090911 医学メモ
●CKD
腎臓内科への紹介は
・尿タンパク <0.5g/Cre
・タンパク尿・血尿混在(いずれも定性で+以上)
・eGFR <50
日本人でのGFR修正(日本人は多目に計算してしまう)
・MDRD x 0.8
・Cockcroft-Gault x 0.789
●がん緩和ケア
モヒつかっているのにノバミンのめないなら、ハロペリドールも手
●伝染性膿化疹
なら 抗生物質内服4日、バラマイシンぬる
●在宅診療 チェックすべきこと
3大介護レベル評価
食事、排泄、睡眠
他
活動性、経済背景(車、家、など)
嚥下のレベル
介護者の解釈モデル
薬 余計なものはいっていないか
訪問看護
HOTだけで5万くらいはかかる
●炭酸水素ナトリウム
かさかさ肌におふろでぬると、膜をつくって2日くらいいい。ワセリンみたいにべとつかない。床が滑って職員危険だけれど
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