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小儿科常用药物

2011-06-18 6页 pdf 134KB 21阅读

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小儿科常用药物 小兒科常用藥物 Cough Robitussin 0.25cc /kg qid Medicon 1# /40Kg qid Brocin 0.25cc /kg qid Throat swelling Varidase 1#/40kg qid Danzen 1# qid Mucolytics Mucosolvon 0.25cc /kg qid Fluimucil 1p /40kg qid Anti-histamine Mintapp 0.25cc /kg qid Periactin 1# /40kg qid Clarity...
小儿科常用药物
小兒科常用藥物 Cough Robitussin 0.25cc /kg qid Medicon 1# /40Kg qid Brocin 0.25cc /kg qid Throat swelling Varidase 1#/40kg qid Danzen 1# qid Mucolytics Mucosolvon 0.25cc /kg qid Fluimucil 1p /40kg qid Anti-histamine Mintapp 0.25cc /kg qid Periactin 1# /40kg qid Clarityne 1# /40kg bid Vena 1mg/kg IVD prn Decongestant Suffin 1# /40kg qid Bronchodilator Berotec 0.25cc /kg qid Ventolin 1# /40kg qid Aminophyllin 1# /40kg qid Meptin 1# /40kg bid Steroid Prednisolone 1~2 mg/kg/day Solu-cortef 10mg /kg iv loading And then 5mg /kg iv q6h Anti-pyretics Panadol 0.5cc /kg prn Voltaren supp 1#/12kg prn Voren 1# /40kg prn Mac-safe 0.5cc /kg prn Peptic ulcer Nacid 1# /40kg qid SMP 1# /40kg qid Fanta 0.25~0.5cc/kg qid Zantac 1#/40kg tid 0.8 mg/kg (IVD) q8h GI medication Biofermin 1# /10kg qid Gascon 1# /40kg qid Abdominal pain Strocain 1# /40kg qid Buscopan 1# /40kg qid 1amp/40kg prn Diarrhea Kaopectin 0.25~0.5cc/kg qid Questran 1p /40kg qid Laxatics MgO 1# /40kg qid Ducolax 1# prn Vomiting Cisapride 1# /40kg qid Primperan 1# /40kg qid 1amp/40kg prn Oral antibiotics Ulex 0.5cc /kg q6h Amoxil 0.5cc /kg q8h Erythromycin 0.25cc/kg q6h Cefspan 1p /12kg q12h Keflor 0.5cc /kg q8h Augmentin 0.3cc/ /kg q8h IV antibiotics Keflin 25mg/kg q6h Gentamicin (IVD) 2.5mg/kg q8h Unasyn 40mg/kg q8h Aq-penicillin 0.1MU/kg q6h Rocephin 25mg/kg q12h (meningitis 50mg/kg q12h) Augmentin 25mg/kg q8h Ampicillin 25mg/kg q6h Fortum 50mg/kg q8h Vancomycin (IVD) 10mg/kg q6h Amikin (IVD) 5mg/kg q8h Ointment Antifungal cream (Antifungus) ZnO ointment (Diaper rash) Canesten (Antifungus) Elomet (Steroid ointment) Corti-S (Steroid ointment) Kenalog in orabase (oral ulcer) Difflam spray (oral ulcer) 範例三:AGE with 10% dehydration z On the service of VS x x x /R4 x x x /Ri x x x z Dx :AGE with moderate dehydration, R/O Salmonella infection z BW: 10 Kg z On 4C ward routine : I/O qd, BW qd, BP tid z Record 大便次數 z Stool isolation z On soft diet and/or lactose-free formula as tolerance z IVF with (T2 + 1amp D50W) run 100 cc/hr for 8hrs, then 70 cc/hr for 16 hrs, then 45 cc/hr (10% dehydration == 10kg x 1000 x 10% =1000 cc, maintenance = 10 x 100 = 1000 cc) z Lab. Exam. : 1. CBC/DC, B/C, BUN/Cre, Na, K, Cl, Glucose, CRP (急診已做) 2. Check stool routine, culture and Rotavirus antigen, U/A 3. 換 IV 時, check CBC/DC and CRP, e- z Oral medication : 1.. Kaopectin 5 cc qid & st 2. Gascon 1/4 # qid & st 3. Biofermin 1# qid & st 4. Rowapraxin 1/4 # qid & st 5. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆMac-safe 5 cc q6hprn 如果符合給抗生素的情況 z Rocephin 250 mg iv q12h & st (50 mg/kg/day) 範例四:Acute bronchiolitis z On the service of VS x x x /R4 x x x /Ri x x x z Dx : Acute bronchiolitis z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z On O2 tent z chest care q4h & sputum suction prn z Lab. Exam. : 1. CBC/DC, B/C, Na, K, Cl, CRP (急診已做), micro blood gas 2. Chest x-rays (PA or AP view) 3. Nasopharyngeal aspiration for RSV rapid antigen test st 4. Nasopharyngeal aspiration for viral isolation z Oral medication : 1. Brocin 3cc qid & st 2. Mintapp 3cc qid & st 3. Berotec 2cc qid & st 4. Fluimucil 1/4 # qid & st 5. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 3/4 # supp q6hprn 範例七:Acute purulent tonsillitis z On the service of VS x x x /R4 x x x /Ri x x x z Dx : Acute purulent tonsilitis z BW: 20 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 65 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, Na, K, Cl, CRP (急診已做) 2. Throat swab for bacterial and viral cultures z Oral medication : 1. Robitussin 5cc qid & st 2. Periactin 1/2 # qid & st 3. Varidase 1/2 # qid & st 4. Fluimucil 1/2 # qid & st 5. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 10 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn 如果符合給抗生素的情況 z Keflin 500 mg iv q6h & st (100 mg/kg/day) 範例二:Croup z On the service of VS x x x /R4 x x x /Ri x x x z Dx : croup z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP (急診已做) 2. Throat swab for viral cultures 3. neck X-ray (PA & lateral view) (急診已做) z On O2 tent z Bosmin 1/2amp + N/S 1cc inh q6hr & st z Oral medication : 1. Robitussin 3cc qid & st 2. Periactin 1/4 # qid & st 3. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn 範例一:RML pneumonia z On the service of VS x x x /R4 x x x /Ri x x x z Dx : RML pneumonia z BW: 20 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T2 + 1amp D50W) run 60 cc/hr z chest care q4h & suction prn z Lab. Exam. : 1. CBC/DC, B/C, CRP (急診已做) 2. Chest x-rays (PA and lateral view) 3. sputum routine and for bacterial culture z urine pneumococcus Ag rapid test (自費) z Oral medication : 5. Brocin 5cc qid & st 6. Mintapp 5cc qid & st 7. Fluimucil 1/2 # qid & st 8. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 10 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn 如果符合給抗生素的情況 z Aq-PCN 2MU ivd q6h & st (10-400,000U/kg/day) or unasyn 750 mg iv q6h & st (150 mg/kg/day) 範例六:leg cellulitis z On the service of VS x x x /R4 x x x /Ri x x x z Dx : leg cellulitis z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with T1 run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP, ESR (急診已做) 2. pus smear and bacterial culture z wound CD qd z fucidin cream 1 tube topical use for wound care z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn z keflin 250 mg iv q6h & st (100 mg/kg/day) 範例五:Neck lymphadenitis z On the service of VS x x x /R4 x x x /Ri x x x z Dx : neck lymphadenitis z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP, ESR (急診已做) 2. needle aspiration for smear and bacterial culture z neck echo z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn z keflin 250 mg iv q6h & st (100 mg/kg/day) GM 25mg ivd qd & st (5mg/kg/day) 範例八:Neutropenia fever z On the service of VS x x x /R4 x x x /Ri x x x z Dx : PNET with neutropenic fever z BW: 20 Kg z On 4C ward routine : I/O qd, BW qW1,4, BP q8h (如果 toxic 就 q4h) z Admitted to isolation room if available z On full diet as tolerance z IVF with 2.5% G/S run 65 cc/hr z Dobell’s solution for oral hygiene use z 5cc B-Iodine in 500cc N/S for perianal use z Lab. Exam. : 1. CBC/DC, B/C (如果有 port-A 要兩套), BUN/Cre, Na, K, Cl, Ca, P, GOT, GPT, ALP, LDH, CRP, PT, APTT st (急診已做) 2. U/A, U/C st, S/A, S/C st if diarrhea (+) 3. CxR st (急診已做) 4. F/U CBC/DC, CRP, qd x 3 days if port-A (+) (沒有 Port-A 的病人 或許 QOD 即可) 5. F/U BUN/Cre, Na, K, Cl, Ca, P, GOT, GPT, ALP, LDH, PT, APTT QW1, W4 (或是換 IV時) z Medication : 1. G-CSF 250 ug sc qd & st 2. Hold 所有化學藥物 3. 看症狀給藥 (MgO if hard stool, ……..) 4. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 10 cc po q6hprn > 39 CÆ Voren 1/2# + Nacid 1/2# aa po q6hprn z 抗生素特殊處方 1. Keflin 500 mg iv q6h & st (100mg/kg/day) 2. Piperacillin (Pipril) 1000 mg iv q6h & st (200~300 mg/kg/day) 3. Amikacin 100 mg ivdrip q8h & st (15 mg/kg/day) 4. Baktar 1/2 # bid QW1, W3, W5 5. Mycostatin 1/2 # qid & st 6. Mycostatin 3cc qid & st (if oral ulcer (+)) 範例十一:Young infant fever z On the service of VS x x x /R4 x x x /Ri x x x z Dx : young infant fever z BW: 5 Kg z On level II ward routine z On 14% RF q4hr as tolerance z IVF with (T1 + 1amp D50W) z IV + PO = (120~200ml/kg/day) q8hr z Lab. Exam. : 1. CBC/DC, B/C, CRP, Glucose (急診已做) 2. U/A and U/C (suprapubic puncture) 3. CSF/R and CSF/C 4. sign lumbar puncture permit z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 3 cc q6hprn > 39C CÆ warm bath z Ampicillin 125mg iv q6h & st (100mg/kg/day) GM 12.5mg ivd q12h & st (5mg/kg/day) 範例十二:pyruia R/O acute pyelonephritis z On the service of VS x x x /R4 x x x /Ri x x x z Dx : UTI R/O APN z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP (急診已做) 2. Urine routine & culture (註明 urine bag or suprapubic puncture) z Renal echo z DMSA renal scan (加蓋急做印章) z 留一管CBC, 生化for Dr周信旭/VS 邱元佑 z 每天留一管 U/A 冰冰箱下層 for VS 邱元佑 z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn z keflin 250 mg iv q6h & st (100 mg/kg/day) GM 25mg ivd q12h & st (5mg/kg/day) 範例十五:prolonged fever R/O Kawasaki disease z On the service of VS x x x /R4 x x x /Ri x x x z Dx : R/O Kawasaki disease z BW: 20 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 60 ml/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP, ESR, GOT, GPT (急診已做) 2. U/A, U/C st 3. Arrange cardioecho before IVIG 4. Arrange DMSA—若確立或高度懷疑為Kawasaki disease時 5. 請預留一管生化及urine for Dr.王玠能 before IVIG 6. Please inform CV fellow Dr.葉政南/姚志達 z IVIG 1 g/kg/d ivd for 12 hrs qd * 2 days (1st day先以0.5g ivd for 30 min作為testing dose) z Aspirin 50-60 mg/kg/d qid z Nacid 1/2# po qid with Aspirin z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 1/2# po q6h prn > 39C CÆ Voren 1/2# + Nacid 1/2# po q6h prn 若infections無法完全排除時,則可給予empiric A/B: z Keflin 25mg/kg/dose iv q6h GM 2.5mg/kg/dose ivd q8h 範例十:ALL for HD-MTX chemotherapy z On the service of VS x x x /R4 x x x /Ri x x x z Dx : ALL in consolidation week 3 of TPOG-ALL-2002-HR z BW: 20 Kg z On 4C ward routine : I/O qd, BW qW1, W4, BP q8h z On full diet as tolerance z IVF with (2.5% G/S+ 1/2 amp Jusonin) run 90 cc/hr (1.5 X maintenance) z Check urine pH q8h, if pH < 7.0 add 1/2 amp Jusonin in 500cc IVF z Lab. Exam. : 1. CBC/DC, BUN/Cre, Na, K, Cl, Ca, P, GOT, GPT, ALP, LDH, PT, APTT st and QW1, W4 2. 24 hr Ccr st and QW z Medication : 1. MgO if hard stool 2. 看症狀給藥 3. 化學藥物特殊處方請參考工作手冊 範例九:Thrombocytopenia R/O ITP z On the service of VS x x x /R4 x x x /Ri x x x z Dx : thrombocytopenia R/O ITP z BW: 20 Kg z On 4C ward routine : I/O qd, BW qW1, W4, BP q8h z On full diet as tolerance z IVF with 2.5% G/S run 65 cc/hr z Lab. Exam. : 1. CBC/DC, reticulocyte, BUN/Cre, Na, K, Cl, Ca, P, GOT, GPT, ALP, LDH, PT, APTT, fibrinogen st 2. C3, C4, ANA (& dsDNA if lupus highly suspected) [年齡 < 5 y/o 不必做] 3. Coombs' test (direct & indirect) --- if anemia present (for Evan's syndrome) 4. EBV IgG & IgM, CMV IgG & IgM, Anti-HCV, Anti-HBs, HBsAg, Rub IgM 5. 留 3 cc 生化血給陳醫師 6. U/A 7. BM aspiration st 8. NPO 4hrs before BM exam 9. Propofol 1amp for sedation during BM exam (自費) z Medication : 1. 看症狀給藥 2. BMA 顯示 leukemiaÆ 依照 leukemia work-up 3. BMA 正常,病人沒有 infection signÆ Solumedrol 600 mg ivdrip 1hr qd x 3 days (30 mg/kg/day, max 1000mg) 4. if 病人有 infection signÆ IVIG 20g ivdrip 12 hr qd x 2 days 5. 治療結束隔天 F/U CBC 6. If PLT > 20,000 就出院,出院給一張CBC單門診檢驗 範例十四:Large VSD for cardiac cath exam. < Pre-cath. Order > z On the service of VS x x x /R4 x x x /Ri x x x z Dx : Large VSD for catheterization z BW: 20 Kg z On 4C ward routine z On full diet as tolerance z IVF with T1 run 60 cc/hr z Lab. Exam. : 1. CBC/DC (若要做PDA coil embolization,則需check PT/PTT) 2. Chest x-rays (PA view), complete EKG (若3個月內曾做過則不需 repeat) z Pre-medication : 1. 備Propofol 1 amp帶至Cath. Room (自費) 2. Keflin 25 mg/kg/dose iv q6h * 4 doses, 1st dose 30 min before cath. z Send p’t to cath. room on call with CXR, chart, sand bag and 急救箱 z Keep Hct around 55% in cyanotic CHD, and 40-50% in non-cyanotic CHD z Compress the puncture site for 6 hrs (artery) or 2 hrs (vein) with sand bag z May try soft diet or milk feeding if consciousness clear z Palpate pedis dorsalis a. or post. tibial a. of the punctured limb; please inform CV fellow if suspect a. obstruction z Resident or Intern doctor and nurse should accompany the transport of TOF p’t 範例十三:Recurrent abdominal pain for endoscopy exam. z On the service of VS x x x /R4 x x x /Ri x x x z Dx : recurrent abdominal pain for panendoscopy z BW: 20 Kg z On 4C ward routine z NPO since midnight z IVF with (T2 + 1amp D50W) run 60 cc/hr while NPO z Lab. Exam. : CBC/DC z Pre-medication : 1. Demoral 40mg (2mg/kg, max 50mg) 2. Buscopan 10mg (0.5mg/kg, max 20mg) Mixed IM 30mins before send patient to endoscopy room z 備Propofol & Dormicum 1 amp 帶至 endoscopy Room z take pulse oximeter & Ambu-bag & mask for appropriate size to endoscopy room ( 請務必 check) z Send p’t to endoscopy room on call with X-ray film & chart 請確實檢查申請單已開出,並以電話聯絡內視鏡室 (2680, 2681) 確定 時間 範例十六:hematuria for renal biopsy z On the service of VS x x x /R4 x x x /Ri x x x z Dx : Hematuria for renal biopsy z BW: 20 Kg z On 4C ward routine z On full diet as tolerance ( NPO 4-6 hrs before biopsy) z IVF with (2.5%G/S + 1amp D50W) run 60 cc/hr z Lab. Exam. : CBC/DC, PT/APTT, bleeding time (check之前在OPD 是否已測過) z 開病理檢驗單及報告單 (檢體欄勾腎臟切片) z Explain the procedure to patient and obtain written permission z Premeditate before biopsy with: 1. 能配合的病人: Demerol 1mg/kg (max: 50 mg) IM or IVD 30 min before biopsy 2. 不能配合的病人: Dormicum (15mg/3ml/amp) 0.03-0.04cc/kg, 3 mins before biopsy 3. 另備 propofol 1amp 4. < 3 m/o 僅需 chloral hydrate 0.5-1 ml/kg PO or PR << Post Biopsy Order >> z Apply a firm dressing to biopsy site z Keep supine flat position with a rolled sheet or bags under the biopsy site z Absolute bed rest for 24 hrs z Check BP with BP monitor and vital signs q15min for 2 times -> q30 min for 2 times -> q1hr for 2 times -> q4hr for 12 hr z Check U/A, CBC at 4 and 24 hours after the procedure and prn z Observe all samples of urine for hematuria and clots z Resume previous diet and medication, if conscious clear z F/U renal echo 48 hr later before discharge z If BP>140/90 or < 90/50 or not void by 12 hours follow biopsy -> inform Dr (BP 需考慮各年齡層差異) z Explain to family: 數日內避免過度運動, 便祕及咳嗽等 範例十九:Asthma attack z On the service of VS x x x /R4 x x x /Ri x x x z Dx : Asthma z BW: 20 Kg z On 4C ward routine, on oximeter if needed z On full diet as tolerance z O2 mask use if needed ( keep SaO2 > 95% ) z IVF with (T2 + 1amp D50W) run 60 cc/hr z Aminophylline 1 Amp (250mg) in D5W 250ml run 20ml/hr (一次taper 半量, 在24hr內DC) z Bricanyl 1ml in N/S 2ml inh. q4~6h & st. z Solu-cortef 200mg loading (10mg/kg) st, then 100mg (5mg/kg) iv q6h z Lab. Exam. : 1. CBC/DC, blood gas, Na, K, Cl, Glucose, CRP (急診已做) 2. CxR z Oral medication : 1 Ventolin 1/2# qid & st. 2. Periactin 1/2# qid & st. 3. Aminophylline 1/2# qid & st. (iv form DC後, 改口服) 4. Prednisolone 1# qid & st. (iv form DC後, 改口服) 5. Fluimucil 1/2pk qid & st. 範例二十:HFM disease R/O CNS involvement z On the service of VS x x x /R4 x x x /Ri x x x z Dx : HFMD R/O CNS involvement z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP, glucose (急診已做) 2. throat/ rectal swab for viral isolation 3. CSF/R, CSF/C and viral isolation 4. 預留生化血 3cc z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn 範例二十三:Hyperbilirubinemia for phototherapy z On the service of VS x x x /R4 x x x /Ri x x x z Dx : hyperbilirubinemia for P/T z BW: 3 Kg z On level II ward routine z On 14% RF q4hr as tolerance z IVF with (T1 + 1amp D50W) z IV + PO = (100~150ml/kg/day + 25ml x lamp No./kg/day) q8hr z Lab. Exam. : 1. CBC/DC, reticulocyte count, RBC morphology, Coombs’ test, HDN test 2. Bil (T/D), GOT/GPT, G-6-PD test 3. SB level q12h z On phototherapy x (I~II) 範例十八:Surgical Scarlet fever z On the service of VS x x x /R4 x x x /Ri x x x z Dx : surgical scarlet fever z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, GOT/GPT, BUN/Cr, CRP 2. pus smear and bacterial culture z fucidin cream 1 tube topical use for wound care z On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn z keflin 250 mg iv q6h & st (100 mg/kg/day) GM 25mg ivd q12h & st (5mg/kg/day) 範例十七:HS purpura z On the service of VS x x x /R4 x x x /Ri x x x z Dx : HSP z BW: 20 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T2 + 1amp D50W) run 60 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, ESR, Na, K, Cl, CRP (急診已做) 2. S/A, U/A st. z Oral medication : 1. Panadol 1/2# qid for arthralgia 2. Prednisolone(1-2mg/kg/day) 1# qid & st 3. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 1/2# q6hprn > 39 CÆ Voren 1/2# & nacid 1/2# q6hprn 範例二十二:Bronchopneumonia z On the service of VS x x x /R4 x x x /Ri x x x z Dx : bronchopneumonia z BW: 10 Kg z On 4C ward routine z On full diet as tolerance z IVF with (T1 + 1amp D50W) run 40 cc/hr z Lab. Exam. : 1. CBC/DC, B/C, CRP 2. CxR (PA or AP view) z Nasopharyngeal aspiration for viral isolation z Chest care q6h & suction prn z Oral medication : 1. Brocin 3cc qid & st 2. Mintapp 3cc qid & st 3. Fluimucil 1/4 # qid & st 4. On fever routine: > 38 CÆ ice pillow > 38.5 CÆ Panadol 5 cc q6hprn > 39 CÆ Voltaren 1# supp q6hprn 如果符合給抗生素的情況 z unasyn 375 mg iv q6h & st (150 mg/kg/day) 範例二十一:Nephrotic syndrome z On the service of VS x x x /R4 x x x /Ri x x x z Dx : Nephrotic syndrome (relapse) z BW: 10 Kg z On 4C ward routine, record I/O, check BW, 腹圍 qd z Diet: low sodium diet z IVF with (T1 + 1amp D50W) keep line or on IV lock z Lab. Exam. : 1. CBC/DC, BUN/Cr, Albumin, Ca/P, Na/K/Cl (if fever 加 CRP, B/C) 2. Urine routine & 24 hr Ccr & daily protein loss 3. 若第一次發生: check TG/Chol, IgG, A, E, HbsAg, ASLO, C3/C4, serum IgG & transferring, urine IgG & transferring 及 Renal echo z Albumin 40 ml IVD 2 hrs qd x 3 days z Lasix 10 mg iv after albumin x 3 days z Prednisolone 1# po qid (2mg/kg/day, max 60mg/day) z 若為 relapse case 注意病人之前在OPD 服用的藥物 (e.g. cyclosporin, Endoxan, Decaris…等) 需繼續服用 z 留2管CBC 各3 ml for VS 邱元佑 z Empiric A/B with Keflin + GM if fever or infection sign present
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