10월 16일 강의 free.

1.~olol 복용중인데  avoid 해야 할 pt? sata

①asthma   ②anginaa pectoris  ③bradycardia

④cardiac dysrthymia   ⑤HTN

Epinephrine and calcium channel blockers, a type of blood pressure medication, will speed the heart rate. Tobacco and caffeine are two stimulants that are also capable of increasing the rate of the heart. Other medications, such as beta-blockers, slow the heart rate. Be aware of any cardiac side effects of medications. Seek medical help if you are suffering from chest pain, feel dizzy or are very fatigued.

2. CT 검사시 고려.sata

Shellfish allergy check

egg allergy check

당뇨약 언제 복용했는지?

식사 언제 했는지?

마그네틱? 확인

3.조영제 알러지 있는사람 sata

스테로이드 + 항히스타민제

epi injection

의사  notify

avoid shellfish

avoid shrimp

이전 history asses

4.heroin opioid  withdrawal 증상sata

rhinorrhea,

lacrimation

dilated pupil

drowsy

irritable

5.Opioid withdrawal  sata

n/v,

diarrhea

lacrimation

발한

고혈압

Opioid withdrawal symptoms typically include dilated pupils (mydriasis) rather than constricted pupils (miosis). Miosis, or pupil constriction, is more commonly associated with opioid intoxication or overdose, not withdrawal.

6.Opioid intoxication SATA

euphoria,

miosis#,

confusion#

insomnia#

Altered mental status, such as confusion, delirium, or decreased awareness or responsiveness

Breathing problems (breathing may slow and eventually stop)

Extreme sleepiness or loss of alertness

Nausea and vomiting

Small pupils

7.69yr old male Pneumococcal pneumonia vaccine

Immunocompressed PT should avoid

13 covering

I was recommnded becasue I am above 65#

#There are 2 types of pneumococcal vaccines available in the United States: Pneumococcal conjugate vaccine (PCV13 or Prevnar13®); Pneumococcal polysaccharide .

8. pneumonia 맞는 것  (단)

antibiotics투여시 가장 preferred한 투여방법은 IV이다

influenza백신 매년 맞아야하는 이유는 폐렴으로 발전이 흔하기 때문이다

폐렴 걸렸을때 나이가 많을수록 mortality가 높은 것은 아니다.

지역사회 감염보다 병원내 감염이 많다

9. 폐렴 관련 틀린 것은?

연령과 관련이 있다.

community acquired보다 health care acquired의 incidence가 더 높다.

환자들은 독감 백신 접종을 맞아야 한다. 왜냐하면 독감 걸린 후 often 폐렴이 발생하기 때문이다.

10.55 세 Pneumococcal conjugate vaccine. inoculated time 예방접종?

매년

10년 마다

65세 이후

65세 미만

#Additionally, those who received one or more doses of PPSV23 before age 65 years for any indication should receive one final dose of the vaccine at age 65 years or older once at least 5 years have elapsed since their most recent PPSV23 dose.

after age 65 years old regardless of their previous PPSV23 vaccination history. Doses of PPSV23 should be spaced 5 years apart from each other.

Adults 19 years of age or older who previously received one or more doses of PPSV23 should receive a dose of PCV13 at least one year after administration of the most recent PPSV23 dose if they have

11.adult가 맞아야하는 백신과 주기로 옳은 것?

influenza 5년마다,

varicella zoster 10년마다,

pneumococcal 1년마다

dtap 5년마다

12.열나는 환자 Cx에  Clindamycin sensitivity .

vanco로 바꾼다?

epi 준다

clindamycin 계속 투여

asa medication

13. Clindamycin쓰는 환자 우선으로 봐야할 것은?

increased AST

penicillin allery있어요

shellfish allergy있어요

#Clindamycin is a broad spectrum antibiotic used orally, topically and parenterally for bacterial infections due to sensitive organisms.  Clindamycin has been linked to rare instances of acute liver injury.

After a clindamycin sensitivity test is available, vancomycin should be applied if the clindamycin result shows inducible resistance (e.g., the D-test is positive) or if the infection is severe, especially if it is Methicillin-Resistant Staphylococcus aureus (MRSA)

14.임신 30주 환자 검사

. 32주 산모의 다음과 같은 lab 결과 봐줄 것 ?

Hb: 9   Hct: 28%   Bilirubin : 3   BT: 37.7   WBC: 16,000   PLT :100,000

① Dehudration

② Infection

③ Jaundice

④Anemia

##bilirubine-Total : 정상치는 0.2~1.2mg/100ml

15.30주 된 산모에게 나타나는 증상은?

피로 증가한다

GI 압력 증가한다.

혈액의 흐름 증가한다

frequency

sob

16.20week s gestation preg availabe test?

fetal movement test

fundal height

terbutaline주기

FHR check