藥典new
藥典new
藥典new
解除腸胃、膽管、尿路、女性生殖器痙攣。
Prepusid 5 mg 1 # po qid
Lescol(20) 1# po qN
bleeding)。
Bismuth(吸附) 1# po qid。
Caster oil 15 cc po st
inbitors
3. Gaster, Losec
Pitressin 20 Amps (400 units)in N/S 500 ml IV drip c rate of 15 ml/ min
1
精神科
治 Depression Fluoxetine , Prozan 20 mg 1# po qd。Meyrel 50 mg 2# po qN。
Lexotan (Chlordiazepoxide) 5 mg 1 # po qN。
Venaflaxine (37.5mg) qd dN after one week 改 (75)1 qd qN
Alcoholic Ativan (1) 2 # po tid + Rivotril (2) 1# qd 1# qN+ Thiamine (100) 1# bid
withdrawal Naltreone 50 mg qd + Ativan 2 mg dN + Tofranil 50 mg qN
ICU syndrome Xanax (0.5 )1/2 # qdqN。Meyrel (50)1/2 #。Lexitin
(3)1#。Haldol(2)1#
Binin-U 2 Amp 、Dormicum 1-2 Amp M q4h p.r.n
Valium 30 mg in 500 ml V bottle slowly
Schizophrenia & Risperidol 1 mg qd 2 mg po qN + Ativan 0.5 mg po qN
Delusional disorder
Drug overdose prevent suicide & consult PSY。Anexate 1 Amp IV st。
Morphine overdose: Naloxane 0.4 mg/ ml 1 Amp
Fluoxetine , Prozan 20 mg 1# po qd。
Lexotan (Chlordiazepoxide) 5 mg 1 # po qN。
Fluoxetine 1# po qd ×3 days + Ativan 0.5 mg po qN
焦慮 Lexotan (Chlordiazepoxide) 5 mg 1 # po qN。
Librium 5 mg 1# po tid。Deanxit 1# po tid。
Holdol 2 mg 1# po qN ( Binin-U )
失眠 Ativan (Lorazepam 不經由肝臟代謝) 0.5 or 1.0 mg 、Eurodin
(Estazolam 憂鬱,hepatic)、Serenal、 Dormicum 1# po qN、
Deanxit 1 # po tid。Imovane 1# 、Wintermin 1/4 # po qN
Respiratory distress: Benadryl (50 mg) 1 # po qN(利用 drowsiness 的
S.E
Trazodone (Mesyrel)
Zolpidem 鎮靜 half life 短
晚上做惡夢 Dormicum 1 # po qN
EPS Akineton 1 amp M st
Xanax 0.5 mg 1 # po qN + PK-MERZ 100 mg 1 # po tid
鎮靜 Binin-U & Neuropan (2 mg ) 1 or 1/2 Amp IV st or q6h
Valium 5 mg or Domicum 5 mg IV st
神內科
擴張腦血管 Nimotop 2 # po tid
2. Established
¬Dilantin ( Phenytoin )
Initial: 1000 mg (20 mg/ kg) in VCB with N/S 100 ml for drip over 30
mins,
cardiac monitor: B/P and arrythmia
Maintain: 250 mg V qd (5mg/kg) or 1#(100) po tid
2
一般科
鎮痛 , 解熱 Scanol 1# po qid, Lonine 1# po tid(Cox-2 specificity)
胃)、
Norgesic(Scanol+Befon) 1# po qid
Relax gel 1 tube for topical use。Morphine 1/2 # po q4h except 1:00
色)
tid
Transamine 1 # po tid
9.10 Bid
8.9 tid
<8 qid
Deuron 1# po qd (↓尿酸鹽的再吸收↑其排泄)
Doxaben 1# po Qn
感,膀胱收縮,括約肌放鬆)
3
12 hr
ICU sedation Diprivan 1-4 mg/ kg/ hr (for 70 kg , 5-15 kg 5-15 ml/ hr)
0-5 mg/hr to keep sedation score 3-4 at day time & 4-5 at night
control
nose、dysdiadochokinesia
gait
Treatment:
EKG
(Diphenhydrane) 1 Amp
AOM Keflor BW/2 q8h + Scanol BW/4 qid + Actifed BW/4 qid
B-I (1:50) dilution with N/S 500 ml for grugling use qid
4
Norflex 1/2 # po bid
Wintermin 1/2 # po st
胸腔科
止咳 Medicon-A & BM 1# po qid . Cough-mixture 15 cc po tid
化痰 Mucosolven、Bisolven、neuzyme 1# po qid
qd
Elevation and avoid massage of R’t lower limb. L’t lower 穿彈性絲襪
15000 u in N/S 500 cc c rate of 21 Md/ day (Keep INR: 1.5-2.0)×4 day
5
心臟內科 Bokey 100 mg 1 # qd + Capoten 1/2 # tid + Moduretic 1# qd
單純:diuretic ↓老年高血壓之死亡率
MI:B-blocker, ACEI
500×滴數 / 60×體重
1. Fluid supplement
3. Oxygen supplement
4. Nutrition support
unstable angina Iso dril 1 # tid + Norvasc 1 qd + Licodin 1 # tid + Trental 1 # bid
6
VPC check potassium 、calcium level。Digoxin 0.125 mg po qd
5mg/min
Ismo 20 mg 1# po bid。
mg
Af RVR VPC IV Millisorol V drip c rate 1-3 ml/hr but present SBP < 100 mmHg
Bokey 1# po qd
Didoxin AMI、Af、AF、SVT
血液腫瘤
1. Alklating Cross-link 和 DNA 結合妨礙 cell 分裂
3. Anti-
metabolites
4. Plant
Alkaloids
adenocarcinoma Gemcitabine
乳癌 Tamoxifen 2 # po qd
lymphoma
皮膚科
zyrtec 1 # po qd
7
香港腳 Sporonox 2# po qN 57 days . Clomazole solution 1 bottle
Clarityne 1# po qd。Primalan 1# po qN
凡士林 or Funcidin
婦產科
q12h)
3. Methotreate
Prostarmine(PGE2)
Pitocin
acute exacerbation q8h×10 days, then Ceflexin 500 mg qid + flagyl 1# tid ×7 days.
Ectopic pregnancy The patient had a regular menstrual cycle with a duration of 3 days at 28
day intervals. She had history of RSO for an ovarian cyst 13 years ago.
Her mense was overdue with her LMP on Jan 6 ‘1999.Vaginal spotting
develop a few hours prior to her admission to our ER. Pregnancy was
left adnexal area. Accordingly she was admitted for further management.
MTX (hepatoxity)
8
中毒 Naloxone hydrochloride 2 Amp(0.8 mg)+50 mg glucose+Thiamine
100mg
Syrup of ipecac 催吐
diet
不用 ACEI
Complicating digitalis
NPH 20 u + RI 10 u V qd
避免使用 thiazide、B-blocker。
DM neuropathy: Tofranil、Dilantin 1 # po qd
intoxication
不用 Euglucon、ACEI(hyperkalemia)、NSAID、allopurinol
↑PTH, alkpatse
puncture rupture DDAVP 1 amp V q12h+ Scanol 1# po qid+ 冰敷 over r’t neck.
鋁中毒 Deferroxamine
tumor Eltroxin 1 # po qd
利尿 Laxis (Furosemide) 20 mg po or IV
NEP consultation The patient has received regular hemodialysis for about one year,she was
stable(BUN=39,creatinine=5.16,Na=140,K=4.7,Cl=104).Regular
hervrenal problem.
9
Recommendation:
1. CaCO3 2 # po tid
60×0.6×(22-10)=432 補 20 Amp
10mmHg chronic 5
1 mmHg
1 mmHg
Prednisolone 2 # po tid
感染科
Prostaphyllin 1 # po q6h
Cephalosporine
Aminoglycoside
2. Blood culture ×3
drainage,etc.
10
(pus inside uterine
cavity)
The acidosis was noted. The supplement of NaHCO3 5 Amp V push and NaHCO3 5 Amp V st had be presribed for the patient.
The family asked to take him home,so he was discharded C critical condition and A-A discharge today.
已予病人家屬解釋病人情況危急,如果情形繼續惡化,家屬為避免病人痛苦,同意放棄進一步的急救措施,包括心肺復甦術、電極、心外按摩等。
We had explained the condition of the patient to his family.
They agree to left the patient by nature. The significantly decreasing BP & HR was noted. He is expired at 2:45 PM.
Sudden onset of consciousness change and cyanosis were noted by nurse at 10 pm this evening. Immediately endotracheal intubation and intravenous dapamine
admistration were given. Also family were noticed informed to come to be side the patient who is under critical ill conditions. The poor progress of this patient had been
explained to the family and they all refused the medical stuff not to make further advanced management. Considering of the patient’s advanced cancer condition. They had
The patient was noticed with no spontaneous breath and heart beat, EKG revealed stand-still. No CPR procedure was performed as family request. He expired at 1: 05 AM
by nature.
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於八十七年二月二時五日
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