血腫 1

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Complication of ATEMI

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Insulin pump

1. N/S 500 ml + HRI 50 U iv run 50 ml/hr, and
2. Check blood sugar by Glucometer Q2h without HRI:
If blood sugar    > 600 mg/dl,  run 60 ml/hr
If blood sugar  551-600 mg/dl,  run 55 ml/hr
If blood sugar  501-550 mg/dl,  run 50 ml/hr
If blood sugar  451-500 mg/dl,  run 45 ml/hr
If blood sugar  401-450 mg/dl,  run 40 ml/hr
If blood sugar  351-400 mg/dl,  run 35 ml/hr
If blood sugar  301-350 mg/dl,  run 30 ml/hr
If blood sugar  251-300 mg/dl,  run 25 ml/hr
If blood sugar  201-250 mg/dl,  run 20 ml/hr
If blood sugar  151-200 mg/dl,  run 15 ml/hr
If blood sugar  101-150 mg/dl,  run 10 ml/hr
If blood sugar   85-100 mg/dl,  run  5 ml/hr
If blood sugar     < 85 mg/dl,  run  0 ml/hr
If blood sugar     < 70 mg/dl,  50% G/W 2 Amp iv stat

# If blood sugar < 100 mg/dL, inform doctor

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Surestep Q4H
normal saline 100cc + HRI 100u keep rate as:

BS<90  hold 2 hr and follow up eyetone 2 hr later
101-130          0.5cc/hr
131-160          1cc/hr
161-190          2cc/hr
191-220          3cc/hr
221-250          4cc/hr
251-280          5cc/hr
281-310          6cc/hr
311-340          7cc/hr
341-370                    8cc/hr
371-400          9cc/hr
401-430                   10cc/hr
431-460         11cc/hr
>460  HRI 5u iv  st and run 10 cc/hr
eyetone q4h for 1 day then qid without HRI

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Amiodarone

Amiodarone 6amp + D5W (glass bot.) 1 bot IVD, run 34ml/hr x 6 hrs, then 17ml/hr x 18 hrs  
Loading Amiodarone 150mg in D5W IVF 10min.

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