{"id":13324,"date":"2019-08-01T21:35:43","date_gmt":"2019-08-01T14:35:43","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=13324"},"modified":"2025-01-09T08:32:32","modified_gmt":"2025-01-09T01:32:32","slug":"albumin-human-albumin-baxter","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/albumin-human-albumin-baxter\/","title":{"rendered":"Albumin &#8211; Human Albumin Baxter"},"content":{"rendered":"<p><strong>1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c: <\/strong><\/p>\n<p><strong><em>Ho\u1ea1t ch\u1ea5t :<\/em> Albumin<\/strong><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c t\u0103ng th\u1ec3 t\u00edch m\u00e1u.<\/em> <em>Thu\u1ed1c ch\u1ed1ng t\u0103ng bilirubin huy\u1ebft.<\/em><\/p>\n<p><strong><em>Nh\u00f3m<\/em><\/strong> <strong><em>ph\u00e1p l\u00fd: <\/em><\/strong><em>Thu\u1ed1c k\u00ea \u0111\u01a1n ETC \u2013 (Ethical drugs, prescription drugs, Prescription only medicine)<\/em><\/p>\n<p><strong><em>M\u00e3 ATC<\/em><\/strong> (Anatomical Therapeutic Chemical): B05AA01.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong><\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> HUMAN ALBUMIN BAXTER<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: Baxalta &#8211; \u00c1o<\/p>\n<p><strong>2. D\u1ea1ng b\u00e0o ch\u1ebf &#8211; H\u00e0m l\u01b0\u1ee3ng: <\/strong><\/p>\n<p><strong><em>D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng<\/em><\/strong><\/p>\n<p>Dung d\u1ecbch ti\u00eam truy\u1ec1n: h\u1ed9p 1 chai 50mL.<\/p>\n<p>M\u1ed7i L: Protein to\u00e0n ph\u1ea7n 200g ho\u1eb7c 250g, trong \u0111\u00f3 Human albumin (albumin ng\u01b0\u1eddi) chi\u1ebfm \u00edt nh\u1ea5t 95%.<\/p>\n<p><strong><em>Thu\u1ed1c tham kh\u1ea3o:<\/em><\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>HUMAN ALBUMIN BAXTER 20%<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i t\u00fai 100ml c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Albumin<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>20.000 mg<\/td>\n<\/tr>\n<tr>\n<td>T\u00e1 d\u01b0\u1ee3c<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>v\u1eeba \u0111\u1ee7 (Xem m\u1ee5c 6.1)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"334\" height=\"336\" class=\"wp-image-13325\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/08\/word-image-5.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/08\/word-image-5.png 334w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/08\/word-image-5-150x150.png 150w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/08\/word-image-5-298x300.png 298w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2019\/08\/word-image-5-60x60.png 60w\" sizes=\"auto, (max-width: 334px) 100vw, 334px\" \/><\/p>\n<p><strong>3. Video by Pharmog:<\/strong><\/p>\n<p><strong>[VIDEO D\u01af\u1ee2C L\u00dd]<\/strong><\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>\u25ba K\u1ecbch B\u1ea3n: PharmogTeam<\/p>\n<p>\u25ba Youtube: https:\/\/www.youtube.com\/c\/pharmog<\/p>\n<p>\u25ba Facebook: https:\/\/www.facebook.com\/pharmog\/<\/p>\n<p>\u25ba Group : H\u1ed9i nh\u1eefng ng\u01b0\u1eddi m\u00ea d\u01b0\u1ee3c l\u00fd<\/p>\n<p>\u25ba Instagram : https:\/\/www.instagram.com\/pharmogvn\/<\/p>\n<p>\u25ba Website: pharmog.com<\/p>\n<p><strong>4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng: <\/strong><\/p>\n<p><strong>4.1. Ch\u1ec9 \u0111\u1ecbnh:<\/strong><\/p>\n<p>D\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p ph\u1ee5c h\u1ed3i v\u00e0 duy tr\u00ec th\u1ec3 t\u00edch m\u00e1u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u v\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng dung d\u1ecbch keo ch\u1ee9a albumin l\u00e0 ph\u00f9 h\u1ee3p.<\/p>\n<p>Vi\u1ec7c \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn albumin hay c\u00e1c ch\u1ea5t keo nh\u00e2n t\u1ea1o kh\u00e1c ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, d\u1ef1a v\u00e0o nh\u1eefng khuy\u1ebfn c\u00e1o ch\u00ednh th\u1ee9c.<\/p>\n<p><strong>4.2. Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng:<\/strong><\/p>\n<p><strong><em>C\u00e1ch d\u00f9ng<\/em><\/strong> : D\u00f9ng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n<p>Ch\u1ebf ph\u1ea9m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u1ef1c ti\u1ebfp b\u1eb1ng \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch ho\u1eb7c pha lo\u00e3ng tr\u01b0\u1edbc v\u1edbi c\u00e1c dung d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng (v\u00ed d\u1ee5: dung d\u1ecbch glucose 5%, natri clorid 0,9%).<\/p>\n<p>T\u1ed1c \u0111\u1ed9 truy\u1ec1n ph\u1ea3i ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 theo ch\u1ec9 d\u1eabn.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p thay huy\u1ebft t\u01b0\u01a1ng th\u00ec t\u1ed1c \u0111\u1ed9 truy\u1ec1n d\u1ecbch ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh ph\u00f9 h\u1ee3p v\u1edbi t\u1ed1c \u0111\u1ed9 th\u1ea3i tr\u1eeb.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p>N\u1ed3ng \u0111\u1ed9 ch\u1ebf ph\u1ea9m albumin l\u1ef1a ch\u1ecdn, li\u1ec1u l\u01b0\u1ee3ng v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n d\u1ecbch ph\u1ea3i ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>Li\u1ec1u d\u00f9ng:<\/p>\n<p>Li\u1ec1u d\u00f9ng ph\u1ee5 thu\u1ed9c v\u00e0o th\u1ec3 tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 l\u01b0\u1ee3ng d\u1ecbch hay protein c\u1ee7a c\u01a1 th\u1ec3 ti\u1ebfp t\u1ee5c m\u1ea5t. N\u00ean ki\u1ec3m tra th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n v\u00e0 m\u1ee9c \u0111\u1ed9 thi\u1ebfu h\u1ee5t albumin huy\u1ebft t\u01b0\u01a1ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec1u d\u00f9ng th\u00edch h\u1ee3p.<\/p>\n<p>Dung d\u1ecbch Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L c\u1ea7n ph\u1ea3i ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch. Kh\u00f4ng \u0111\u01b0\u1ee3c pha lo\u00e3ng ch\u1ebf ph\u1ea9m v\u1edbi n\u01b0\u1edbc c\u1ea5t pha ti\u00eam do c\u00f3 th\u1ec3 g\u00e2y tan huy\u1ebft.<\/p>\n<p>Kh\u00f4ng n\u00ean tr\u1ed9n l\u1eabn c\u00e1c dung d\u1ecbch albumin v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 ch\u1ee9a m\u00e1u v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a m\u00e1u nh\u01b0ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c ch\u1ebf ph\u1ea9m ti\u00eam kh\u00e1c khi th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft.<\/p>\n<p>C\u00e1c dung d\u1ecbch albumin kh\u00f4ng n\u00ean tr\u1ed9n l\u1eabn v\u1edbi protein th\u1ee7y ph\u00e2n ho\u1eb7c c\u00e1c dung d\u1ecbch c\u00f3 ch\u1ee9a c\u1ed3n v\u00ec c\u00e1c ch\u1ea5t n\u00e0y k\u1ebft h\u1ee3p v\u1edbi nhau c\u00f3 th\u1ec3 t\u1ea1o ra k\u1ebft t\u1ee7a protein.<\/p>\n<p>Kh\u00f4ng th\u00eam c\u00e1c thu\u1ed1c b\u1ed5 sung v\u00e0o dung d\u1ecbch truy\u1ec1n.<\/p>\n<p>T\u00ecnh tr\u1ea1ng t\u0103ng kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu li\u1ec1u d\u00f9ng v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh, c\u00e2n nh\u1eafc cho ph\u00f9 h\u1ee3p v\u1edbi n\u1ed3ng \u0111\u1ed9 dung d\u1ecbch v\u00e0 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n. C\u1ea7n theo d\u00f5i th\u00f4ng s\u1ed1 huy\u1ebft \u0111\u1ed9ng khi b\u1ec7nh nh\u00e2n d\u00f9ng Human Albumin Baxter 200g\/L ho\u1eb7c 250\/L v\u00e0 n\u00ean ki\u1ec3m tra nguy c\u01a1 t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n.<\/p>\n<p>N\u1ebfu albumin ng\u01b0\u1eddi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, ph\u1ea3i theo d\u00f5i li\u00ean t\u1ee5c c\u00e1c th\u00f4ng s\u1ed1 huy\u1ebft \u0111\u1ed9ng bao g\u1ed3m:<\/p>\n<p>Huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch v\u00e0 nh\u1ecbp tim.<\/p>\n<p>\u00c1p l\u1ef1c t\u0129nh m\u1ea1ch ch\u1ee7.<\/p>\n<p>\u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n<p>L\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>N\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<p>T\u1ef7 l\u1ec7 hematocrit\/hemoglobin.<\/p>\n<p>D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a suy tim v\u00e0 suy h\u00f4 h\u1ea5p (v\u00ed d\u1ee5: kh\u00f3 th\u1edf).<\/p>\n<p>D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a vi\u1ec7c t\u0103ng \u00e1p l\u1ef1c h\u1ed9p s\u1ecd (v\u00ed d\u1ee5: \u0111au \u0111\u1ea7u).<\/p>\n<p><strong>4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/strong><\/p>\n<p>M\u1eabn c\u1ea3m v\u1edbi c\u00e1c ch\u1ebf ph\u1ea9m albumin ng\u01b0\u1eddi ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng s\u1ea3n ph\u1ea9m n\u00e0y cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi albumin v\u00e0 b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Kh\u00f4ng \u0111\u01b0\u1ee3c pha lo\u00e3ng Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L v\u1edbi n\u01b0\u1edbc c\u1ea5t pha ti\u00eam do c\u00f3 th\u1ec3 g\u00e2y tan huy\u1ebft. Khi s\u1eed d\u1ee5ng n\u01b0\u1edbc c\u1ea5t pha ti\u00eam \u0111\u1ec3 pha lo\u00e3ng albumin n\u1ed3ng \u0111\u1ed9 20% ho\u1eb7c cao h\u01a1n s\u1ebd c\u00f3 nguy c\u01a1 t\u1eed vong do tan huy\u1ebft ho\u1eb7c suy th\u1eadn c\u1ea5p.<\/p>\n<p><strong>4.4 Th\u1eadn tr\u1ecdng:<\/strong><\/p>\n<p>N\u1ebfu nghi ng\u1edd c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 ph\u1ea3n v\u1ec7, d\u1eebng ngay vi\u1ec7c truy\u1ec1n d\u1ecbch. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb s\u1ed1c, ph\u1ea3i th\u1ef1c hi\u1ec7n ngay vi\u1ec7c \u0111i\u1ec1u tr\u1ecb y t\u1ebf th\u00edch h\u1ee3p.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng albumin trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u1eeba d\u1ecbch c\u01a1 th\u1ec3 v\u00e0 h\u1ec7 qu\u1ea3 c\u1ee7a th\u1eeba d\u1ecbch c\u01a1 th\u1ec3 hay khi s\u1ef1 lo\u00e3ng m\u00e1u s\u1ebd g\u00e2y nguy hi\u1ec3m cho b\u1ec7nh nh\u00e2n. V\u00ed d\u1ee5 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u01b0:<\/p>\n<p>Suy tim m\u1ea5t b\u00f9<\/p>\n<p>Cao huy\u1ebft \u00e1p<\/p>\n<p>Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n<\/p>\n<p>Ph\u00f9 ph\u1ed5i<\/p>\n<p>Xu\u1ea5t huy\u1ebft n\u1ed9i t\u1ea1ng<\/p>\n<p>Thi\u1ebfu m\u00e1u n\u1eb7ng<\/p>\n<p>Thi\u1ec3u ni\u1ec7u tr\u01b0\u1edbc th\u1eadn v\u00e0 sau th\u1eadn.<\/p>\n<p>\u00c1p su\u1ea5t keo c\u1ee7a dung d\u1ecbch albumin ng\u01b0\u1eddi 200g\/L ho\u1eb7c 250g\/L g\u1ea5p kho\u1ea3ng 4 l\u1ea7n so v\u1edbi \u00e1p su\u1ea5t keo huy\u1ebft t\u01b0\u01a1ng. Do \u0111\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng albumin \u0111\u1eadm \u0111\u1eb7c, ph\u1ea3i th\u1eadn tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u00f9 \u0111\u1ee7 l\u01b0\u1ee3ng n\u01b0\u1edbc cho b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i c\u1ea9n th\u1eadn \u0111\u1ec3 \u0111\u1ec1 ph\u00f2ng vi\u1ec7c qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n v\u00e0 vi\u1ec7c d\u01b0 qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc trong c\u01a1 th\u1ec3.<\/p>\n<p>C\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong dung d\u1ecbch Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p khi so v\u1edbi c\u00e1c dung d\u1ecbch albumin ng\u01b0\u1eddi c\u00f3 n\u1ed3ng \u0111\u1ed9 40-50 g\/L. Khi truy\u1ec1n dung d\u1ecbch albumin, ph\u1ea3i theo d\u00f5i ch\u1eb7t ch\u1ebd n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p th\u00edch h\u1ee3p \u0111\u1ec3 ph\u1ee5c h\u1ed3i v\u00e0 duy tr\u00ec vi\u1ec7c c\u00e2n b\u1eb1ng ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<p>Human Albumin Baxter 200g\/L (ho\u1eb7c 250g\/L) ch\u1ee9a natri v\u1edbi n\u1ed3ng \u0111\u1ed9 100-130 mmol\/L (ho\u1eb7c 130-160 mmol\/L), c\u1ea7n th\u1eadn tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n \u0111ang duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 ki\u1ec3m so\u00e1t natri.<\/p>\n<p>Kh\u00f4ng pha lo\u00e3ng ch\u1ebf ph\u1ea9m v\u1edbi n\u01b0\u1edbc c\u1ea5t pha ti\u00eam v\u00ec c\u00f3 th\u1ec3 g\u00e2y tan m\u00e1u.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p ph\u1ea3i thay th\u1ebf m\u1ed9t l\u01b0\u1ee3ng l\u1edbn th\u1ec3 t\u00edch, c\u1ea7n ki\u1ec3m so\u00e1t ch\u1ea5t \u0111\u00f4ng m\u00e1u v\u00e0 hematocrit.<\/p>\n<p>C\u1ea7n \u0111\u1ea3m b\u1ea3o ch\u1eafc ch\u1eafn vi\u1ec7c thay th\u1ebf \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00e0nh ph\u1ea7n m\u00e1u kh\u00e1c (y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u, \u0111i\u1ec7n gi\u1ea3i, ti\u1ec3u c\u1ea7u, h\u1ed3ng c\u1ea7u).<\/p>\n<p>T\u00ecnh tr\u1ea1ng gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n m\u00e1u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n n\u1ebfu li\u1ec1u \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng tu\u1ea7n ho\u00e0n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. D\u1eebng truy\u1ec1n thu\u1ed1c ngay khi g\u1eb7p c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean c\u1ee7a vi\u1ec7c qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n (\u0111au \u0111\u1ea7u, kh\u00f3 th\u1edf, t\u1eafc ngh\u1ebdn t\u0129nh m\u1ea1ch c\u1ea3nh), ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p, t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch ch\u1ee7, ph\u00f9 ph\u1ed5i.<\/p>\n<p>C\u00e1c bi\u1ec7n ph\u00e1p chu\u1ea9n \u0111\u1ec3 ng\u0103n ng\u1eeba vi\u1ec7c nhi\u1ec5m khu\u1ea9n t\u1eeb c\u00e1c ch\u1ebf ph\u1ea9m c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u00e1u v\u00e0 huy\u1ebft t\u01b0\u01a1ng ng\u01b0\u1eddi bao g\u1ed3m l\u1ef1a ch\u1ecdn ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n, s\u00e0ng l\u1ecdc m\u1eabu hi\u1ebfn t\u1eb7ng v\u00e0 t\u1eebng t\u00fai huy\u1ebft t\u01b0\u01a1ng \u0111\u1ec3 t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u \u0111\u1eb7c bi\u1ec7t c\u1ee7a nhi\u1ec5m tr\u00f9ng, \u0111\u01b0a c\u00e1c c\u00f4ng \u0111o\u1ea1n c\u00f3 hi\u1ec7u qu\u1ea3 trong quy tr\u00ecnh s\u1ea3n xu\u1ea5t nh\u1eb1m b\u1ea5t ho\u1ea1t ho\u1eb7c lo\u1ea1i b\u1ecf virus. D\u00f9 v\u1eady, kh\u00f4ng th\u1ec3 ch\u1eafc ch\u1eafn vi\u1ec7c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n kh\u1ea3 n\u0103ng truy\u1ec1n nhi\u1ec5m c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh t\u1eeb c\u00e1c ch\u1ebf ph\u1ea9m c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u00e1u ho\u1eb7c huy\u1ebft t\u01b0\u01a1ng ng\u01b0\u1eddi. \u0110i\u1ec1u n\u00e0y c\u0169ng \u0111\u00fang v\u1edbi c\u00e1c virus ch\u01b0a bi\u1ebft ho\u1eb7c m\u1edbi, c\u0169ng nh\u01b0 c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh kh\u00e1c.<\/p>\n<p>Hi\u1ec7n v\u1eabn ch\u01b0a c\u00f3 b\u00e1o c\u00e1o x\u00e1c nh\u1eadn n\u00e0o v\u1ec1 tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m virus v\u1edbi albumin s\u1ea3n xu\u1ea5t theo ti\u00eau chu\u1ea9n D\u01b0\u1ee3c \u0111i\u1ec3n ch\u00e2u \u00c2u theo quy tr\u00ecnh \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp.<\/p>\n<p>Khuy\u1ebfn c\u00e1o \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng v\u1edbi m\u1ed7i l\u1ea7n s\u1eed d\u1ee5ng s\u1ea3n ph\u1ea9m Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L l\u00e0 c\u1ea7n ghi ch\u00e9p c\u1ea9n th\u1eadn t\u00ean ng\u01b0\u1eddi b\u1ec7nh v\u00e0 s\u1ed1 l\u00f4 s\u1eed d\u1ee5ng \u0111\u1ec3 duy tr\u00ec m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa b\u1ec7nh nh\u00e2n v\u1edbi l\u00f4 s\u1ea3n ph\u1ea9m.<\/p>\n<p>C\u1ea2NH B\u00c1O<\/p>\n<p>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng\/s\u1ed1c ph\u1ea3n v\u1ec7: N\u1ebfu c\u00f3 nghi ng\u1edd v\u1ec1 c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c ph\u1ea3n \u1ee9ng ki\u1ec3u s\u1ed1c ph\u1ea3n v\u1ec7, c\u1ea7n d\u1eebng ngay vi\u1ec7c truy\u1ec1n thu\u1ed1c. Tr\u01b0\u1eddng h\u1ee3p s\u1ed1c trong khi truy\u1ec1n, ti\u1ebfn h\u00e0nh \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ed1c chu\u1ea9n quy.<\/p>\n<p>TH\u1eacN TR\u1eccNG<\/p>\n<p>Huy\u1ebft \u0111\u1ed9ng h\u1ecdc: Kh\u00f4ng ti\u1ebfn h\u00e0nh vi\u1ec7c \u0111i\u1ec1u tr\u1ecb m\u00e0 thi\u1ebfu s\u1ef1 ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd v\u1ec1 huy\u1ebft \u0111\u1ed9ng h\u1ecdc, c\u1ea7n ki\u1ec3m tra c\u00e1c b\u1eb1ng ch\u1ee9ng v\u1ec1 suy tim\/suy h\u00f4 h\u1ea5p, suy th\u1eadn ho\u1eb7c t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd.<\/p>\n<p>T\u0103ng th\u1ec3 t\u00edch m\u00e1u\/t\u0103ng l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n<\/p>\n<p>C\u1ea7n s\u1eed d\u1ee5ng c\u00e1c ch\u1ebf ph\u1ea9m Human Albumin tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 t\u0103ng th\u1ec3 t\u00edch m\u00e1u k\u00e9o theo h\u1ec7 qu\u1ea3 ho\u1eb7c t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n. Nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 bao g\u1ed3m (v\u00e0 kh\u00f4ng gi\u1edbi h\u1ea1n): suy tim m\u1ea5t b\u00f9, t\u0103ng huy\u1ebft \u00e1p, gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, ph\u00f9 ph\u1ed5i, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ea1ng xu\u1ea5t huy\u1ebft, thi\u1ebfu m\u00e1u tr\u1ea7m tr\u1ecdng, suy th\u1eadn v\u00e0 sau suy th\u1eadn.<\/p>\n<p>\u0110i\u1ec1u ch\u1ec9nh t\u1ed1c \u0111\u1ed9 truy\u1ec1n d\u1ecbch d\u1ef1a v\u00e0o n\u1ed3ng \u0111\u1ed9 thu\u1ed1c v\u00e0 k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 huy\u1ebft \u0111\u1ed9ng h\u1ecdc tr\u00ean ng\u01b0\u1eddi b\u1ec7nh. Truy\u1ec1n thu\u1ed1c v\u1edbi t\u1ed1c \u0111\u1ed9 qu\u00e1 nhanh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n v\u00e0 ph\u00f9 ph\u1ed5i. D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ban \u0111\u1ea7u c\u1ee7a t\u00ecnh tr\u1ea1ng t\u0103ng l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n bao g\u1ed3m \u0111au \u0111\u1ea7u, kh\u00f3 th\u1edf, c\u0103ng t\u0129nh m\u1ea1ch c\u1ed5, ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p, t\u0103ng \u00e1p l\u1ef1c th\u1ea7n kinh trung \u01b0\u01a1ng, ph\u00f9 ph\u1ed5i, c\u1ea7n d\u1eebng ngay vi\u1ec7c truy\u1ec1n thu\u1ed1c.<\/p>\n<p>Truy\u1ec1n thu\u1ed1c v\u1edbi th\u1ec3 t\u00edch l\u1edbn<\/p>\n<p>N\u1ebfu th\u1ec3 t\u00edch thay th\u1ebf t\u01b0\u01a1ng \u0111\u1ed1i l\u1edbn, c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd ch\u1ec9 s\u1ed1 \u0111\u00f4ng m\u00e1u v\u00e0 hematocrit. Ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p ch\u0103m s\u00f3c c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o thay th\u1ebf \u0111\u1ee7 c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c c\u1ee7a m\u00e1u (y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u, ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, h\u1ed3ng c\u1ea7u v\u00e0 ti\u1ec3u c\u1ea7u). \u0110\u1ed3ng th\u1eddi ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p theo d\u00f5i ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng th\u00edch h\u1ee3p (y\u1ebfu t\u1ed1 ch\u1ed1ng \u0111\u00f4ng, \u0111i\u1ec7n gi\u1ea3i, ti\u1ec3u c\u1ea7u v\u00e0 h\u1ed3ng c\u1ea7u).<\/p>\n<p>C\u1ea7n c\u00f3 bi\u1ec7n ph\u00e1p gi\u00e1m s\u00e1t huy\u1ebft \u0111\u1ed9ng h\u1ecdc th\u00edch h\u1ee3p trong qu\u00e1 tr\u00ecnh truy\u1ec1n thu\u1ed1c.<\/p>\n<p>T\u00ecnh tr\u1ea1ng \u0111i\u1ec7n gi\u1ea3i: Khi ch\u1ec9 \u0111\u1ecbnh ch\u1ebf ph\u1ea9m Human Albumin, c\u1ea7n ti\u1ebfn h\u00e0nh ki\u1ec3m tra v\u00e0 c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p duy tr\u00ec\/ph\u1ee5c h\u1ed3i c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i th\u00edch h\u1ee3p.<\/p>\n<p>Huy\u1ebft \u00e1p: C\u1ea7n quan s\u00e1t c\u1ea9n th\u1eadn d\u1ea5u hi\u1ec7u t\u0103ng huy\u1ebft \u00e1p sau khi truy\u1ec1n albumin 20% (ho\u1eb7c 25%) \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c sau ph\u1eabu thu\u1eadt \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u nghi\u00eam tr\u1ecdng nh\u1eb1m tr\u00e1nh g\u00e2y ch\u1ea3y m\u00e1u \u1edf m\u1ee9c huy\u1ebft \u00e1p th\u1ea5p h\u01a1n.<\/p>\n<p>D\u00d9NG THU\u1ed0C TR\u00caN TR\u1eba NH\u1ece<\/p>\n<p>T\u00ednh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ch\u1ebf ph\u1ea9m Human Albumin tr\u00ean tr\u1ebb nh\u1ecf hi\u1ec7n ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng; tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ch\u1ebf ph\u1ea9m Albumin tr\u00ean c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c tham chi\u1ebfu trong y v\u0103n.<\/p>\n<p>Kh\u00f4ng khuy\u1ebfn c\u00e1o ch\u1ec9 \u0111\u1ecbnh c\u00e1c ch\u1ebf ph\u1ea9m Human Albumin tr\u00ean tr\u1ebb s\u01a1 sinh do c\u00f2n thi\u1ebfu kinh nghi\u1ec7m s\u1eed d\u1ee5ng v\u00e0 d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u tr\u00ean c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p><strong>T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c tr\u00ean ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/strong><\/p>\n<p>\u1ea2NH H\u01af\u1edeNG T\u1edaI KH\u1ea2 N\u0102NG L\u00c1I XE V\u00c0 V\u1eacN H\u00c0NH M\u00c1Y M\u00d3C: Ch\u01b0a c\u00f3 th\u00f4ng b\u00e1o n\u00e0o l\u00e0 Albumin \u1ea3nh h\u01b0\u1edfng x\u1ea5u t\u1edbi kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y.<\/p>\n<p><strong>4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<\/strong><\/p>\n<p><em>X\u1ebfp h\u1ea1ng c\u1ea3nh b\u00e1o<\/em><\/p>\n<p>AU TGA pregnancy category: NA<\/p>\n<p>US FDA pregnancy category: C<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>\u0110\u1ed9 an to\u00e0n c\u1ee7a Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L khi s\u1eed d\u1ee5ng v\u1edbi ph\u1ee5 n\u1eef mang thai ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 ki\u1ec3m so\u00e1t. Tuy nhi\u00ean theo kinh nghi\u1ec7m l\u00e2m s\u00e0ng th\u00ec albumin kh\u00f4ng g\u00e2y nguy h\u1ea1i g\u00ec cho ph\u1ee5 n\u1eef c\u00f3 thai, thai nhi v\u00e0 tr\u1ebb s\u01a1 sinh.<\/p>\n<p>Kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u v\u1ec1 sinh s\u1ea3n tr\u00ean \u0111\u1ed9ng v\u1eadt th\u00ed nghi\u1ec7m n\u00e0o \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 an to\u00e0n li\u00ean quan t\u1edbi s\u1ef1 sinh s\u1ea3n, ph\u00e1t tri\u1ec3n c\u1ee7a ph\u00f4i thai v\u00e0 thai nhi, qu\u00e1 tr\u00ecnh mang thai v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n sau n\u00e0y.<\/p>\n<p>Tuy v\u1eady, c\u1ea7n l\u01b0u \u00fd r\u1eb1ng albumin ch\u00ednh l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n b\u00ecnh th\u01b0\u1eddng trong m\u00e1u ng\u01b0\u1eddi.<\/p>\n<p>Do ch\u01b0a c\u00f3 \u0111\u1ee7 c\u00e1c d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u v\u1ec1 s\u1eed d\u1ee5ng ch\u1ebf ph\u1ea9m Albumin (Human) cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 \u0111ang cho con b\u00fa, c\u1ea7n \u0111\u1eb7c bi\u1ec7t c\u00e2n nh\u1eafc nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch khi k\u00ea \u0111\u01a1n ch\u1ec9 \u0111\u1ecbnh tr\u00ean c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Do ch\u01b0a c\u00f3 \u0111\u1ee7 c\u00e1c d\u1eef li\u1ec7u nghi\u00ean c\u1ee9u v\u1ec1 s\u1eed d\u1ee5ng ch\u1ebf ph\u1ea9m Albumin (Human) cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 \u0111ang cho con b\u00fa, c\u1ea7n \u0111\u1eb7c bi\u1ec7t c\u00e2n nh\u1eafc nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch khi k\u00ea \u0111\u01a1n ch\u1ec9 \u0111\u1ecbnh tr\u00ean c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p><strong>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<\/strong><\/p>\n<p>C\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n x\u00e1c \u0111\u1ecbnh theo t\u1ea7n su\u1ea5t g\u1eb7p:<\/p>\n<p>Ch\u1ec9 ti\u00eau t\u1ea7n su\u1ea5t c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c c\u0103n c\u1ee9 nh\u01b0 sau:<\/p>\n<p>R\u1ea5t hay g\u1eb7p: \u22651\/10 s\u1ed1 ng\u01b0\u1eddi d\u00f9ng.<\/p>\n<p>Hay g\u1eb7p: &lt;1\/10 v\u00e0 &gt;1\/100 s\u1ed1 ng\u01b0\u1eddi d\u00f9ng.<\/p>\n<p>\u00cdt g\u1eb7p: &lt;1\/100 v\u00e0 &gt;1\/1.000 s\u1ed1 ng\u01b0\u1eddi d\u00f9ng.<\/p>\n<p>Hi\u1ebfm g\u1eb7p: &lt;1\/1.000 v\u00e0 &gt;1\/10.000 s\u1ed1 ng\u01b0\u1eddi d\u00f9ng.<\/p>\n<p>R\u1ea5t hi\u1ebfm: &lt;1\/10.000 s\u1ed1 ng\u01b0\u1eddi d\u00f9ng.<\/p>\n<p>Kh\u00f4ng r\u00f5: kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean c\u00e1c d\u1eef li\u1ec7u s\u1eb5n c\u00f3.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 mi\u1ec5n d\u1ecbch: R\u1ea5t hi\u1ebfm: s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: Hi\u1ebfm g\u1eb7p: bu\u1ed3n n\u00f4n.<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: Hi\u1ebfm g\u1eb7p: ph\u00e1t ban, \u0111\u1ecf m\u1eb7t.<\/p>\n<p>R\u1ed1i lo\u1ea1n chung t\u1ea1i n\u01a1i ti\u00eam truy\u1ec1n: Hi\u1ebfm g\u1eb7p: s\u1ed1t.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 ph\u1ea3n \u1ee9ng nghi\u00eam tr\u1ecdng c\u1ea7n ng\u1eebng truy\u1ec1n d\u1ecbch ngay l\u1eadp t\u1ee9c v\u00e0 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c.<\/p>\n<p>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n ph\u00e2n lo\u1ea1i theo h\u1ec7 c\u01a1 quan<\/p>\n<p>Trong b\u00e1o c\u00e1o thu \u0111\u01b0\u1ee3c v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a thu\u1ed1c khi l\u01b0u h\u00e0nh, s\u1eafp x\u1ebfp theo danh s\u00e1ch h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i MedDRA theo h\u1ec7 c\u01a1 quan, ti\u1ebfp \u0111\u00f3 l\u00e0 Preferred Term \u0111\u1ec3 s\u1eafp x\u1ebfp theo m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch: ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7\/qu\u00e1 m\u1eabn\/ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: nh\u1ee9c \u0111\u1ea7u, thay \u0111\u1ed5i v\u1ecb gi\u00e1c.<\/p>\n<p>R\u1ed1i lo\u1ea1n tim m\u1ea1ch: nh\u1ecbp tim nhanh, rung nh\u0129, lo\u1ea1n nh\u1ecbp nhanh.<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u: h\u1ea1 huy\u1ebft \u00e1p, \u0111\u1ecf b\u1eebng m\u1eb7t.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: ph\u00f9 ph\u1ed5i, kh\u00f3 th\u1edf.<\/p>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: bu\u1ed3n n\u00f4n, n\u00f4n.<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: m\u1ec1 \u0111ay, ng\u1ee9a, ph\u00e1t ban.<\/p>\n<p>R\u1ed1i lo\u1ea1n chung t\u1ea1i v\u1ecb tr\u00ed ti\u00eam truy\u1ec1n: c\u1ea3m gi\u00e1c \u1edbn l\u1ea1nh, s\u1ed1t.<\/p>\n<p>Kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u n\u00e0o b\u00e1o c\u00e1o v\u1ec1 ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u1edbi albumin ng\u01b0\u1eddi.<\/p>\n<p><em>Th\u00f4ng b\u00e1o cho B\u00e1c s\u0129 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/em><\/p>\n<p><strong>4.7 H\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed tr\u00ed ADR:<\/strong><\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7, ph\u1ea3i ng\u1eebng truy\u1ec1n albumin v\u00e0 x\u1eed l\u00fd b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p th\u00edch h\u1ee3p (d\u00f9ng kh\u00e1ng histamin hay \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 \u0111\u1eb7c hi\u1ec7u).<\/p>\n<p><strong>4.8 T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<\/strong><\/p>\n<p>Ch\u01b0a th\u1ea5y c\u00f3 t\u01b0\u01a1ng t\u00e1c \u0111\u1eb7c bi\u1ec7t n\u00e0o gi\u1eefa Human Albumin v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c.<\/p>\n<p><strong>4.9 Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed:<\/strong><\/p>\n<p>Gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n m\u00e1u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n n\u1ebfu li\u1ec1u d\u00f9ng v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n qu\u00e1 cao. D\u1eebng truy\u1ec1n thu\u1ed1c ngay khi g\u1eb7p c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean c\u1ee7a vi\u1ec7c qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n (\u0111au \u0111\u1ea7u, kh\u00f3 th\u1edf, t\u1eafc ngh\u1ebdn t\u0129nh m\u1ea1ch c\u1ea3nh), ho\u1eb7c c\u00e1c bi\u1ec3u hi\u1ec7n t\u0103ng huy\u1ebft \u00e1p, t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch ch\u1ee7, ph\u00f9 ph\u1ed5i, theo d\u00f5i gi\u00e1m s\u00e1t c\u00e1c th\u00f4ng s\u1ed1 huy\u1ebft \u0111\u1ed9ng h\u1ecdc c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p><strong>5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<\/strong><\/p>\n<p><strong>5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<\/strong><\/p>\n<p>Nh\u00f3m \u0111i\u1ec1u tr\u1ecb: thu\u1ed1c \u0111i\u1ec1u tr\u1ecb thay th\u1ebf huy\u1ebft t\u01b0\u01a1ng v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>M\u00e3 ATC: B05AA01<\/p>\n<p>Albumin ng\u01b0\u1eddi chi\u1ebfm s\u1ed1 l\u01b0\u1ee3ng h\u01a1n m\u1ed9t n\u1eeda l\u01b0\u1ee3ng protein trong huy\u1ebft t\u01b0\u01a1ng v\u00e0 kho\u1ea3ng 10% trong c\u00e1c protein \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p t\u1ea1i gan.<\/p>\n<p>T\u00ednh ch\u1ea5t l\u00fd h\u00f3a: Human Albumin Baxter 200g\/L ho\u1eb7c 250g\/L c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng \u00e1p su\u1ea5t keo t\u1ed1t.<\/p>\n<p>Ch\u1ee9c n\u0103ng sinh l\u00fd quan tr\u1ecdng nh\u1ea5t c\u1ee7a albumin l\u00e0 g\u00f3p ph\u1ea7n t\u1ea1o \u00e1p su\u1ea5t keo trong m\u00e1u v\u00e0 ch\u1ee9c n\u0103ng v\u1eadn chuy\u1ec3n c\u1ee7a n\u00f3. Albumin \u0111\u00f3ng g\u00f3p v\u00e0o vi\u1ec7c \u1ed5n \u0111\u1ecbnh th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n m\u00e1u, v\u1eadn chuy\u1ec3n hormon, enzym, c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c v\u00e0 ch\u1ea5t \u0111\u1ed9c.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Albumin l\u00e0 protein quan tr\u1ecdng nh\u1ea5t c\u1ee7a huy\u1ebft thanh tham gia v\u00e0o 2 ch\u1ee9c n\u0103ng ch\u00ednh l\u00e0: Duy tr\u00ec \u00e1p l\u1ef1c th\u1ea5m th\u1ea5u keo trong huy\u1ebft t\u01b0\u01a1ng; li\u00ean k\u1ebft v\u00e0 v\u1eadn chuy\u1ec3n m\u1ed9t s\u1ed1 ch\u1ea5t n\u1ed9i sinh ho\u1eb7c ngo\u1ea1i sinh nh\u01b0 bilirubin, hormon steroid, v\u00e0 thu\u1ed1c c\u00f3 trong m\u00e1u.<\/p>\n<p><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/p>\n<p><strong>5.2. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc:<\/strong><\/p>\n<p>Trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng, t\u1ed5ng l\u01b0\u1ee3ng albumin c\u00f3 th\u1ec3 trao \u0111\u1ed5i l\u00e0 4-5 g\/kg tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3, trong \u0111\u00f3 kho\u1ea3ng 40-45% t\u1ea1i m\u1ea1ch m\u00e1u, 55-60% \u1edf b\u00ean ngo\u00e0i m\u1ea1ch m\u00e1u. T\u0103ng t\u00ednh th\u1ea5m mao m\u1ea1ch c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i \u0111\u1ed9ng h\u1ecdc c\u1ee7a albumin v\u00e0 ph\u00e2n b\u1ed1 b\u1ea5t th\u01b0\u1eddng khi b\u1ecb b\u1ecfng n\u1eb7ng, s\u1ed1c nhi\u1ec5m khu\u1ea9n.<\/p>\n<p>Trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng th\u00ec th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a albumin l\u00e0 19 ng\u00e0y. Vi\u1ec7c c\u00e2n b\u1eb1ng l\u01b0\u1ee3ng albumin t\u1ed5ng h\u1ee3p v\u00e0 tho\u00e1i h\u00f3a theo c\u01a1 ch\u1ebf ph\u1ea3n h\u1ed3i th\u00f4ng tin. B\u00e0i ti\u1ebft ch\u1ee7 y\u1ebfu \u1edf trong n\u1ed9i b\u00e0o v\u00e0 do enzym lysosomal proteases.<\/p>\n<p>\u1ede ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, d\u01b0\u1edbi 10% l\u01b0\u1ee3ng albumin s\u1ebd tho\u00e1t ra ngo\u00e0i m\u1ea1ch m\u00e1u trong 2 gi\u1edd \u0111\u1ea7u truy\u1ec1n d\u1ecbch. C\u00f3 s\u1ef1 thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 gi\u1eefa c\u00e1c c\u00e1 th\u1ec3 v\u1ec1 \u1ea3nh h\u01b0\u1edfng l\u00ean th\u1ec3 t\u00edch m\u00e1u. V\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n th\u00ec th\u1ec3 t\u00edch huy\u1ebft t\u01b0\u01a1ng c\u00f3 th\u1ec3 duy tr\u00ec t\u0103ng trong v\u00e0i gi\u1edd. Tuy v\u1eady \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh n\u1eb7ng th\u00ec albumin c\u00f3 th\u1ec3 b\u1ecb tho\u00e1t ra kh\u1ecfi m\u1ea1ch m\u00e1u v\u1edbi s\u1ed1 l\u01b0\u1ee3ng \u0111\u00e1ng k\u1ec3 v\u1edbi nh\u1ecbp \u0111\u1ed9 kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c.<\/p>\n<p><strong>5.3 Gi\u1ea3i th\u00edch: <\/strong><\/p>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<p><strong>5.4 Thay th\u1ebf thu\u1ed1c : <\/strong><\/p>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<p><strong><em>*L\u01b0u \u00fd:<\/em><\/strong><\/p>\n<p><strong><em>C\u00e1c th\u00f4ng tin v\u1ec1 thu\u1ed1c tr\u00ean Pharmog.com ch\u1ec9 mang t\u00ednh ch\u1ea5t tham kh\u1ea3o &#8211; Khi d\u00f9ng thu\u1ed1c c\u1ea7n tuy\u1ec7t \u0111\u1ed1i tu\u00e2n theo theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u00e1c s\u0129 <\/em><\/strong><\/p>\n<p><strong><em>Ch\u00fang t\u00f4i kh\u00f4ng ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 b\u1ea5t c\u1ee9 h\u1eadu qu\u1ea3 n\u00e0o x\u1ea3y ra do t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c d\u1ef1a theo c\u00e1c th\u00f4ng tin tr\u00ean Pharmog.com<\/em><\/strong><\/p>\n<p><strong>6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<\/strong><\/p>\n<p><strong>6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>6.2. T\u01b0\u01a1ng k\u1ef5 :<\/strong><\/p>\n<p>Khi truy\u1ec1n insulin, th\u01b0\u1eddng c\u00f3 v\u1ea5n \u0111\u1ec1 insulin h\u1ea5p ph\u1ee5 v\u00e0o th\u00e0nh b\u00ecnh th\u1ee7y tinh v\u00e0 d\u00e2y truy\u1ec1n. N\u1ebfu cho th\u00eam albumin 5% v\u00e0o dung d\u1ecbch natri clorid c\u00f3 ch\u1ee9a insulin \u0111\u1ebf truy\u1ec1n s\u1ebd tr\u00e1nh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng n\u00e0y v\u00e0 \u0111\u1ee1 m\u1ea5t insulin.<\/p>\n<p>C\u00f3 th\u1ebf tr\u1ed9n l\u1eabn albumin v\u1edbi c\u00e1c dung d\u1ecbch natri clorid \u0111ang tr\u01b0\u01a1ng, Ringer, glucose \u0111ang tr\u01b0\u01a1ng, \u0111\u01b0\u1eddng invertose 10%; nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ed9n l\u1eabn v\u1edbi c\u00e1c dung d\u1ecbch th\u1ee7y ph\u00e2n protein, h\u1ed7n h\u1ee3p acid amin hay dung d\u1ecbch ch\u1ee9a alcol.<\/p>\n<p><strong>6.3. B\u1ea3o qu\u1ea3n: <\/strong><\/p>\n<p>B\u1ea3o qu\u1ea3n thu\u1ed1c d\u01b0\u1edbi 30oC. Kh\u00f4ng l\u00e0m \u0111\u00f4ng l\u1ea1nh.<\/p>\n<p>Gi\u1eef chai thu\u1ed1c trong h\u1ed9p gi\u1ea5y \u0111\u1ec3 tr\u00e1nh \u00e1nh s\u00e1ng. Ph\u1ea3i d\u00f9ng thu\u1ed1c ngay khi m\u1edf l\u1ecd.<\/p>\n<p><strong>6.4. Th\u00f4ng tin kh\u00e1c :<\/strong><\/p>\n<p>Kh\u00f4ng c\u00f3.<\/p>\n<p><strong>6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<p>D\u01b0\u1ee3c Th\u01b0 Qu\u1ed1c Gia Vi\u1ec7t Nam<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c: Ho\u1ea1t ch\u1ea5t : Albumin Ph\u00e2n lo\u1ea1i: Thu\u1ed1c t\u0103ng th\u1ec3 t\u00edch m\u00e1u. Thu\u1ed1c ch\u1ed1ng t\u0103ng bilirubin huy\u1ebft. Nh\u00f3m ph\u00e1p l\u00fd: Thu\u1ed1c k\u00ea \u0111\u01a1n ETC \u2013 (Ethical drugs, prescription drugs, Prescription only medicine) M\u00e3 ATC (Anatomical Therapeutic Chemical): B05AA01. Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c: Bi\u1ec7t d\u01b0\u1ee3c: HUMAN ALBUMIN BAXTER H\u00e3ng s\u1ea3n xu\u1ea5t [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":13325,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[419],"tags":[467],"class_list":["post-13324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-albumin"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/13324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/comments?post=13324"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/13324\/revisions"}],"predecessor-version":[{"id":13326,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/13324\/revisions\/13326"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/13325"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=13324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=13324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=13324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}