« 医学メモ 090105 | メイン | 090115 漢方 »

081215 医学メモ

●痙攣・てんかん治療

基本は内服だが、
発作時は短時間作用のホリゾン

長く抑えるなら、
アレビアチン点滴
フェノバール筋肉注射
= クコビタール 座薬

●ビブリオ → 麻痺しやすい

●ポリープ
枝状に血管が広がっている
→エコーでチェックできる

●虫垂
 5mm大

●胃エコー
水を飲めば結構見える

●ガバペン
ターミナルケアで
痙攣などの神経障害性疼痛によく使われる
副作用に眠気がよく出る
 眠気でなければ増やしていけて、2000くらいから効果出てくる

●ノバミン
嘔気のコントロールにいい
ずっと使うとアカシジアに
モルヒネ使って1〜2週間で嘔気落ち着くので、減らしていくとよい

●疼痛コントロール
オキノーム 2.5mg
またはモルヒネ 3〜5mg
4時間おきに投与。5・6回目はひとまとめにしてもよい

または、ブロック


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