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1307 3)肾功能不全患者(包括血液透析患者),尽量选择经肝脏代谢或肝肾双通道排泄的药物,比如利奈唑胺、莫西沙星、头孢曲松等; (3) Patients with renal insufficiency (including those on hemodialysis) Drugs that are metabolized through the liver or excreted through the liver-kidney double channels are preferred, such as linezolid, moxifloxacin, ceftriaxone, etc.
1308 4)CRRT持续24h患者,万古霉素建议负荷剂量1g,维持剂量0.5g,q12h,亚胺培南日剂量不建议超过2g。 (4) Patients under CRRT for 24h For vancomycin, the recommended regimen is: loading dose 1 g and maintenance dose 0.5 g, q12h. For imipenem, the maximum daily dosage should not exceed 2 g.
1309 十四. COVID-19患者心理干预 XIV. Psychological Intervention with COVID-19 Patients
1310 新冠肺炎患者的心理反应和精神症状 The psychological stress and symptoms of COVID-19 patients
1311 新冠肺炎患者确诊后常常会表现出懊悔自责、孤独无助、悲观抑郁、焦虑恐慌、烦躁失眠等症状,部分患者会出现惊恐发作。 Confirmed COVID-19 patients often have symptoms such as regret and resentment, loneliness and helplessness, depression, Anxiety and phobia, irritation and sleep deprivation. Some patients may have panic at tacks.
1312 在隔离病房的心理评估显示,约48%的新冠肺炎确诊患者在入院初期存在心理反应,大多数是应激状态下的情绪反应。 Psychological evaluations in the isolated wards demonstrated that, about 48% of confirmed COVID-19 patients manifested psychological stress during early admission, most of which were from their emotional response to stress.
1313 危重症患者有较高 The percentage of delirium is high among the critically ill patients.
1314 比例出现谵妄,个案报道新冠病毒所致脑炎,伴有意识不清、烦躁等精神症状。 There is even a report of encephalitis induced by the SARS-CoV-2 leading to psychological symptoms such as unconsciousness and irritability.
1315 建立动态心理危机评估预警机制 Establishing a dynamic mechanism for evaluation and warning of psychological crisis
1316 在入院后每周及出院前动态监测COVID-19对患者个体心理应激、情绪、睡眠、压力等精神状态的影响程度。 Patients’ mental states (individual psychological stress, mood, sleep quality, and pressure) should be monitored every week after admission and before discharge.