牛血紅蛋白聚合物-200
別名: Oxyglobin, HBOC-301, HG-200
藥物類別: Semi-synthetic Hemoglobin Replacer / Colloid
> **重要提示**:此藥物是一種暫時性的「血液替代品」,用於無法取得真實血液或血液不相容的危及生命緊急情況。 * **變色是正常現象**:您寵物的牙齦、皮膚、眼睛和尿液可能會變成黃色、橙色、紅色或棕色。這是藥物的無害副作用,幾天後就會消退。 * **注意呼吸問題**:因為這種輸液會將水分拉入血管中,可能會導致肺部積水。如果您的寵物呼吸急促、咳嗽或似乎呼吸困難,請立即聯繫您的獸醫。 * **費用與風險**:這是一種重症加護藥物,具有顯著的費用和潛在風險。您的獸醫會在給藥前與您討論風險與效益的比例。
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- As an option to provide oxygen carrying capacity in the trauma patient
- Labeled indications (anemia)
- Resuscitation of trauma patients in shock with or without hemorrhage
- To provide a 'bridge' until immunosuppressive drugs take effect in dogs with IMHA with a transfusion reaction
- As an option to provide oxygen carrying capacity in the trauma patient
- As a vasopressor once there is adequate intravascular volume in trauma patients
給藥方式
IV
可能的副作用
- Discolored mucous membranes, sclera, skin (yellow, red, brown)
- Discolored urine (orange, red, brown)
- Increased central venous pressure (CVP)
- Ventricular arrhythmias (AV block, tachycardia, VPCs)
- Vomiting, diarrhea, anorexia
- Tachypnea, dyspnea, harsh lung sounds
- Pulmonary edema and pleural effusion (due to volume overload)
- Fever
- Peripheral edema
- Hemoglobinuria
注意事項與禁忌
- Advanced cardiac disease (e.g., congestive heart failure)
- Severely impaired cardiac function
- Renal impairment with oliguria or anuria
- HG-200 is a potent colloid and can cause severe vasoconstriction. Extreme care must be taken to avoid volume overload, which can lead to increased hydrostatic pressure, pulmonary edema, and pleural effusion (particularly important in cats). The volume required for fluid resuscitation is approximately 1/3 that of hetastarch. May cause immunologic reactions (IgG antibodies), though anaphylaxis is rare. **Laboratory Interference**: HG-200 severely impacts colorimetric laboratory tests, optical coagulation assays, and urine dipsticks. PCV and RBC counts are inaccurate measures of anemia for 24 hours post-administration due to dilutional effects.
常見問題
牛血紅蛋白聚合物-200用於寵物有什麼用途?
> **重要提示**:此藥物是一種暫時性的「血液替代品」,用於無法取得真實血液或血液不相容的危及生命緊急情況。 * **變色是正常現象**:您寵物的牙齦、皮膚、眼睛和尿液可能會變成黃色、橙色、紅色或棕色。這是藥物的無害副作用,幾天後就會消退。 * **注意呼吸問題**:因為這種輸液會將水分拉入血管中,可能會導致肺部積水。如果您的寵物呼吸急促、咳嗽或似乎呼吸困難,請立即聯繫您的獸醫。 * **費用與風險**:這是一種重症加護藥物,具有顯著的費用和潛在風險。您的獸醫會在給藥前與您討論風險與效益的比例。
牛血紅蛋白聚合物-200對我的寵物安全嗎?
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育,不能取代專業獸醫意見。如寵物身體不適,請諮詢獸醫。