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80524

●モルヒネ効果判定
3mg粉末内服(オプソ5mgも可)
15〜20分で血中濃度上がり始め、1時間で最高血中濃度に
・傾眠傾向、呼吸回数(呼吸抑制)、嘔気 の副作用を評価

●倦怠感、ならステロイド
 テルネリンも手段

●うつスクリーニング
日中(特に朝)抑うつ気分が続く
ほとんど毎日、何をしても楽しくない。興味がわかない
体重減少or増加
不眠or過眠
精神不安、精神遅延
疲労or行動力低下
自分を価値のない人間と感じる、罪悪感をいだく
集中力低下or意思決定できない
死について何度も考える、自殺企図

●腫瘍随伴症候群
インスリン様成長因子-2
で低血糖… デカドロン4mg start

●梗塞
左MC 後ろの方 視野だけ!
右MC 後ろの方 失行だけ!
…麻痺でない

●子宮留膣腫
高齢者に起きる、子宮内の感染症。focus不明な熱源になりうる

●医療倫理の4分割法 白浜先生
・medical
・本人
・QOL
・環境

●RS3PE

●心筋梗塞
「ちくちくする痛み」を否定して、おもっ苦しい、といったらものすごくあやしい。

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