med-ed-online20xx-文庫吧資料
2024-07-30 16:15本頁面
【正文】 +Gentamycin 30 min before the procedure and have to be repeat Ampicillin after 6 hours Allergy Gentamycine + Vanycine Moderate Risk Standard Amoxycillin Allergy Vanycine Should be infused One hour before to 30 minutes after the procedure mededonline 2022 IMP: Hyperemesis Gravidarum ? General: condition/position/diet ? Lab: CBC, BG,Rh, U/A, U/C, k, Na, BUN/Cr, TFT ? reserve of 2 units of PC ? IV : 3000cc(DW10%+ DW5%+1/3,2/3)divided in 24 hrs ? AMP Promethazine 25 mg iv qid ? Amp plazil 10 mg qid ? Tab navidoxin daily ? OTHER: Control of vital sign q4hrs, daily weight, check of I/O with measure sono OB mededonline 2022 Suspecting Acute Hepatitis ? HBS Ag, Ab ? Anti HBC (IgM) ? ANTI HAV (IgM) ? Anti HCV mededonline 2022 Suspecting Chronic Hepatitis ? HBe Ag, Ab ? HBS Ag ,Ab ? Anti HCV mededonline 2022 IMP: Pyelonephritis ? General: condition/position/diet ? Lab: CBC diff, BG, Rh, U/A,U/C, k, Na, BUN/Cr, WW, MP,B/CX2 (Repeat of U/C after initiation of antibiotics if positive then kidney sono) ? reserve of 2 units of PC ? IV : 1000cc DW5% free ? AMP keflin 2 gr stat then 1 gr q6h ? Amp gentamicin 80 mg im stat then 60 mg tds ? OTHER: Control of vital sign q4hrs, control of FHR,FAD chart , check of I/O with measure, sono OB mededonline 2022 GFR=(140age)/72x PCr x 85% for females mededonline 2022 Blood sugar ? For pregnancy Ab105 FBS Ab120 2hr PP POSTPARTUM Ab140 FBS Ab200 2hr PP mededonline 2022 IMP: Diabetes ? General: condition/position/diet =diabetic ? Lab: CBC diff ,BG, Rh, U/A,U/C, BUN/Cr, BS(FBS, 10AM,4 PM,8PM), (PT, PTT, Fib) (reserve of 2 units of PC ? IV :Ringer at heparin lock ? Insulin morning (10 units NPH +4 Reg) ? Insulin afternoon(4 NPH+4 Reg) ? OTHER: Control of vital sign q4hrs, control of FHR, FAD chart , NST, sono OB, ophthalmologic consultation mededonline 2022 ? For each increase in BS more than 200 add 2 units to regular to each 50 mg of BS ? Insulin is used before breakfast and evening meal mededonline 2022 IMP: mild preeclampsia ? General: condition/position/diet =low salt,high prot ? Lab: CBC ,BG, Rh, U/A,24hr urine (prot,cr,vol), BUN/Cr, PT,PTT,Fib, ALT,AST,Al P, Bil (T, D) ? reserve of 2 units of PC ? IV :Ringer at heparin lock ? OTHER: Control of vital sign q4hrs, control of FHR, FAD chart , NST, sono OB, daily weight inform if BP160/110, blurred vision, head ache, epigastric pain, seizure mededonline 2022 IMP: Severe preeclampsia ? General: condition/position/diet =NPO ? Lab: CBC ,BG, Rh, BUN/Cr, PT, PTT,Fib ,ALT,AST,Al P, Bil (T, D) ? prep 2 units of PC ? IV :Ringer 1000cc +10 u of oxytocin ? if BP160/110,blurred vision, head ache, epigastric pain, seizure then amp hydralazine 5 mg iv prn MgSO4 (4 gr) in 200cc DW5% in 20 min then 10 gr(1/2) im in each buttock then 5 gr im q4h If platelet is below 100000 then 20 gr in 1000cc infused in 100cc/hrs (check of I/O,RR,DTR, prep CPR set with 2 gr 20% MgSO4 ready) +Amp Dexa 6 mg im bid for 4 doses OTHER: Control of vital sign q15 min , control of FHR, fix foley, mededon
畢業(yè)設(shè)計相關(guān)推薦
鄂ICP備17016276號-1