h4>\n<p>Tim m\u1ea1ch: \u0111au th\u1eaft ng\u1ef1c, t\u1ee5t huy\u1ebft \u00e1p, ng\u1ea5t, xu\u1ea5t huy\u1ebft n\u00e3o, ng\u1eebng tim, ho\u1ea1i t\u1eed m\u00f4 do thu\u1ed1c tho\u00e1t m\u1ea1ch, lo\u1ea1n nh\u1ecbp tim n\u1eb7ng, ph\u00f9 ph\u1ed5i.<\/p>\n<p>Th\u1ea7n kinh: l\u00fa l\u1eabn, thay \u0111\u1ed5i h\u00e0nh vi ho\u1eb7c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft n\u00e3o.<br \/>\nChuy\u1ec3n h\u00f3a: r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a kh\u00e1c.<\/p>\n<h4>X\u1eed tr\u00ed ADR<\/h4>\n<p>N\u1ebfu ti\u00eam nh\u1ea7m v\u00e0o c\u00e1c chi nh\u1ecf nh\u01b0 ng\u00f3n tay, ng\u00f3n ch\u00e2n, b\u00e0n tay, b\u00e0n ch\u00e2n c\u00f3 th\u1ec3 g\u00e2y t\u00edm t\u00e1i, l\u1ea1nh, m\u1ea5t c\u1ea3m gi\u00e1c, b\u1ea7m t\u00edm ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng m\u00f4. C\u1ea7n \u0111\u01b0a b\u1ec7nh nh\u00e2n g\u1eb7p c\u00e1c bi\u1ebfn c\u1ed1 n\u00e0y \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay.<\/p>\n<p>Khi xu\u1ea5t hi\u1ec7n t\u0103ng m\u1eabn c\u1ea3m ho\u1eb7c kh\u00f3 ch\u1ecbu trong khi ph\u1eabu thu\u1eadt, ph\u1ea3i ng\u1eebng thu\u1ed1c v\u00e0 tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.<\/p>\n<p>N\u1ebfu thu\u1ed1c tho\u00e1t ra ngo\u00e0i m\u1ea1ch, c\u00f3 th\u1ec3 ti\u00eam dung d\u1ecbch phentolamin 5 mg pha v\u1edbi 9 ml NaCl 0,9% quanh v\u00f9ng t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 gi\u1ea3i \u0111\u1ed9c, theo d\u00f5i t\u00e1i nh\u1ee3t v\u00e0 c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i n\u1ebfu c\u1ea7n.<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh truy\u1ec1n t\u0129nh m\u1ea1ch li\u00ean t\u1ee5c, c\u1ea7n theo d\u00f5i nh\u1ecbp tim, huy\u1ebft \u00e1p, ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p v\u00e0 \u0111\u00e1nh gi\u00e1 th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Thu\u1ed1c c\u01b0\u1eddng giao c\u1ea3m, oxytocin: ph\u1ed1i h\u1ee3p l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n<p>Thu\u1ed1c ch\u1eb9n alpha (v\u00ed d\u1ee5 phentolamin): \u0111\u1ed1i kh\u00e1ng v\u1edbi t\u00e1c d\u1ee5ng co m\u1ea1ch, t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p: Adrenalin l\u00e0m t\u0103ng huy\u1ebft \u00e1p, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ho\u1eb7c m\u1ea5t t\u00e1c d\u1ee5ng h\u1ea1 \u00e1p.<\/p>\n<p>Glycosid tim, thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp: ph\u1ed1i h\u1ee3p li\u1ec1u cao c\u00f3 nguy c\u01a1 g\u00e2y lo\u1ea1n nh\u1ecbp n\u1eb7ng.<\/p>\n<p>Kh\u00e1ng histamin, hormon tuy\u1ebfn gi\u00e1p: l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i c\u1ee7a Adrenalin tr\u00ean tim.<\/p>\n<p>Corticosteroid, thu\u1ed1c l\u1ee3i ti\u1ec3u m\u1ea5t kali, theophyllin, aminophyllin: ph\u1ed1i h\u1ee3p c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 kali m\u00e1u n\u1eb7ng.<\/p>\n<p>Insulin, thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft u\u1ed1ng: Adrenalin l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, d\u1eabn \u0111\u1ebfn ki\u1ec3m so\u00e1t k\u00e9m \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>Thu\u1ed1c ch\u1eb9n beta kh\u00f4ng ch\u1ecdn l\u1ecdc (propranolol): l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng t\u0103ng huy\u1ebft \u00e1p v\u00e0 g\u00e2y nh\u1ecbp ch\u1eadm, c\u00f3 th\u1ec3 nguy hi\u1ec3m t\u00ednh m\u1ea1ng; ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi hen.<\/p>\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf MAO: th\u01b0\u1eddng kh\u00f4ng l\u00e0m thay \u0111\u1ed5i nhi\u1ec1u t\u00e1c d\u1ee5ng t\u0103ng huy\u1ebft \u00e1p c\u1ee7a Adrenalin.<\/p>\n<p>Thu\u1ed1c g\u00e2y m\u00ea bay h\u01a1i (halothan, enfluran, isofluran\u2026): l\u00e0m t\u0103ng nguy c\u01a1 lo\u1ea1n nh\u1ecbp tim; c\u1ea7n gi\u1edbi h\u1ea1n li\u1ec1u Adrenalin d\u01b0\u1edbi m\u1ee9c khuy\u1ebfn c\u00e1o (\u2264 1 microgam\/kg\/30 ph\u00fat v\u1edbi halothan, \u2264 3 microgam\/kg\/30 ph\u00fat v\u1edbi enfluran ho\u1eb7c isofluran).<\/p>\n<p>Alkaloid c\u1ee7a Rauwolfia: l\u00e0m t\u0103ng nh\u1eb9 t\u00e1c d\u1ee5ng t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng: l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi Adrenalin, c\u00f3 th\u1ec3 g\u00e2y t\u0103ng huy\u1ebft \u00e1p v\u00e0 lo\u1ea1n nh\u1ecbp; k\u1ec3 c\u1ea3 Adrenalin trong thu\u1ed1c t\u00ea c\u0169ng c\u1ea7n tr\u00e1nh.<\/p>\n<p>Ma ho\u00e0ng, yohimbin: khi d\u00f9ng c\u00f9ng c\u00f3 th\u1ec3 g\u00e2y k\u00edch th\u00edch th\u1ea7n kinh trung \u01b0\u01a1ng.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Ph\u1ee5 n\u1eef mang thai: Adrenalin qua nhau thai v\u1edbi l\u01b0\u1ee3ng nh\u1ecf, ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng g\u00e2y d\u1ecb d\u1ea1ng b\u1ea9m sinh \u1edf ng\u01b0\u1eddi. Tuy nhi\u00ean, nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt (chu\u1ed9t) cho th\u1ea5y li\u1ec1u cao g\u1ea5p nhi\u1ec1u l\u1ea7n li\u1ec1u \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y qu\u00e1i thai. S\u1eed d\u1ee5ng trong nh\u1eefng th\u00e1ng cu\u1ed1i ho\u1eb7c khi chuy\u1ec3n d\u1ea1 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m oxy cho thai nhi. Ch\u1ec9 n\u00ean d\u00f9ng <strong>dung d\u1ecbch ti\u00eam Adrenalin 1mg\/1ml Vinphaco<\/strong> khi l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i nguy c\u01a1.<\/p>\n<p>Ph\u1ee5 n\u1eef cho con b\u00fa: ch\u01b0a r\u00f5 Adrenalin c\u00f3 b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 hay kh\u00f4ng, nh\u01b0ng \u0111a s\u1ed1 thu\u1ed1c lo\u1ea1i n\u00e0y \u0111\u1ec1u v\u00e0o s\u1eefa. Do v\u1eady, n\u00ean th\u1eadn tr\u1ecdng v\u00e0 tr\u00e1nh cho con b\u00fa khi \u0111ang \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>C\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 nh\u1ee9c \u0111\u1ea7u, m\u1ec7t, t\u0103ng huy\u1ebft \u00e1p, h\u1ed3i h\u1ed9p, tim \u0111\u1eadp nhanh,.. khi ti\u00eam Adrenalin 1mg\/1ml Vinphaco, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tr\u00e1nh l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh thi\u1ebft b\u1ecb c\u01a1 kh\u00ed n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c t\u00e1c d\u1ee5ng n\u00e0y.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Do Adrenalin b\u1ecb b\u1ea5t ho\u1ea1t nhanh trong c\u01a1 th\u1ec3, c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ed9 \u0111\u1ed9c th\u01b0\u1eddng tho\u00e1ng qua. Tuy nhi\u00ean, qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn lo\u1ea1n nh\u1ecbp, co m\u1ea1ch n\u1eb7ng, t\u0103ng huy\u1ebft \u00e1p, th\u1eadm ch\u00ed ng\u1eebng tim.<\/p>\n<p>H\u01b0\u1edbng x\u1eed tr\u00ed:<\/p>\n<ul>\n<li>Ti\u00eam thu\u1ed1c ch\u1eb9n alpha (phentolamin) \u0111\u1ec3 ch\u1ed1ng co m\u1ea1ch.<\/li>\n<li>Sau \u0111\u00f3 c\u00f3 th\u1ec3 d\u00f9ng th\u00eam thu\u1ed1c ch\u1eb9n beta (propranolol) nh\u1eb1m ki\u1ec3m so\u00e1t lo\u1ea1n nh\u1ecbp.<\/li>\n<li>Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft, c\u00f3 th\u1ec3 d\u00f9ng glyceryl trinitrat \u0111\u1ec3 gi\u00e3n m\u1ea1ch nhanh.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu mang t\u00ednh h\u1ed7 tr\u1ee3 v\u00e0 theo d\u00f5i s\u00e1t c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n.<\/li>\n<\/ul>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Adrenalin 1mg\/1ml Vinphaco \u1edf n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t (&lt;30\u2103), tr\u00e1nh \u00e1nh n\u1eafng qu\u00e1 m\u1ea1nh t\u1eeb m\u1eb7t tr\u1eddi<\/p>\n<p>Kh\u00f4ng \u0111\u1ec3 Adrenalin 1mg\/1ml Vinphaco trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Adrenalin 1mg\/1ml Vinphaco khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>T\u1edd H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t. Xem v\u00e0 t\u1ea3i v\u1ec1 b\u1ea3n PDF \u0111\u1ea7y \u0111\u1ee7 <a href=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/08\/To-huong-dan-su-dung-adrenalin-1mg-1ml-vinphaco-vnras-1.pdf\">t\u1ea1i \u0111\u00e2y<\/a>. Truy c\u1eadp ng\u00e0y 31 th\u00e1ng 8 n\u0103m 2025<\/li>\n<li>Verberne AJ, Korim WS, Sabetghadam A, Llewellyn-Smith IJ (2016). Adrenaline: insights into its metabolic roles in hypoglycaemia and diabetes. Br J Pharmacol. Truy c\u1eadp ng\u00e0y 31 th\u00e1ng 8 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4831313\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4831313\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p><span style=\"font-weight: 400;\">Thu\u1ed1c Adrenalin 1mg\/1ml Vinphaco \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong nhi\u1ec1u t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p nh\u01b0 s\u1ed1c ph\u1ea3n v\u1ec7, ng\u1eebng tim, hen ph\u1ebf qu\u1ea3n n\u1eb7ng, ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a tr\u00ean v\u00e0 h\u1ed7 tr\u1ee3 g\u00e2y t\u00ea<\/span><\/p>\n","protected":false},"author":1,"featured_media":136213,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-136211","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product\/136211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=136211"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/136213"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=136211"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=136211"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=136211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}