Re: [問題] 禁用止血劑 transamine

看板medache (醫療心酸)作者j89750 (為愛走天涯的麻瓜)時間19年前 (2007/02/07 00:53)推噓4(4推 0噓 3→)

留言7則, 3人參與討論串2/10 (看更多)

恕更動 ※ 引述《iamgreentea (~*幸福的定義*~ N)》之銘言： : 請問板上的各位我遇到了一個問題但始終無法查出來 : 一個病人它洗腎多年這次抱怨胸痛入院.. : 有心臟病的問題但醫生開了一個order說 ꔊ: 它禁止使用 transamin 為什麼呢.. : 但他因為水腦問題去開刀演變成顱內出血 : 這2者之間又有啥關聯呢.. 嗯首先我要大推一下原po的好學精神粉讚喔再來我想列出幾個簡單的問題希望你的思考過程多多少少有所幫助 1. The patient who has hx of regular HD for years -->> should the patient recept longe term anti-caugulated agnet tx ? -->> any progressive or relief factors related to the HD solution/drugs? -->> does this pt under prescirbed medicine tx or any herb tx unkonw? 2. Heart diseas -->>what kind of heart dz u mean, different dz has different tx plan ex. MR /p MVR maybe under coumadin tx-->> INR level check yet or not? -->> what's the pt's S/S that u can prescribe in ur nr recorder to let co-workers study this pt in any time during hospital stay time -->> Image exam report showed what ? ex. EKG T-wave high? (hyperkalemia?) CXR show pul embolic change? pul edema? dyspena? what V/S should we f/u? Unknow acute collapse due to pt ate the killer diet-->star fruit? 3. Hydrocephlus related ediology? Tx? surgery plan? how? nursing focus on? what is the pt's GCS MP pupil size? how can you know ur pt con's down what is ur first reflex it pt con's loss at ur duty /p V-P shunt, the condition of w'dx2, what is ur nursing plan for this? Potential/ Present inf/ cused by surgery is high suspect bala bala... 4. ICH, risk factors? location? S/S? family's attitude? decision making process ok or any dis-agreement? what is family's except? fit to real est. or VS's explaint ? 先降子大家有興趣的話我再繼續寫好晚了我得睡覺了再來我建議版友們可以study一下實證醫學再應用在臨床部分內外科護理學的教科書跟藥典可以參考看看啦不然就是請教醫師阿大家都是同事沒什麼不能交流的吧我是這麼想的啦一來就是我一直在說的要懂得醫師的治療計畫之來龍去脈就能大幅度的避免做錯事情給錯藥物工作起來才會順手開心愉快咩不懂得就問人懂得的就答人大家都不懂得問神... 我想原則上醫師跟學姊都是很願意教學經驗分享的只要我們的態度好自己有先努力過才知道自己什麼不懂請問別人也是要有自己的付出才行不然憑什麼要求別人教導我們呢當然是有來有往才公平吧 -- e04!! ptt做得到 iie 為什麼做不到??? 死哪去了阿~ 歷任站長們 -- ※ 發信站: 批踢踢實業坊(ptt.cc) ◆ From: 218.172.83.120