﻿{"id":33779,"date":"2022-08-28T00:57:12","date_gmt":"2022-08-27T17:57:12","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?post_type=product&#038;p=33779"},"modified":"2026-01-08T11:02:26","modified_gmt":"2026-01-08T04:02:26","slug":"guacanyl","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/guacanyl\/","title":{"rendered":"Guacanyl"},"content":{"rendered":"<p>Terbutalin sulfat 1,5 mg\/5 ml<\/p>\n<p>Guaiphenesin 66,5mg\/ 5ml<\/p>\n<p>\u0110\u1ecdc k\u1ef9 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi d\u00f9ng<\/p>\n<p>N\u1ebfu c\u00e1n th\u00e8m thong tin xin h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129.<\/p>\n<h2>Th\u00e0nh ph\u1ea7n:<\/h2>\n<p>M\u1ed7i \u1ed1ng 5ml ch\u1ee9a:<\/p>\n<h2>Ho\u1ea1t ch\u1ea5t:<\/h2>\n<p>Terbutalin sulfat 1,5 mg.<\/p>\n<p>Guaiphenesin 66,5 mg.<\/p>\n<h2>T\u00e1 d\u01b0\u1ee3c:<\/h2>\n<p>Natri benzoat, acid citric monohydrate, natri citrat dihydrat, glyceryl, dinatri edetat, h\u01b0\u01a1ng hoa qu\u00e0, sorbitol, n\u01b0\u1edbc tinh khi\u1ebft.<\/p>\n<h2>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch u\u1ed1ng<\/h2>\n<h2>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i:<\/h2>\n<p>\u1ed1ng nh\u1ef1a 5ml. H\u1ed9p 4 v\u1ec9 X 5 \u1ed1ng nh\u1ef1a<\/p>\n<h2>\u0110\u1eb7c t\u00ednh d\u01b0\u1ee3c l\u1ef1c h\u1ecdc<\/h2>\n<p>Terbutalin sulfat l\u00e0 m\u1ed9t ch\u1ea5t ch\u1ee7 v\u1eadn beta 2-adrenergic, c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch th\u1ee5 th\u1ec3 beta c\u1ee7a h\u1ec7 th\u1ea7n kinh giao c\u1ea3m, kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean th\u1ee5 th\u1ec3 alpha. T\u00e1c d\u1ee5ng ch\u00ednh c\u1ee7a terbutalin l\u00e0 l\u00e0m gi\u00e3n c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n, t\u1eed cung v\u00e0 m\u1ea1ch ngo\u1ea1i vi. Thu\u1ed1c l\u00e0m gi\u1ea3m s\u1ee9c c\u1ea3n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p n\u00ean l\u00e0m t\u0103ng th\u1ec3 t\u00edch th\u1edf ra g\u1eafng s\u1ee9c trong 1 gi\u00e2y.Terbutaline kh\u00f4ng tr\u1ef1c ti\u1ebfp l\u00e0m thay \u0111\u1ed5i ph\u00e2n \u00e1p oxy \u0111\u1ed9ng m\u1ea1ch.Thu\u1ed1c k\u00edch th\u00edch s\u1ea3n sinh adenosin-3&#8242;,5&#8242;- monophosphate v\u00f2ng (AMPc) do ho\u1ea1t h\u00f3a enzym adenylcyclase.<\/p>\n<p>Gi\u1ed1ng nh\u01b0 metaproterenol v\u00e0 albuterol, terbutaline c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch m\u1ea1nh tr\u00ean th\u1ee5 th\u1ec3 beta2 c\u1ee7a ph\u1ebf qu\u1ea3n, c\u01a1 tr\u01a1n t\u1eed cung, m\u1ea1ch m\u00e1u v\u00e1 t\u00e1c d\u1ee5ng r\u1ea5t \u00edt tr\u00ean th\u1ee5 th\u1ec3 beta c\u1ee7a tim. Tuy nhi\u00ean, \u1edf li\u1ec1u cao, terbutaline c\u00f3 th\u1ebf g\u00e2y k\u00edch th\u00edch tim v\u00e0 h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Terbutaline \u0111\u00f3i khi l\u00e0m t\u0103ng nh\u1ecbp tim, nh\u01b0ng c\u00f2n ch\u01b0a r\u00f5, \u0111\u00f3 l\u00e0 do terbutaline k\u00edch th\u00edch th\u1ee5 th\u1ec3 beta ho\u1eb7c do \u0111\u00e1p \u1ee9ng ph\u1ea3n x\u1ea1 v\u1edbi thay \u0111\u00f3i huy\u1ebft \u00e1p do gi\u00e3n m\u1ea1ch ngo\u1ea1i vi. Guaiphenesin c\u00f3 t\u00e1c d\u1ee5ng long \u0111\u1eddm, sau \u0111\u00f3 k\u00edch th\u00edch t\u0103ng ti\u1ebft d\u1ecbch \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, l\u00e0m t\u0103ng th\u1ec3 t\u00edch v\u00e0 d\u1ea7m \u0111\u1ed9 nh\u1edbt c\u1ee7a d\u1ecbch ti\u1ebft \u1edf kh\u00ed qu\u1ea3n v\u00e0 ph\u1ebf qu\u1ea3n. Nh\u1edd v\u1eady thu\u1ed1c l\u00e0m t\u0103ng hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u1ea3n x\u1ea1 ho v\u00e1 l\u00e0m \u0111\u1ec3 t\u1ed1ng \u0111\u1eddm ra ngo\u00e0i h\u01a1n.<\/p>\n<h2>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h2>\n<h3>Terbutalin sulfat.<\/h3>\n<p>H\u1ea5p thu: Kho\u1ea3ng 30-50% li\u1ec1u u\u1ed1ng terbutalin sulfat \u0111\u01b0\u1ee3c h\u1ea5p thu qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Sau khi u\u1ed1ng, t\u00e1c d\u1ee5ng d\u1ebb th\u1edf xu\u1ea5t hi\u1ec7n trong v\u00f2ng 30 ph\u00fat, ch\u1ee9c n\u0103ng ph\u1ed5i \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n th\u1ef1c ch\u1ea5t tr\u00ean l\u00e2m s\u00e0ng sau 1-2 gi\u1edd, \u0111\u1ea1t m\u1ee9c t\u1ed1i \u0111a trong v\u00f2ng 2-3 gi\u1edd, v\u00e0 th\u1eddi gian t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i \u0111\u01b0\u1ee3c 4-8 gi\u1edd.<\/p>\n<p>Ph\u00e2n b\u00f3n: v\u00e0o s\u1eefa m\u1eb9 v\u1edbi n\u00f3ng \u0111\u1ed9 \u00edt nh\u1ea5t b\u1eb1ng n\u00f3ng \u0111\u1ed9 trong huy\u1ebft t\u01b0\u01a1ng \u1edf c\u00f9ng th\u1eddi \u0111i\u1ec3m. Tuy nhi\u00ean l\u01b0\u1ee3ng thu\u1ed1c v\u00e0o s\u1eefa m\u1eb9 kh\u00f4ng b\u1eb1ng 1 % li\u1ec1u u\u1ed1ng.<\/p>\n<p>Chuy\u1ec3n h\u00f3a v\u00e0 th\u1ea3i tr\u1eeb:Terbutaline b\u1ecb chi\u1ebfn h\u1ecfa m\u1ed9t ph\u00e1n \u1edf gan, ch\u1ee7 y\u1ebfu th\u00e0nh c\u00e1c ch\u1ea5t li\u00ean h\u1ee3p v\u1edbi acid sulfuric kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh.<\/p>\n<p>Khi u\u1ed1ng, ph\u1ea5n l\u1edbn li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t li\u00ean h\u1ee3p. S\u1ef1 th\u1ea3i tr\u1eeb thu\u1ed1c v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a ho\u00e0n t\u1ea5t trong v\u00f2ng 72 &#8211; 96 gi\u1edd sau khi d\u00f9ng m\u1ed9t li\u1ec1u \u1edf t\u1ea5t c\u1ea3 c\u00e1c d\u1ea1ng.<\/p>\n<p>Sau khi u\u1ed1ng li\u1ec1u \u0111\u01a1n \u1edf ng\u01b0\u1eddi b\u1ec7nh hen, th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 3,4 gi\u1edd.<\/p>\n<h3>Guaiphenesin:<\/h3>\n<p>Sau khi u\u1ed1ng, thu\u1ed1c h\u1ea5p thu t\u1ed1t t\u1eeb \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Trong m\u00e1u, 60% l\u01b0\u1ee3ng thu\u1ed1c b\u1ecb th\u1ee7y ph\u00e2n trong v\u00f2ng 7 gi\u1edd. Ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb qua th\u1eadn. Sau khi u\u1ed1ng 400 mg guaifenesin, kh\u00f4ng ph\u00e1t hi\u1ec7n th\u1ea5y thu\u1ed1c \u1edf d\u1ea1ng nguy\u00ean v\u1eb9n trong n\u01b0\u1edbc ti\u1ec3u. Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a guaiphenesin kho\u1ea3ng 1 gi\u1edd.<\/p>\n<h2>Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p>Ho do hen ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ebf qu\u1ea3n, kh\u00ed ph\u1ebf th\u0169ng, gi\u00e3n ph\u1ebf qu\u1ea3n, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u1ea5p t\u00ednh v\u00e0 c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan kh\u00e1c.<\/p>\n<h2>Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng<\/h2>\n<p>Ng\u01b0\u1eddi l\u1edbn: 10-15 ml (2-3 \u00f5ng)\/l\u1ea5n X 2-3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Tr\u1ebb em:<\/p>\n<p>7-15 tu\u1ed5i: 5-10 ml (1 -2 \u1ed1ng)\/l\u0103n X 2-3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>3-6 tu\u1ed5i: 2,5- 5 ml (1\/2-1 \u1ed1ng)\/l\u00e1n X 2-3 l\u1ea7n\/ng\u00e0y<\/p>\n<p>&lt; 3 tu\u1ed5i: 2,5 ml (1\/2 \u1ed1ng)\/l\u0103n X 2-3 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Ch\u1ec9 d\u00f9ng thu\u1ed1c khi c\u00f3 \u0111\u01a1n c\u1ee7a b\u00e1c s\u0129<\/p>\n<h2>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p>Qu\u00e1 m\u00e1n v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u00e2n n\u00e0o c\u1ee7a ch\u1ebf ph\u1ea9m ho\u1eb7c qu\u00e1 m\u00e1n v\u1edbi c\u00e1c thu\u1ed1c gi\u1ed1ng th\u1ea7n kinh giao c\u1ea3m kh\u00e1c.<\/p>\n<h2>Th\u1eadn tr\u1ecdng<\/h2>\n<p>C\u1ea9n th\u1eadn tr\u1ecdng khi d\u00f9ng terbutalin sulfat cho ng\u01b0\u1eddi bi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, c\u01b0\u1eddng gi\u00e1p, c\u00f3 ti\u1ec1n s\u1eed co gi\u1eadt, b\u1ec7nh tim, k\u1ec3 c\u1ea3 thi\u1ebfu m\u00e1u c\u01a1 tim v\u00e0 lo\u1ea1n nh\u1ecbp tim, cao huy\u1ebft \u00e1p. Trong th\u1ec3 thao c\u1ea5n l\u01b0u \u00fd l\u00e0 thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra ph\u1ea3n \u1ee9ng d\u01b0\u01a1ng t\u00ednh khi l\u00e0m test ch\u1ed1ng doping.<\/p>\n<p>Guaiphenesin \u0111\u01b0\u1ee3c coi l\u00e0 kh\u00f4ng an to\u00e0n khi s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n \u2019 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a porphyrin do thu\u1ed1c g\u00e2y r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a porphyrin tr\u00ean \u0111\u1ed9ng v\u1eadt th\u00ed nghi\u1ec7m.<\/p>\n<p>S\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a sorbitol. Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng dung n\u1ea1p fructose.<\/p>\n<p>S\u1ea3n ph\u1ea9m ch\u1ee9a d\u01b0\u1edbi 1 mmol natri (23 ng\u00f3ng. L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ki\u1ec3m so\u00e1t ion natri.<\/p>\n<h2>T\u00e1c d\u1ee5ng ph\u1ee5<\/h2>\n<h3>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n li\u00ean quan \u0111\u1ebfn terbutaline:<\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p, ADR &gt;1\/100<\/p>\n<p>Tim m\u1ea1ch:T\u0103ng nh\u1ecbp tim, thay \u0111\u1ed5i huy\u1ebft \u00e1p, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c.<\/p>\n<p>Th\u1ea7n kinh: K\u00edch \u0111\u1ed9ng th\u1ea7n kinh, run c\u01a1, ch\u00f3ng m\u1eb7t.<\/p>\n<p><em>\u00cdt g\u1eb7p<\/em>, ADR &gt; 1\/1 000 v\u00e0 ADR &lt;1\/100<\/p>\n<p>Th\u1ea7n kinh: Nh\u1ee9c \u0111\u1ea7u, b\u1ed1n ch\u00e2n, kh\u00f3 ng\u1ee7 ho\u1eb7c ng\u1ee7 l\u1ecbm, ng\u1ee7 g\u00e0, ng\u01b0\u1eddi y\u1ebfu, n\u00f3ng b\u1eebng m\u1eb7t, ra m\u1ed3 h\u00f4i, t\u1ee9c ng\u1ef1c, co c\u01a1, \u00f9 tai.<\/p>\n<p>Da: N\u1ed5i m\u00e0y \u0111ay, ban da.<\/p>\n<p>Ph\u1ed5i: Ph\u00f9 ph\u1ed5i.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: l\u00e3ng glucose huy\u1ebft, kh\u00f4ng dung n\u1ea1p glucose, gi\u1ea3m kali huy\u1ebft.<\/p>\n<p>Ti\u00eau h\u00f3a: Kh\u00f3 mi\u1ec7ng, n\u00f3n, b\u00e1n n\u00f3n, v\u1ecb kh\u00f3 ch\u1ecbu trong mi\u1ec7ng. C\u01a1 x\u01b0\u01a1ng: Chu\u1ed9t r\u00fat, y\u1ebfu c\u01a1.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p<\/em>, ADR &lt; 1\/1 000<\/p>\n<p>Th\u1ea7n kinh: C\u01a1n co gi\u1eadt, qu\u00e1 man.<\/p>\n<p>Tim m\u1ea1ch: Vi\u00eam m\u1ea1ch, nh\u1ed3i m\u00e1u c\u01a1 tim<\/p>\n<p>Gan: t\u0103ng enzym gan.<\/p>\n<p>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng: Nhi\u1ec5m toan lactic.<\/p>\n<p>T\u1ea7n s\u1ed1 kh\u00f4ng r\u00f5 (kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh t\u1eeb d\u1eef li\u1ec7u c\u00f3 s\u1eb5n)<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch: Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn bao gom ph\u00f9 m\u1ea1ch, co th\u1eaft ph\u1ebf qu\u1ea3n, h\u1ea1 huy\u1ebft \u00e1p v\u00e0 tr\u1ee5y tim m\u1ea1ch.<\/p>\n<p>R\u1ed1i lo\u1ea1n tim m\u1ea1ch: Lo\u1ea1n nh\u1ecbp tim, thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ee5c b\u00f3.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u00f3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n<h3>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n li\u00ean quan \u0111\u1ebfn guaiphenesin<\/h3>\n<p>C\u00e1c ph\u1ea3n \u1ee9ng \u00edt g\u1eb7p ho\u1eb7c hi\u1ebfm g\u1eb7p: Ch\u00f3ng m\u1eb7t, \u0111au \u0111\u1ea7u, ti\u00eau ch\u1ea3y, n\u00f4n ho\u1eb7c bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng, ban da, m\u00e0y \u0111ay.<\/p>\n<p>T\u00ecnh tr\u1ea1ng s\u1ecfi th\u1eadn \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n l\u1ea1m d\u1ee5ng ch\u1ebf ph\u1ea9m c\u00f3 ch\u1ee9a guaiphenesin.<\/p>\n<p style=\"text-align: center;\"><strong>Th\u00f4ng b\u00e1o ngay cho b\u00e1c s\u0129 ho\u1eb7c d\u01b0\u1ee3c s\u0129 khi g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/strong><\/p>\n<h2>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/h2>\n<p>Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c thu\u1ed1c k\u00edch th\u00edch giao c\u1ea3m, v\u00ec kh\u1ea3 n\u0103ng g\u00e2y tai bi\u1ebfn tr\u00ean h\u1ec7 tim m\u1ea1ch. Tuy nhi\u00ean v\u1eabn c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c k\u00edch th\u00edch giao c\u1ea3m qua \u0111\u01b0\u1eddng kh\u00ed dung \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb co th\u1eaft ph\u1ebf qu\u1ea3n c\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh nh\u00e3n \u0111ang d\u00f9ng terbutaline \u0111\u01b0\u1eddng u\u1ed1ng k\u00e9o d\u00e0i.<\/p>\n<p>Kh\u00f4ng d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi d\u00e2n ch\u1ea5t c\u1ee7a theophylin.<\/p>\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf MAO ho\u1eb7c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng l\u00e0m t\u0103ng t\u00e1c h\u1ea1i tr\u00ean h\u1ec7 tim m\u1ea1ch khi ph\u1ed1i h\u1ee3p v\u1edbi terbutalin. Do \u0111\u00f3, khi c\u00e1n ph\u1ed1i h\u1ee3p ph\u1ea3i h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng.<\/p>\n<p>Thu\u1ed1c m\u00ea halothan:Trong c\u00e1c can thi\u1ec7p ngo\u1ea1i khoa, khi ph\u1ed1i h\u1ee3p terbutaline v\u1edbi c\u00e1c thu\u1ed1c g\u00e2y m\u00ea halothan c\u00f3 th\u1ebf g\u00e2y \u0111\u1edd t\u1eed cung k\u00e8m theo nguy c\u01a1 xu\u1ea5t huy\u1ebft, ngo\u00e0i ra c\u00f3 th\u1ec3 g\u00e2y nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t n\u1eb7ng. C\u1ea5n ng\u1eebng s\u1eed d\u1ee5ng Guanyl \u00edt nh\u1ea5t 6 gi\u1edd tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c m\u00ea halothane.<\/p>\n<p>S\u1eed d\u1ee5ng guaiphenesin c\u00f3 th\u1ec3\u2019 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 \u1edf x\u00e9t nghi\u1ec7m \u0111o acid vanillylmandelic trong n\u01b0\u1edbc ti\u1ec3u. C\u1ea5n ng\u01b0ng d\u00f9ng guaiphenesin 48 gi\u1edd tr\u01b0\u1edbc khi l\u1ea5y m\u1eabu n\u01b0\u1edbc ti\u1ec3u \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m n\u00e0y.<\/p>\n<h3>S\u1eed d\u1ee5ng thu\u1ed1c cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c trong 3 th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3. Terbutaline ti\u1ebft qua s\u1eefa m\u1eb9 nh\u01b0ng kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u0169 nhi \u1edf li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>\u0110\u00e3 ghi nh\u1eadn tr\u01b0\u1eddng h\u1ee3p h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft tho\u00e1ng qua \u1edf tr\u1ebb s\u01a1 sinh, tr\u1ebb sinh non sau khi ng\u01b0\u1eddi m\u1eb9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c ch\u1ee7 v\u1eadn beta 2.<\/p>\n<h3>\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>S\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 \u0111au \u0111\u1ea7u, run l\u00ean c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<p>Qu\u00e1 li\u1ec1u<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 g\u1eb7p: nh\u1ee9c \u0111\u1ea7u, lo \u00e2u, run, b\u00f3n ch\u1ed1ng, bu\u00f4n n\u00f3n, v\u1ecdp b\u1ebb, h\u00f3i h\u00f3p, nh\u1ecbp tim nhanh, v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim. \u0110\u00f4i khi x\u1ea3y ra h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m: \u0110\u00f2i khi c\u00f3 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 nhi\u1ec5m acid lactic m\u00e1u. C\u00e1c ch\u1ea5t ch\u1ee7 v\u1eadn beta 2 c\u00f3 th\u1ebf g\u00e2y h\u1ea1 kali huy\u1ebft do t\u00ecnh tr\u1ea1ng t\u00e1i ph\u00e2n b\u00f3n kali.<\/p>\n<p><em>X\u1eed Tr\u00ed:<\/em><\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh; gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u1eebng d\u00f9ng thu\u1ed1c.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng:<\/p>\n<p>R\u1eeda d\u1ea1 d\u00e0y, d\u00f9ng than ho\u1ea1t tinh<\/p>\n<p>Ki\u1ec3m tra c\u00e2n b\u1eb1ng ki\u1ec3m to\u00e1n, \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<p>Theo d\u00f5i t\u1ea7n s\u1ed1 tim, nh\u1ecbp tim, huy\u1ebft \u00e1p.<\/p>\n<p>C\u00e1n theo d\u00f5i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh k\u1ecbp th\u1eddi c\u00e1c thay \u0111\u1ed5i v\u00e9 chuy\u1ec3n h\u00f3a.<\/p>\n<p>N\u00ean d\u00f9ng thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 beta ch\u1ecdn l\u1ecdc tim \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p lo\u1ea1n nh\u1ecbp tim g\u00e2y r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng h\u1ecdc.<\/p>\n<p>C\u00e1n th\u1eadn tr\u1ecdng s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 beta v\u00ec ch\u00fang c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y co th\u1eaft ph\u1ebf qu\u1ea3n.<\/p>\n<h2>B\u1ea3o qu\u1ea3n<\/h2>\n<p>B\u1ea3o qu\u1ea3n trong bao b\u00ec k\u00edn, tr\u00e1nh \u00e1nh s\u00e1ng, \u1edf nhi\u1ec7t \u0111\u1ed9 d\u01b0\u1edbi 30\u00b0C.<\/p>\n<h2>H\u1ea1n d\u00f9ng<\/h2>\n<p>3 n\u0103m k\u1ec3 t\u1eeb ng\u00e0y s\u1ea3n xu\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Terbutalin sulfat 1,5 mg\/5 ml Guaiphenesin 66,5mg\/ 5ml \u0110\u1ecdc k\u1ef9 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi d\u00f9ng N\u1ebfu c\u00e1n th\u00e8m thong tin xin h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129. Th\u00e0nh ph\u1ea7n: M\u1ed7i \u1ed1ng 5ml ch\u1ee9a: Ho\u1ea1t ch\u1ea5t: Terbutalin sulfat 1,5 mg. Guaiphenesin 66,5 mg. T\u00e1 d\u01b0\u1ee3c: Natri benzoat, acid citric monohydrate, natri citrat dihydrat, [&#8230;]\n","protected":false},"author":1,"featured_media":35367,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-33779","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\/33779","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=33779"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/35367"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33779"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=33779"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=33779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}