抽胸水的時機

1. loculated effusion 2. >1/2 3. Air-fluid level 3. Pus 4. stain + 5. culture + 6. pH<7.2 7....

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Ranson

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CV Note

EXERCISE TREADMILL TESTING INDICATION 當病人出現疑似CAD的symptoms，resting ECG表現為正常，且自身條件足以進行，peak heart rate至少要達(220 − age) x 85%。若原本EKG已有不正常finding，可能sensitivity...

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主動脈剝離

胸部主動脈剝離--HTN(看到胸部血壓會高) 腹部主動脈剝離--atherosclerosis(粥喝到肚子) 先使用beta bloc...

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DM Medication

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Empyema

leukocytosis, low pH (<7.20), low glucose (<60 mg/dL), high LDH (lactate dehydrogenase),...

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Indications for chest drain insertion

Indications for chest drain insertion Pneumothorax in any ventilated patient tension pneumothorax after...

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CAD Risk Factor

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Warfarin

Common clinical indications for warfarin  1. atrial fibrillation,  2. artificial heart valves,  3....

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Hyperlipidemia

TG: DM，酒，ESRD，hepatitis，B-blocker，estrogen，gucocorticoid LDL：hypothyroidism，cholestasis，Thiazide estrogen會同時升高TG、HDL TC...

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CSF

Normal values (CSF): CSF opening pressure: 50–180 mmH2O Glucose: 40–85 mg/dL. Protein (total):...

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Anti-arrhythmia

Class Basic Mechanism Comments I sodium-channel blockade Reduce phase 0 slope and...

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Nutrition

基本營養： 30-35ml/kg (geriatrics 30 ml/kg), 1ml/kcal fed, 1500ml/m2 TBSA Calories 1.Maintenance: 25-30kcal/kg...

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The Shift

The first 3 numbers from the left (WBC total, bands, and neutrophils) are important because the total...

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あおい輝彦 - あなただけを

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Ventricular Arrhythmias

Slow Idioventricular escape rhythm：寬的QRS，速率30~40 beats/min AIVR(Accelerated IdioVentricular Rhythm)：速率>40...

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Light's criteria

Pleural effusion-->抽LDH, Protein Exudative: pleural fluid Protein/serum Protein > 0.5 pleural...

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DKA

症狀：polyuria, polydispia, BW loss, nausea, vomiting, abdominal pain, tarchycardia, dehydration 可以灌水：N/S...

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IICP

headache nausea vomiting papiledema consicousness disturbance ----- Cushing's triad: hypertension,...

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IVF

晶體溶液 等滲透壓，血管內：細胞間質=1：3，會使血管容積稍微增加一些。 Hartmann`s solution和0.9%的NCl Hartmann`s solution中的乳酸鹽在肝臟中會氧化，會糖質新生。代謝路徑會消耗氫離子，所以會輕微鹼化。 膠體溶液 含有懸浮大分子的溶液，產生膠體滲透壓，使溶液留在血管裡 緩衝凝膠【Haemaccel...

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Liver abscess

TREATMENT — Treatment of pyogenic liver abscess should include drainage and antibiotic therapy.Drainage — Drainage...

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CAP

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