(เป้าหมายก็คือน้องทุกคนที่อยากฝึกค่ะ)
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ณัฐสุดา คติชอบ
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too short.
try to writted more than here please
Mr. H... medical history included: Alzheimer’s, senile dementia, hypertension, clinical depression, status post radical prostatectomy June 1996 secondary to prostate cancer, failure to thrive, gastro-entero reflux disease, and a history of skin cancer.
(The prescribed medications at the time of the incident were as follows)
: Aricept 10mg by mouth every night
Lipitor 10mg by mouth daily
Lasix 10mg by mouth daily
Potassium Chloride 750 mEq by mouth daily
Zoloft 10mg by mouth daily, Prilosec 20mg by mouth daily
Ativan 0.5mg by mouth every eight hours as needed for anxiety or agitation Tylenol (500mg=2tablets)1gm by mouth every eight hours by mouth as needed for pain or fever.
Mr. H....’s social history included: widower, three children, seven grandchildren, thirty-five year career in sales with the World Wide Import/Export Company of Khonkean garment. Mr. H.... lived alone for ten years in the Ban nong nok area until he was no longer able to care for himself. At which time, his oldest son, R..... H..... Jr., moved Mr. H.....to Carol’s Crossing with his family.
1 July, 2009 09 .43: Resident showered after breakfast with minimal assistance from staff. Weekly skin assessment done. Skin warm, dry and intact with poor turgor. Mucous membranes moist and pink. Quarter sized red area noted on left ischial tubersosity. Site blanches upon palpation. Moisture barrier applied to site and buttocks. Will continue to monitor. Medications taken at breakfast without difficulty. At this time the resident has left the unit for the prayer services held in the outside. The resident left ambulating with a stable gait and stand by assist of staff. –Wipawadee potisopa , RN
website ที่อยากแนะนำ ลองไปอ่านดูนะคะ
น่าสนใจมากเลยค่ะ แต่น่าจะมีคำศัพท์ที่แปลแล้วด้วยคงสนุกและได้ความรู้มากขึ้จค่ะ
thank for your comment. we will tey to be better Ka.
We all know the alcoholic with severe liver disease, that comes in all yellow, big belly, low platelets, anemia, bleeding, low blood pressures, with metabolic encephalopathy, pooping all over the bed from the lactulose you are giving every four hours. They are so sick, it is not so difficult to give them some sedatives, get their bellies drained with paracentisis, transfuse some FFP, and maybe get them better enough to go home for a while longer.
มาดูค่ะว่า แอลกอฮอล์มีผลต่อร่างกายอะไรบ้างอิๆๆ น้ำสีอำพันของฉันและของเธฮกับหน้าบอลโลกจะทำให้ร่างกายมีผลข้างเคียงไหมคะ?
บางครั้งมีอาการอย่างนี้ด้วยหล่ะ ยกตัวอย่างคนที่ดื่มสุรา อายุประมาณ 40 ปีนะ
patient that is a probably aged in the 40s, withdrawing from alcohol, with a potassium level of 1.9. Yeah that is super low, at that low-level you might see a U wave, and flattened t waves on the ECG, I imagine. The patient did not look that sick, there were tremors, but no delirium, just extreme agitation.
ถ้าเราแก้ โปตัสเซียมต้องดูแลอย่างไร?
the nurse trying to give IV potassium infusion plus oral replacement. Of course, the IV potassium kept burning, infiltrating etc, exacerbating the agitation(He wanted to leave).
the potassium was rechecked, it was still low and the fearful attending would not discharge the patient naturally. So what does the nurse do? She calls the doctor and gets orders to put the patient in restraints!(ใช่ค่ะผูกยึดไว้ก่อนเล้ยเดี๋ยวตกเตียง)
What is a craniotomy?
Answer: The removal of a bone flap near the skull in order to access the brain
Post-craniotomy headache: characteristics, behaviour and effect on quality of life in patients operated for treatment of supratentorial intracranial aneurysms
http://www3.interscience.wiley.com/journal/119403950/abstract?CRETRY=1&SRETRY=0
KATHERINE ELLIS, JOHN SPEED and JANET M. BALBIERZ
http://informahealthcare.com/doi/abs/10.1080/026990598122115
น้องๆฝึกอ่านเรื่องนี้ดูนะคะ
Symptoms reported by elderly patients with isolated systolic hypertension: baseline data from the SYST-EUR trial