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3/19(月)

◆今日の気持ち
(脳外科 4週目)
・自分の感染防御、反省点多数…。今日の脳外科のope、まず、上の先生の鈎ピンさわって手袋に穴を開ける…。次に顔に血が飛ぶ…。次に、血が眼に入る…。明らかな感染症はない患者さんだったけれど…。
・眼が悪いせいではあるけれど、顔を患者に近づけすぎ。防御マスクして入らねば。
・いちど何かがおきると、続けて起こるもの…

●今の目標
・脳外科を味わいきる

●今日の新患・診断
・めまい …つかれから?
・虫垂炎
・3歳児転倒。無傷
・HCV-LC。食道静脈瘤破裂歴あり。肝性脳症。羽ばたき振戦あり
・外傷性クモ膜下出血、急性硬膜下血腫、頭蓋骨折、脳挫傷

●今日の病院滞在時間
8時〜当直

●今日行ったこと・見たこと・知ったこと
・手術後頭蓋形成ope

・メバロチンはマイルド、リピトールはききめ強い。リバロも強い、BSを下げるという話もある。横紋筋融解症に注意。
・Natural peep。閉鎖回路は2くらいかけてやっとゼロ。
・アルコールが入っている患者への点滴。ブドウ糖入れないと、分解できず酔い醒めない。

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