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5/24(水)

●本日の新患・診断(担当患者:10人)
・自律神経失調性めまい? Meniere ??
  …時間単位の発作性めまい。なんだけど、聴覚障害ない…
  季節の変わり目だし…
・喘息発作(初入院)
・高度AV-block
・高度脱水 Na 165
・CCC末期

救急
・脳梗塞  心疾患有り? まったくの未治療だった
・胆石胆嚢炎  肝内に飛んでいるのは、膿?
・透析患者の頭痛。 緊張性頭痛? 薬が使いにくい…

●今日一日
9時start
昼食、MRさんの説明会
21時ごろから、今週の入院患者さん(4人)のサマリー作り。
退院する患者さん、先週の患者さんの終わっていなかったサマリーづくり。
25:30帰宅

●本日行ったこと・みたもの
・ERBDあとの熱発。逆行性感染? ドレーンの閉塞?
・下肢動脈エコー
  …ASOでない、ヘルニアでない、腫瘍ない、こむら返りでない、下腿の膝を伸ばすと出現する間欠的激痛って、なあに???
・高血圧の緊急的な処置。ニフェジピン・ペルジピン

●今日うまくいかなかったこと・失敗
・ルーチン腹部は、立位だけでいいのに…

●今日気づいたこと
・ナースは言葉で情報をやりとりしている。医師はそれをしないから受け持ち患者を引き継ぎきれない? どうすればもっと効率よくうごけるかな?
・やっぱり、うまく動けていない。やっぱり患者さんの数、多すぎる? じっくりそれぞれの疾患味わうためにも、6人くらいにへらそうか…。本読めないし…。患者さんを担当するのはとてもたのしいんだけれどな…

●今の気持ち・今後学びたいこと
・医療面接

●明日の予定
・ペースメーカー埋め込み

◆たまっている宿題…


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