Re: [感想] 書上寫的和大老說的不一樣
看板medstudent (醫學生)作者neptunecl (<( ￣^￣)凸︽θ)時間9年前 (2017/04/11 20:49)推噓8(8推 0噓 15→)留言23則, 7人參與討論串2/3 (看更多)
Tintinalli's Emergency Medicine A Comprehensive Study Guide 8th Ed(2015)
Section 9: Gastrointestinal Disorders
Chapter 71: Acute Abdominal Pain
p.483 SYMPTOM TREATMENT AND FURTHER CLINICAL DIAGNOSIS
At this point, provide symptomatic relief.
Opioid analgesia relieves pain and will not obscure abdominal findings, delay
diagnosis, or lead to increased morbidity/mortality.
Do not withhold analgesia from patients with acute undifferentiated abdominal
pain.
The information on the safety of opioids cannot be extrapolated to
nonsteroidal anti-inflammatory drugs such as parenteral ketorolac because
nonsteroidal anti-inflammatory drugs are not pure analgesics and can mask
early peritoneal inflammation.
急診人的聖經，再怎樣不想念也要翻翻它...
腹痛可以放心的止痛，然後要大膽的開 Opioid 去止痛
別開 Ketorolac 這類 NSAID，因為會掩蓋早期腹膜炎的症狀，且很傷胃...
如果有急診前輩還有著「急診腹痛不能止痛」的概念，可以拿著 Tintinalli's 去「請教」
對了...順帶一提~
只要你是 PGY，那代表你有醫師證書，法院傳票還是有你一張喔 XD
我只是路過的...廢廢
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