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医学メモ 090105

●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

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