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Omeprazole inj
/  Injection, Lyophilised 40 mg ; solution 40 mg/ 10 ml
!
"# Upper Gastrointestinal Bleeding (UGIB)
ก%&กก!!ก'()*+ #1#4ก";ก0 ก*. " >#ก#1#4 * <2'? (H+/ K+) _ ATPase "
proton pump & parietal cell membrane ;'d&ef antimicrobial activity against (H. pylori)
,%- *).ก"#
IV push : $% 40-80 mg/day %/ 0# Omeprazole 40 mg $'ก1 SWFI 10 mL <'*' 4 mg/mL
push *"; *;  0,*;!'= 5 &
IV infusion : $% 40-80 mg/day %/ 0# Omeprazole 40 mg ;;#ก1 0.9%NSS 100 mL " 5%DW 100 mL
drip,@ 20-30 & *'  ;;#;0,+#0 3 ,>'
***ก=0"#0  'กก 60 mg/day   0"1*!/ bid***
340567 6ก 58$9:ก ;9 :   0"0, # 10-20 mg/day
ก<'.3!? : & *# !&  ;  < * # $   ;'.u '3  !vu ! !ก;'* 4 ,
Agranulocytosis, Pancytopenia, Anaphylasis shock, 1 ก*1
! - /%- !"#
$%!)#&''< omeprazole, substituted benzimidazole proton pump inhibitors ( *, esomeprazole,
lansoprazole "  !ก 1  @ ;0, #'0 $%!)#&'+ metabolic alkalosis ;
2

Clindamycin inj. & Clindamycin tab.


/  : 150 mg/cap, 300mg/2mL
!
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$" ;*#  1-  *, 4 0 ก>;" *, 4 0 , &  *, *#  1-, &  ก*1 (70
, &  *#  1-';%ก ก*1 >*, 4 * 4  ก%ก 0,!x ก alpha-hemolytic (viridans
group) streptococci ก ก&"6ก
ก%&กก!!ก'()*+ : #1#4ก* y*1>" z*, 4 1&*#34 ก1'*'  #&<1
*<! กd&ef  *, 4 1&*#,  Aerobic gram positive, Anaerobic '&4 Streptococci,
Staphylococci, Corynebacterium dipheriae ; Enterococci.
,%- *).ก"# :
9":
: Oral ;
Mild-Moderate serious infections : 150-300 mg every 6 hr
More Serious infections : 300-450 mg every 6 hr
IV ;
Mild infections: 600 mg/day in 2 divided doses.
Moderate serious infections: 600-1200 mg/day in 2-4 divided doses.
More serious infections: 1.2-2.7 gm/day in 2-4 divided doses.
ก=- 634 *#,  *.'<63 4.8 gm/day
*5ก (> 1 * ) : 20-40 mg/kg/day in 3-4 divided doses
*5ก (>1 * ) : 15-20 mg/kg/day in 3-4 divided doses.
***<'  0" IM > 600 mg***
;!ก/, endocarditis:
$%0"y : 300 mg orally 1 hr ก &"6ก' then 150 mg 6 hr after initial dose.
*5ก : 10 mg/kg orally 1 hr ก &"6ก' then 5 mg/kg 6 hr after initial dose.
!ก&
>?-@A : !&  ;  < * # & *#, esophagitis. Maculopapular rash,
urticaria, pruritus, Jaundice, Erythematous, *'5*;   #ก!ก ,,
Eosinophilia.
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3

DIS (.F,
@,"
Q : Furosemide inj. @J"
ก/ Morphine inj.  Y-site &O!&

A : กก@O, !%>
 Furosemide inj. &
@J"
ก/ Morphine inj.  Y-site
& (Incompatibility)
Q : Streptomicin . *).ก9@ก/ SWFI !
&
A : ก9@ Streptomicin ก/ SWFI .!/T@
,/,.U
1. Streptomicin : SWFI (1 gm: 4.2 mL) = 200 mg/mL
2. Streptomicin : SWFI (1 gm: 3.2 mL) = 250 mg/mL
3. Streptomicin : SWFI (1 gm: 1.8 mL) = 400 mg/mL

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 .........jiamjiumdirector