400 likes | 634 Views
. (I)???. Penicillin test. ??????? ?(????????)? 5cc????? 3cc?????? ??3cc???????????? penicillin,??????3cc ??????,???????,?????? 100???/cc ???? 1cc ????,?? 0.1cc ???????,????? penicillin 0.1cc ,??? 0.9cc ????,?????? 1cc,????? 10???/cc,??????,????????? ?????? 0.9cc,????? 0.1cc,??? 0.9cc????,???????? 1cc,????? 1???/cc,??????,????????? ??????????,???? 100??/cc???? 0.7cc ,?????? 0.3cc ?? ?????????,????? 10~15?,????????,?????,??? 0.1~0.2cc ??? penicillin ??????0.8cm???1141
E N D
1. ????????????-?????? ???? ???
?????
95.2.14
2. (I)???
3. Penicillin test ???????
?(????????)? 5cc????? 3cc??????
??3cc???????????? penicillin,??????3cc
??????,???????,?????? 100???/cc
???? 1cc ????,?? 0.1cc ???????,????? penicillin 0.1cc ,??? 0.9cc ????,?????? 1cc,????? 10???/cc,??????,?????????
?????? 0.9cc,????? 0.1cc,??? 0.9cc????,???????? 1cc,????? 1???/cc,??????,?????????
??????????,???? 100??/cc???? 0.7cc ,?????? 0.3cc ??
?????????,????? 10~15?,????????,?????,??? 0.1~0.2cc ??? penicillin
??????0.8cm????,???????????????,
???????NS????,??? 0.1~0.2cc, 0.8cm????
?????????????,??15???????????
*?? 3mm,positive
4. Penicillin G Benzathine(Retarpen®) 240?IU/vial
??IV,??IM(?,?1/4????)
????N/S?dis water 5c.c,??20????????,????
????alcohol????,??alcohol?Benzathine????????????
5. Cefoperazone(Unizone®) 1g/vial
????N/S,D5W,D5S,LR
???Aminoglycoside?????ex.Gentamycin,Amikin,Exacin,??????
Maxtam???
6. Sulfamethoxazole/Trimethoprim(Septrin®) Septrin for Infusion 400mg sulfamethoxazole & 80mg trimethoprim/5ml/amp
??????
1amp(5ml)??125ml N/S,D5W,D10W
2amp(10ml)??250ml N/S,D5W,D10W
3amp(15ml)??500ml N/S,D5W,D10W
???????,???????
1amp(5ml)??75ml D5W,???????????,???????
???????1-1.5??
7. Phenytoin(Dilantin®) 100mg/2ml/amp
???,????????, pH????????
????(IV)
????????????????,???<50mg/min,?????????????N/S,?????????N/S,?????(????)???????
????(IVF)
?50-100ml?????<10mg/ml????,????????????????,??????????N/S???????????,?????(????)???????
8. Vancomycin(Vancomycin®) 500mg/vial
?10ml???????,???D5W,LR, NS,???<5mg/ml (500mg?100ml,1g?200ml)
???????,???????? <10mg/ml
?????>??1??(rate<10mg/min),?????????Red man syndrome
9. Amphotericin-B(Fungizone®) 50mg/vial
?10ml???????,??? D5W (only in D5W)500ml,???0.1mg/ml????(IVF)
Test dose:1mg in 20ml D5W IV over 20-30min
???(0.1mg/ml)?????
UTI??????,?????30-50mg???20-1000ml????????
????(IVF)??????(2-6hr),????????,???,????????)
10. Multivitamin(Lyopovigen®) 5ml/vial
???????????????????
????????(??????)???????(??????)?,?????????(?????),??????,????500-1000ml?D5W, NS, ????, ?????
???????
????IV
11. Omeprazole(Losec®) 40mg/vial
?5mlN/S?D5W??????,????????
?N/S???,???12hrs?????
?D5W???,???6hrs?????
12. Amiodarone(Cordarone®) 150mg/3ml/amp
?????D5W?,????>600mg/L (2amp??500ml?D5W)
13. Nitroglycerin(Millisrol®) 5mg/10ml/amp
???D5W,N/S,H/S,L/R
?????PVC????????PVC?IV set,?PVC???????40-80%
?????????????48??
14. Paclitaxel(Formoxol®) Paclitaxel?????,???50% Cremophor EL+50%??????,?Cremophor EL?PVC?????,????DEHP?????,?????????PP Bag,???0.2um filter??????
15. IVIG(Gamimune-N®) 2.5g/50ml/vial
?????IVF,??IM
???2hr????
?????0.01-0.02 ml/Kg/min run 30 min,??????,????????0.08ml/Kg/min
???????ADR:flushing, hypotension, chills, fever, headache, low back pain, nausea, chest tightness,????????????????
Gamimune-N®?NaCl?????,??????D5W
??????????????(??)
16. Diphenhydramine(Diphenhydramine®) AHFS Drug Information(2004)??Diphenhydramine????????25mg/min
??????????IV push,???2.5c.c?5c.c?????push,?????????????????
??ADR???????Diphenhydramine induced Tremor and agitation
17. ???? (Lipofundin®,Lipovenous®,
Intralipid®)
?fat???????set?????
???????????? 0.15 g/kg/hr
18. ????
19. ?????
20. ???????????
21. ?????(I)
22. ?????(II)
23. ?????(III)
24. (II)????
25. ???????????
26. ????(I)
27. ????(II)
28. ????(III)
29. ????(IV)
30. ??? (I)
31. ???(II)
32. ???
33. ??
34. Alendronate(Fosamax®) 70mg/tab
??????,??????,????200-300c.c???
??????????,???????
??????????,?????????????????????
???????,???????
35. ?????????????? ??????????????????
????????????????????call ???????????
Call ??????,?????
??
??
??
??????
36. Acarbose (Glucobay®) ???(a-glucosidase)???
????????????,????????????????????????,???????,??????????a?ß-glucosidase ????????????,??,???????????????????????????????,??????????
?????a-glucosidase???????,??????????????a-glucosidase??,??????a-glucosidase?????,???????????,???????????????????,??????????
????????????????,?????a-glucosidase??,??????,????????????,???????????,????????
37. ??????- Fluoroquinolone Cravit?Ciproxin????,sucralfate,??,??, ?, ?, ?, ?????? fluoroquinolones ?????,?? fluoroquinolone ???,???? 90% ?? (? ciprofloxacin ? sucralfate ??????)
??:????(fluoroquinolone??????2??)???H2-blocker, PPI
38. (III)????
39. Minirin® nasal spray?????????? ??????
????
?????,???????????? ,???????,????4?,????????
?????????????, ???????????,?????,????,??????
???,?????
?????????
??15???,?????
40. Miacalcic®Nasal 200?????????? ??????
????
?????,????????????,???????,????3?,??????????
?????????????,???????????,?????,????,???????,????,??????
??15???,?????
?????????
???,?????
?????????
???????????16?,?????????
41. ????!