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简述休克患者使用血管活性药的护理要点

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使用时从小剂量、慢滴速开始;准确记录给药时间、剂量、速度、浓度及血压变化;保证液体的均匀输入,停药时要逐步减量,不可骤停以防血压波动过大;病人平卧,每 15 分钟观察一次血压、 脉搏、呼吸,据此调整滴速。 使用血管收缩剂时要防止药物外渗,以免引起局部组织坏死,一旦发生,可用盐酸普鲁卡因或扩血管药物局部封闭。

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