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
コメント
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