常用药物配伍禁忌表

常用药物配伍禁忌 类别 药物 禁忌配合的药物 变化 抗生素 青霉素 盐酸氯丙嗪，磺胺类药，碳酸氢钠注射液，酒沉淀，分解，失效 精，高锰酸钾，四环素，氯霉素 链霉素 乙酸，碳酸氢钠，高锰酸钾，维生素C，利尿破坏失效，肾毒性增大 酸 四环素，土霉素，碳酸氢钠 分解，失效 金霉素， 强力霉素 氯霉素 叶酸，维生素B12，青霉素类药物 疗效降低 先锋霉素 利尿药 增大对肾脏毒性 合成抗菌素 磺胺类药物 酸性药物，普鲁卡因，氯化铵 析出沉淀，疗效降低或无效 增加肾脏毒性 氟喹诺酮类如环丙氯霉素，呋喃类药，强酸，强碱 疗效降低，析出沉淀 沙星，恩诺沙星等 消毒防腐药 酒精 氧化剂，无机盐 氧化沉淀 碘酒 氨水，铵盐类，淀粉，龙胆紫 生成爆炸性物，失效，疗效 减弱 新洁尔灭，百毒杀 肥皂，洗衣粉，洗洁精，高锰酸钾，碘化物 作用相互拮抗沉淀 高锰酸钾 氨及其制剂，甘油，酒精， 甘油，药用炭 沉淀，失效， 研磨时爆炸 双氧水 碘，高锰酸钾，碱，药用炭 分解，失效 过氧乙酸 氢氧化钠，氨水 中和失效 中枢兴奋药 咖啡因(茶甲酸钠四环素，土霉素，碘化钾 析出沉淀 咖啡因) 镇静药 氨丙嗪 碳酸氢钠，巴比妥类，高锰酸钾 析出沉淀，变红色 巴比妥钠 酸类，氯化铵 析出沉淀，分解，析出 解热镇痛药 阿斯匹林 碳酸氯钠，氨茶碱，碳酸钠 分解，失效 安乃近 氯丙嗪 体温剧降 安基比林 高锰酸钾 氧化，失效 植物神经药物 硫酸阿托品 碱性药物，碘，碘化钾，硼砂 分解，沉淀 肾上腺素 碱类，氧化物，碘酊 易氧化失效 止血药 安铬血 脑垂体后叶素，青霉素，氯丙嗪，苯海拉明，分解失效，止血作用减弱 抗胆碱药 止血敏 磺胺嘧啶钠氯丙嗪 浑浊，沉淀 维生素K3 还原剂，碱类药物，巴比妥类药物 分解，失效，加速K3代谢 抗凝血药 枸橼酸钠 (柠檬酸氯化钙，葡萄糖酸钙 作用减弱 钠) 氨茶碱 维生素C，四环素类药，氯丙嗪 中和反应，析出茶碱 麻黄碱 肾上腺素去甲肾上腺素 增强毒性 健胃药 干酵母 磺胺类药 疗效减弱 人工盐 酸性药物 中和，疗效降 碳酸氢钠 酸及酸性盐类，镁盐，钙盐，次硝酸铋 中和失效，沉淀，疗效降低 and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 平喘药 氨茶碱 维生素C，四环素类药，氯丙嗪 中和反应 析出茶碱 麻黄碱 肾上腺素去甲肾上腺素 增强毒性 泻药 硫酸钠 钙盐，钡盐，铅盐 沉淀 硫酸镁 中枢抑制药 增强中枢抑制 利尿药 呋喃茶胺酸(速尿) 链霉素，卡那霉素新霉素，庆大霉素，头孢噻啶 增强耳中毒，增强肾毒性 脱水药 甘露醇 生理盐水，高渗盐 疗效减弱 山梨醇 生理盐水，高渗盐 疗效减弱 糖皮 质激素 可的松，地塞米 苯巴比妥钠，利尿药，水杨酸钠 代谢加快，排钾增多，消除 加快 影响组织代谢维生素B1 生物碱，碱，氧化剂，还原剂，氨苄青霉素，头孢沉淀 ，分解，失效破坏，药 菌素I和II氯霉素，多粘素 失效 维生素B2 碱性药物，氨苄青霉素，头孢菌素I和II，氯霉素，破坏失效 破坏，灭活 多粘菌素，四环素类药，红霉素，新霉素，链霉素， 卡那霉素，林可霉素 维生素C 氧化剂 氨茶碱，钙剂溶液，氨苄青霉素，头破坏，失效 氧化，失效， 孢霉素I或II四环素，土豆素，强力霉素，红霉素，沉淀，破坏灭活 新霉素，链霉素，卡那霉素，氯霉素，林或霉素 氯化钙 碳酸氢钠，碳酸钠溶液 沉淀 葡萄糖酸钙 水杨酸钠，苯甲酸钠盐溶液 沉淀 临床上常见的配伍禁忌 当应用一种药物疗效不佳时，就需要选择其他的药物进行合理的配伍。但是并不是所有的配伍都是合理的，有些配伍使药物的治疗作用减弱，导致治疗失败;有些配伍使副作用或毒性增强，引起严重不良反应;还有些配伍使治疗作用过度增强，超出了机体所能耐受的能力，也可引起不良反应，乃至危害病人等。这些配伍均属配伍禁忌。 1.β-内酰胺类药物与丙磺舒合用，可使前者在肾小管的分泌减少、血药浓度增加、作用时间延长。因此，二者合用时，应注意减少前者的用药剂量。 2.β-内酰胺类药物不可与酸性或碱性药物配伍。如:氨基糖苷类、氨基酸、红霉素类、林可霉素类、维生素C、碳酸氢钠、氨茶碱、谷氨酸钠等。因此，输液时只能用生理盐水溶解药物，不能用葡萄糖注射液溶解。 3.氟氯西林勿与血液、血浆、水解蛋白及脂肪乳配伍。其他β-内酰胺类药物也应注意。 4.头孢菌素类(特别是第一代头孢菌素)不可与高效利尿药(如速尿)联合应用，防止发生严重的肾损害。青霉素类中的美西林也不可与其配伍。 5.头孢西丁钠与多数头孢菌素均有拮抗作用，配伍应用可致抗菌疗效减弱。与氨曲南配伍，在体内外均起拮抗作用，与萘夫西林、氯唑西林、红霉素、万古霉素等，在药效方面不and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 起相互干扰作用。 6.氨基糖苷类药物不宜与具有耳毒性(如红霉素等)和肾毒性(如强效利尿药、头孢菌素类、右旋糖苷类、藻酸钠等)的药物配伍，也不宜与肌肉松弛药或具有此作用的药物(如地西泮等)配伍，防止毒性加强。本类药物之间也不可相互配伍。 7.大环内酯类药物可抑制茶碱的正常代谢。两者联合应用，可致茶碱血浓度的异常升高而致中毒，甚至死亡，因此联合应用时应进行监测茶碱的血浓度，以防意外。此外，本类药物对酸不稳定，因此，在5%-10%葡萄糖输液500ml中，添加维生素C注射液(含抗坏血酸钠1g)或5%碳酸氢钠注射液0.5ml使 pH升高到6左右，再加红霉素乳糖酸盐，则有助稳定。另外，β-内酰胺类药物与本类药物配伍，可发生降效作用;与口服避孕药合用，也可使之降效(因本类药物可阻挠性激素类的肠肝循环)。克拉霉素可使地高辛、茶碱、口服抗凝血药、麦角胺或二氢麦角胺、三唑仑均显示更强的作用，对卡马西平、环胞霉素、己巴比妥、苯妥英钠等也可有类似的阻滞代谢而使作用加强。本类药物与β-内酰胺类药物配伍，一般认为可发生降效作用。此外，氟喹诺酮类也可抑制茶碱的代谢。 8.去甲万古霉素与许多药物可产生沉淀反应，因此含本品的输液中不得添加其他药物。克林霉素不宜加入组成复杂的输液中，以免发生配伍禁忌;此外，本类药物与红霉素有拮抗作用，不可联合应用。磷霉素与一些金属盐可生成不溶性沉淀，勿与钙、镁等盐相配伍。 9.抑制肠道菌群的药物可抑制柳氮磺吡啶在肠道中的分解，从而影响5-氨基水杨酸的游离，有降效的可能，尤以各种广谱抗菌药物为甚。 10.呋喃妥因与萘啶酸有拮抗作用，不宜合用。呋喃唑酮有单胺氧化酶抑制作用，可抑制苯丙胺等药物的代谢而导致血压升高;使用本品期间，食用含多量酪胺的食物，也可有类似反应。 11.碱性药物、抗胆碱药物、H2受体阻滞剂均可降低胃液酸度而使喹诺酮类药物的吸收减少，应避免同服。利福平(RNA合成抑制药)、氯霉素(蛋白质合成抑制药)均可使本类药物的作用降低，使萘啶酸和氟哌酸的作用完全消失，使氟嗪酸和环丙氟哌酸的作用部分抵消。 12.克林霉素与红霉素有拮抗作用，不可联合应用，也不宜组成复杂的输液。 13.四环素类避免与抗酸药、钙盐、铁盐及其他含重金属离子的药物配伍，以防发生络合反应，阻滞四环素类的吸收。牛奶也有类似的作用。 14.磺胺类不宜与含对氨苯甲酰基的局麻药(如:普鲁卡因、苯佐卡因、丁卡因等)合用，以免降效。 and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 15.多粘菌素B与其他有肾毒性或神经肌肉阻滞作用的药物不可配伍，以防意外。 16.对氨基水杨酸钠忌与水杨酸类同服，以免胃肠道反应加重及导致胃溃疡。此外，本品可干扰利福平的吸收，同时应用应间隔6-8小时。 17.酮康唑和异曲康唑的吸收和胃液的分泌密切相关，因此不宜与抗酸药、抗胆碱药 18.多沙普仑禁与碱性药合用;慎与拟交感胺、单胺氧化酶抑制剂(MAOI)合用。 19.吗啡禁与氯丙嗪注射液合用。哌替啶不宜与异丙嗪多次合用，以免发生呼吸抑制;与单胺氧化酶抑制剂(MAOI)合用可引起兴奋、高热、出汗、神志不清。芬太尼也有此反应。 20.阿司匹林与糖皮质激素合用可能是胃肠道出血加剧，应禁止配伍;与布洛芬等非甾体抗炎药合用使后者的浓度明显降低，也不宜合用;与碱性药配伍，可促进本品的排泄而降低疗效，不宜合用。 21.抗抑郁药不宜与MAOI合用。因二者作用相似，均有抗抑郁作用，合用时必须减量应用。另外，也不宜与拟肾上腺素类药物合用。抗抑郁药可增强拟肾上腺素药的升压作用。 22.曲马朵忌与单胺氧化酶抑制剂合用。因二者作用相悖，相互抵消。 23.左旋多巴禁与单胺氧化酶抑制剂、麻黄碱、利血平及拟肾上腺素药合用。卡比多巴不宜和金刚烷胺、苯扎托品、丙环定及苯海索合用。 24.溴隐亭忌与降压药、吩噻嗪类或H2受体阻滞剂合用。 25.卡马西平与苯巴比妥、苯妥英钠合用时，可加速卡马西平的代谢，使其浓度降低;而烟酰胺、抗抑郁药、大环内酯类抗生素、异烟肼、西咪替丁等药均可使卡马西平的血药浓度升高，使之易出现毒性反应。此外，抗躁狂药锂盐、抗精神病药硫利达嗪与卡马西平合用时，易致本品出现神经系统中毒症状。卡马西平也可减弱抗凝血药华法林的抗凝作用。而与口服避孕药合用时，可发生阴道大出血及避孕失败。故合用时应特别注意。 26.丙戊酸钠可抑制苯妥英钠、苯巴比妥、扑米酮、氯硝西泮的代谢，易使其中毒，故在合用时应注意调整剂量。 27.苯巴比妥为肝药酶诱导剂，因此可使双香豆素、氢化可的松、地塞米松、睾丸酮、雌激素、孕激素、口服避孕药、氯丙嗪、氯霉素、多西环素、灰黄霉素、地高辛、洋地黄毒甙及苯妥英钠等药合用时代谢加速疗效降低;也可使在体内活化的药物作用增加，如环磷酰胺等。其他的肝药酶诱导剂(如:别嘌呤醇、乙胺碘呋酮、氯霉素、氯丙嗪、西咪替丁、环丙沙星、右丙氧芬、地尔硫卓、乙醇(急性中毒时)、红霉素、丙米嗪、异烟肼、酮康唑、美托洛尔、甲硝唑、咪康唑、去甲替林、口服避孕药、羟保泰松、奋乃静、保泰松、伯氨喹、and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 普萘洛尔、奎尼丁、丙戊酸钠、磺吡酮、磺胺药、硫利达嗪、甲氧苄啶、维拉帕米等)也有此反应。而肝药酶抑制剂(如:巴比妥类(苯巴比妥为最)、卡马西平、乙醇(慢性酒精中毒者)、氨鲁米特、灰黄霉素、氨甲丙酯、苯妥英、格鲁米特、利福平、磺吡酮(某些情况下起酶抑作用)、奥美拉唑、兰索拉唑等)恰好相反。 28.普萘洛尔不宜与单胺氧化酶抑制剂合用。否则，作用减弱。 29.噻吗洛尔滴眼时可被吸收而产生全身作用，故不宜与其他β受体阻滞剂合用。 30.维拉帕米不宜与β受体阻滞剂合用，否则，会产生低血压、心动过缓、传导阻滞，甚至停搏。 31.在应用强心甙期间，忌用钙注射液、肾上腺素、麻黄碱及其类似药物。因这些药物可增加其毒性。此外，利血平可增加其对心脏的毒性，也应警惕。由于这类药物脂溶性高，主要在肝脏代谢，故在和肝酶诱导剂或抑制剂合用时，应注意调整剂量。 32.像去甲肾上腺素这类以强碱弱酸盐形式应用的药物，避免和碱性药物配伍，否则，会产生沉淀。 33.乙酰半胱氨酸能增加金制剂的排泄;减弱青霉素、四环素、头孢菌素类的抗菌活性，故不宜合用。必要时可间隔4小时交替使用。 34.可待因类中枢镇痛药与中枢抑制药合用，可产生相加作用。 35.右美沙芬与单胺氧化酶抑制剂合用，可致高烧、昏迷，甚至死亡。 36.麻黄碱与单胺氧化酶抑制剂合用，可引起血压过高。 37.酮替芬与口服降糖药合用，少数患者可见血小板减少，故二者不宜合用。 38.西咪替丁不宜与抗酸剂、甲氧氯普胺合用，如必须合用，应间隔1小时。此外，也不宜与茶碱、苯二氮卓类安定药、地高辛、奎尼丁、咖啡因、华法林类抗凝药、卡托普利及氨基糖苷类药物配伍。 39.酶类助消化药不宜与抗酸剂合用，否则，使其活性降低。 40.胃动力药(多潘立酮、西沙必利)不宜与抗胆碱药合用，作用相互抵消。 41.思密达可影响其他药物的吸收，如必须合用时，应在服用本品前1小时服用其他药物。 42.铁剂不宜与含钙、磷酸盐类、鞣酸的药物及抗酸剂和浓茶合用，否则，可形成沉淀，影响其吸收;与四环素类合用，可相互影响吸收。 中西药配伍禁忌表 and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 成分 中药 中成药 不宜配伍的西药 机制 地榆 石榴皮 牛黄解毒片 牛(1)维生素B1 (1)产生沉淀、五倍子 老鹳黄上清丸 牛黄抗生素(四环素影响吸收 草 虎杖 大消炎丸 肠风槐族、红霉素、灰(2)分解失效 黄 诃子 仙角丸 虎杖浸膏黄霉素、制霉菌(3)改变性质、鹤草 儿茶 片 枳实导滞丸 素、林可霉素、降效或失效 茶叶 侧柏叶 分清五淋丸 利利福平等) 甙(4)形成络合拳参 扁畜 胆排石片 祛风类(洋地黄、狄物，降效或失效 舒筋丸 周氏回戈辛、可待因等) 生丹 陈香露白生物碱(麻黄素、 露 礞石滚痰丸 阿托品、黄连素、鞣质 四季青糖浆 清奎宁、利血平) 宁丸 麻仁丸 亚铁盐制剂 碳 虎杖片 紫金锭 酸氢钠制剂 紫金粉 七厘散 (2)异烟肼 感冒宁 舒痔丸 (3)酶制剂(多 解署片 一捻金 酶 胃酸酶胰 导赤丸 万应锭酶) 珠 黄散 利胆(4)维生素B6 片 复方升日红 片 石膏 龙骨 牛黄上清丸 牛(1)四环素族 (1)形成络合龙齿 珍珠 黄解毒丸 清胃异烟肼 物，降低溶解度，牡蛎 蛤壳 黄连丸 羚翘解(2)洋地黄 影响吸收 瓦楞子 寒水毒丸 二母宁嗽(3)磷酸盐(磷(2)增强作用和石 海螵蛸 丸 明目上清丸 酸氯化喹啉、磷毒性 止嗽化痰丸 牛酸可待因等)硫(3)产生沉淀， 黄至宝丸 珍珠酸盐(硫酸亚铁、使疗效降低 牛黄散 珍珠镇硫酸甲苯磺丁脲 惊丸 千金止带等) 钙 丸 乌鸡白凤丸 锁阳固精丹 内 消瘰疬丸 橘红 丸 追风丹 女 珍珠丸 珠黄散 珠层片 新脉宁 麻 杏石甘糖浆 鹭鸶咳丸 珍合 灵片 珍珠八宝 丹 铁镁自然铜 磁石 牛黄解毒丸 舒(1)四环素族(1)(3)形成 铝鉍赤石脂 代赭筋活血片 礞石(相隔3h以上则络合物影响吸收 and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 铋 石 礞石 石滚痰丸 陈香露影响不大) (2)生成难溶物决明 虎骨 白露 当归浸膏(2)强的松龙片 显著降低生物利龙骨 牡蛎 片 胃舒宁片 (3)异烟肼 利用度 石膏 瓦楞子 复方五咮子片 福平 (4)氧化后失去钟乳石 白矾 酒花素片 复方(4)维生素C 作用 阳起石 滑石 罗布麻片 跌打 丸 磁朱丸 脑 立清 硼砂 海螵蛸 冰硼散 婴儿素 (1)四环素 先(1)降低药效 瓦楞子 皂角 喉关丸 健胃片 锋霉素?、? (2)分解失效 通窍散 红灵散 乌洛托品 新生(3)吸收降低 胃痛粉 健用散 霉素 氨苄青霉(4)从尿排出， 行军散 陈香露素 呋喃呾啶 促使血药浓度降 白露 (2)阿司匹林 低 消炎痛 保泰松 (5)排出减少， 对氨基水杨酸钠 血药浓度增加引 维生素B1 起中毒 碱性 (3)安 氯 丙嗪 利眠宁 硫酸亚铁 异烟 肼 地戈辛 苯 巴比妥 苯妥英 钠 (4)奎宁 氯奎 强力霉素 新斯 的明 (5)奎尼丁 五味子 女贞五味子冲剂 女(1)磺胺类药 (1)易析出结晶子 山楂 山贞子糖浆 冰霜(2)氨基糖甙类而致结晶尿血尿 茱萸 乌梅 梅苏丸 安神补(链霉素、红霉(2)减弱药效 白芍 缬草 心丸 地黄丸类素、庆大霉素、(3)起中和反青皮 垂柳 方 山楂丸 乌卡那霉素等) 应，降低或失去酸性 四季青 金银梅丸 五味子丸 (3)氢氧化铝、药效 花 马齿苋 磨积散 二至丸 氨茶碱等碱性药 (4)加重对肾脏枳实 木瓜 保和丸 玉泉丸 (4)呋喃妥因 的毒性 脑立宝 利福平 阿司匹 林 消炎痛等 柴胡 桑叶 龙胆泻肝丸 补含各种金属离子形成络合物，影槐角 槐花 中益气丸 地榆的西药，如氢氧响吸收 槲皮旋覆花 山楂 槐花丸 清瘟解化铝制剂、钙制 素 侧柏叶 毒丸 逍遥丸 剂、亚铁制剂等 首乌片 槐角丸 脏连丸 桑麻丸 and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 银柴冲剂 桑菊 感冒片 感冒清 热冲剂 利胆片 茵陈 蛇胆川贝散(液) (1)奎尼丁 (1)形成络合物 藿胆丸 牛胆汁(2)氯霉素 影响吸收 利胆浸膏 利胆片 (2)降效 药含消炎利胆片 脑 胆汁立清 万应锭 制剂 喉症六神丸 哮 喘姜胆片 胆石 通胶嚢 瑞香祖师麻 维生素K 拮抗 素 酒大黄 酒当风湿酒 国公酒 (1)水合氯醛 (1)(3)生成 归 冯了性药酒 丁(2)巴比妥类 毒性物质 幺藤药酒 苯英妥钠 安乃(2)降低药效 近 降糖药 (4)增加毒性 (3)氯丙嗪 (5)加重血压下 奋乃静 降 (4)血管扩张药(6)变性失效 乙醇 (胍乙啶苄甲胍 (7)使血糖更低 噻嗪类) (8)降低药效 (5)水杨酸制剂 (6)酶制剂 (7)胰岛素 降 糖灵 优降糖 (8)新抗凝双香 豆素 麻黄 气管炎糖浆 止(1)痢特灵 降(1)(3)拮抗 嗽定喘丸 通宣压药(苯乙肼)、(2) 增加毒性 理肺丸 止嗽化复降片、降压灵2,3倍 痰丸 半夏露 等 (4)作用累加， 解肌宁嗽丸 人(2)氨茶碱 血压升高 参再造丸 宁嗽(3)催眠镇静剂(5)增加对心脏麻黄糖浆 气喘冲剂 (苯巴比妥、氯毒性 素 气喘膏 大活络丙嗪等) (6) 兴奋等副 丸 鹭鸶咳丸 (4)肾上腺素 作用增强 哮喘冲剂 复方(5)地戈辛 洋 川贝精片 麻杏地黄 石甘糖浆 定(6)异烟肼 (平)喘丸 蜂蜜 金樱子 六一散 玄麦甘(1)奎宁 麻黄(1)沉淀、影响and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 桂圆肉 桑椹桔冲剂 参茸片 素 阿托品 吸收 子 大枣 麦麻杏石甘糖浆 (2)强心甙 (2)中毒 冬 秦艽 甘鹿茸片 脑灵素 (3)降血糖药(3)拮抗 草 鹿茸 (降药灵、D,(4)易促成消化 860等) 性溃疡 (4)水杨酸制剂 (5) 易致低血 (5)排钾利尿药钾 (氢氯噻嗪等) 牛黄 小儿至宝锭 牛水合氯醛 乌拉对中枢产生抑制 黄上清丸 牛黄坦 吗啡 苯巴 抱龙丸 琥珀抱比妥 龙丸 牛黄解毒 丸 牛黄镇惊丸 牛黄清心丸 安 宫牛黄丸 丹参 复方丹参 丹参(1)胃舒平 (1)(2)形成 注射液 复方丹(2)细胞色素C络合物影响吸收 参注射液 注射液 (3)促进肿瘤转 (3)环磷酰胺5移 ,氟尿嘧啶喜树 碱钠 争光霉素 天麻片 密环片 咖啡因 可可碱 拮抗 止痉散 五虎追茶碱 利他林 风散 茶丙胺 川乌 槟榔 黄连上清丸 黄(1)碘离子制剂 (1)(3)(4)黄连素 黄柏 连羊肝丸 清胃(2)碳酸氢钠等产生沉淀 马钱子 延胡黄连丸 葛根芩碱性较强的西药 (2)影响溶解索 贝母 连片 加味香连(3)重金属药如度，妨碍吸收 丸 小活络丹 硫酸亚铁、硫酸(5)增加毒性 牛黄千金散 牛镁、氢氧化铝等 (6)拮抗 黄清心丸 木瓜(4)酶制剂 生物丸 三妙丸 左(5)阿托品 氨碱 金丸 香连丸 茶碱 地戈辛 小金丸 二妙丸 (6)咖啡因 苯 脏连丸 九分散 丙胺 木香槟榔丸 千 柏鼻炎片 胃痛 散 贝母枇杷糖 浆 (1)人参 苦人参养荣丸 人(1)维生素C (1)分解，药效 甙类 参 大黄 龙参归脾丸 脑灵烟酸谷氨酸 胃降低 胆草 素 八珍丸 参酶合剂 (2)加重麻醉， and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic (2)桃仁 苦脉饮 参茸丸 (2)可待因 吗抑制呼吸 杏仁 白果 礞石滚痰丸 龙啡 杜冷丁 苯(3)药效累加，枇杷仁 胆泻肝丸 清宁巴比妥 增加毒性 (3)北五加皮 丸 启脾丸 大(3)强心甙 (4)血糖升高 侧柏 金盏花 黄庶虫丸 通宣(4)降糖药 福寿草 附子 理肺丸 桑菊感 乌头 万年青 冒片 清气化痰 葶苈子 罗布丸 解肌宁嗽丸 麻 羊角拗 止咳化痰丸 鹭 扛柳 铃兰 鸶咳丸 麻仁丸 蟾酥 见血封麻杏止咳糖浆 喉等 橘红丸 参茸丸 (4)鹿茸制剂 罗布麻片 速效 救心丸 救心丹 蟾麝救心丹 麝 香保心丸 朱砂 轻粉 朱砂安神丸 补营心丹 护心丹 产生沉淀，增加 心丸 柏子养心六神丸 硫酸亚对肝肾的毒性 丸 磁朱丸 梅铁 溴化钾 三 花点舌丸 冠心溴合剂 碘化钾 苏合丸 小儿惊碳酸氢钠 巴比 风散 牛黄镇惊妥 丸 安宫牛黄丸 汞 牛黄清心丸 七 珍丸 七厘散 红灵散 保赤丹 益元散 解暑片 紫雪丹 苏合香 丸 蛇胆川贝液 (散) 人丹 活 络丹(丸) 雄黄 雌黄 牛黄解毒丸 牛(1)亚铁盐 硫(1)产生沉淀，信石 黄千金散 牛黄酸盐 硝酸盐 增加毒性 抱龙丸 牛黄镇亚硝酸盐 (2)产生沉淀， 惊丸 牛黄至宝(2)酶制剂 降低药效 丸 牛黄清炎丸 砷 小儿至宝锭 安 宫牛黄丸 小儿 惊风散 梅花点 舌丹 六神丸 红灵散 七珍丸 扁蓄 泽泻 金钱草冲剂 分安体舒通 氨苯西药系保钾排钠钾 白茅根 夏枯清五淋丸 五淋蝶啶 药，合用易致高 and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic 草 金钱草 通片 龙胆泻肝血钾 牛膝丝瓜络 丸 六味地黄丸 类方 内消瘰疬 丸 石淋通片 首乌片 利胆片 五苓散 碘 昆布 异烟肼 发生氧化，失效 感冒 抗感片 利血平 优降宁 拮抗 抗组克感宁片 速效胍乙啶等 织胺 伤风胶嚢 促放银杏 青风藤 异丙嗪 竞争受体，降低组织锡生藤 药效 胺 神曲 麦芽 六和定中丸 香四环素 水杨酸降低活性(至少 豆豉 苏正胃丸 大山钠 阿司匹林 间隔2h) 淀粉楂丸 枳实导滞鞣酸蛋白 烟酸 酶 丸 越鞠丸 保 和丸 启脾丸 健脾丸 血余炭 地榆十灰散等 酶制剂 生物降低药效 炭制炭 蒲黄炭 碱 剂 大黄炭 槐米 炭 棕炭 中西药注射剂的配伍禁忌 (1)双黄连粉针 与硫酸阿米卡星注射液配伍出现浑浊与沉淀; 与注射用氨苄西林钠配伍溶液颜色加深，pH值下降; 与青霉素、头孢拉啶、地塞米松配伍后不溶性微粒分别增加2、23、94倍; (2)穿琥宁注射液与庆大霉素、卡那霉素、丁胺卡那霉素、环丙沙星、氧氟沙星等药物配伍可有沉淀产生。因为穿琥宁注射液是二萜类酯化合物，其水溶液易水解氧化，尤其在酸性条件下不稳定，酸后易产生沉淀; (3)莪术油葡萄糖注射液与头孢哌酮、头孢曲松、头孢拉啶配伍后含量下降，溶液可变为棕色; (4)葛根素注射液与三磷酸腺苷、辅酶A、利巴韦林配伍pH值有显著改变，故不宜配伍应用; and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic (5)刺五加注射液与双嘧达莫、维拉帕米注射液配伍后可有沉淀产生; 清开灵注射液在pH6.8,7.5时稳定，而在酸性环境中不稳定，在pH5.34时澄清度下降，如与丁胺卡那霉素、维生素C等酸性药物配伍时可立即产生沉淀; (6)六神丸、麝香保心丸、益心丹等中成药与心律平、奎尼丁同服，可致心跳骤停; (7)麻仁石甘片、止咳定喘膏、防风通圣丸等含有麻黄的中成药与降血压药同服，可因麻黄中的有效成分麻黄素的收缩动脉血管作用而致血压升高，会抵消降压药的疗效，甚至会升高血压; (8)中药桃仁、白果、杏仁与安眠酮、利眠宁、安定等镇静催眠药合用会抑制呼吸中枢、损害肝脏; (9)乌梅、蒲公英、五味子、山楂等含有机酸的中药与磺胺类药物合用，会使磺胺药在尿中结晶，发生尿闭、尿血等不良反应; (10)含雄黄的中成药与酶制剂、硫酸盐、硝酸盐类西药(胃蛋白酶、淀粉酶、多酶、菠萝蛋白酶、硫酸镁、硫酸亚铁、硫酸锌等)合用，可因雄黄中所含的硫化砷会与某些酶活性中心的必需基因巯基结合使酶失活，降效或失效;硫化砷被硝酸盐、硫酸盐类药物氧化而使毒性增加; (11)含甘草、鹿茸的中成药如甘草合剂、镇咳宁胶囊、鹿胎膏、参茸安神丸等，与降血糖西药如胰岛素、优降糖、甲苯磺丁脲、降糖灵等合用，可因甘草、鹿茸中所含有的糖皮质激素样物质，能使血糖升高，抵消了降血糖药物的部分降糖作用，不利于糖尿病的治疗; (12)含麻黄的中成药大活络丹、九分散、半夏露冲剂等与单胺氧化酶抑制剂(呋喃唑酮、优降宁、闷可乐、苯乙肼等)及强心苷类的洋地黄、西地兰和硝苯吡啶等西药合用，前者可因单胺氧化酶抑制剂口服后抑制单胺氧化酶的活性，而使去甲肾上腺素、多巴胺、5-羟色胺等单胺类神经介质不被酶破坏而贮存于神经末梢中，而使上述中成药中麻黄所含的麻黄碱促使被贮存于神经末梢中的去甲肾上腺素大量释放，严重时可导致高血压危象和脑出血;合用的后果可因麻黄碱对心肌的强大兴奋作用，使心率明显加快，且对心肌的毒性加大，以致引起心力衰竭; and special tools for emergency response equipment and facilities. Emergency preparedness and response plan 1) emergency response (1) If a major accident occurs, the project should set up emergency response teams, chaired by the project manager, head of production and safety coordinators, professional foreman for the crew, primarily responsible for the orderly rescue when an emergency occurs or processing, outsourcing, team manager and support staff, assisting the Deputy Project Manager for related auxiliary work. (2) after the accident, the project manager is responsible for field commander, advance the establishment of emergency response team personnel, accountability, seriously injured officers sent out rescue, have procedures to deal with accidents, incidents, maximum reduction in casualties and property loss. (3) If an accident occurs, press Division in advance for emergency personnel cleared, concentrate manpower and material and financial resources to rescue the injured, decrease of the maximum loss. (4) after the accident processing work (5) identified the cause of the accident and the person responsible. (6) the written report to the supervisor in writing, including the time and place of the accident, injury (death) person's name, sex, age, trades, injuries, injuries. (7) the development of effective preventive measures to prevent such accidents from happening again. (8) education of all personnel of the organization. (9) informed criticism of those responsible. (10) all personnel read out the results, and responsible disposal. (11) maintenance of emergency supplies, maintenance and testing ? strengthening the day-to-day management of the various fire fighting equipment fire-fighting equipment, authorities should be staffed, equipped with fire extinguishers. Fire hydrants identified person responsible for regularly inspecting, testing, at any time in good condition. ? Guard monthly check-fire extinguishers and fire-fighting equipment. ? once every quarter, inspections and tests of a fire hydrant in good condition. 2), plans to develop (1) casualties occurred in construction, such as accidents or accidents of the direct economic