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案例示范

案例示范. DiseaseDex for General Medicine Question. A 53-year old male smoker suffering from diabetes is being assessed for the risk of hypertension. His cholestrol level was taken. What data do you require as a starting point for discussion of medications? Select Hypertension

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案例示范

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  1. 案例示范

  2. DiseaseDex for General Medicine Question • A 53-year old male smoker suffering from diabetes is being assessed for the risk of hypertension. His cholestrol level was taken. What data do you require as a starting point for discussion of medications? • Select • Hypertension • DiseaseDex General Medicine Clinical Review • Figure 1: Using the Framingham Data to Individualize Risk for Men

  3. DiseaseDex for General Medicine - Question • A 33-year old patient with poorly controlled asthma was admitted with another exacerbation. On the 2nd day her medications include albuterol nebulisations and methyl-prednisolone IV and there was little improvement. What additional measures might be helpful in having the exacerbation under control? • Select • Asthma • DiseaseDex-Gen Med Clinical Review (15 related occurences) • ASTHMA-Complete Monograph • Drugs to Consider • Tables and Figures • Figures, Algorithms for management of asthma exacerbations in hospital / emergency care

  4. Diseasedex Emergency Medicine - Question • A pregnant woman is seen in the ED with trauma as a result of a car accident. Her white blood cell (WBC) count is 21,000. Is this a sign of placental abruption (placenta tearing away to result in fetal demise) Select Placental Abruption Diseasedex Emergency Medicine Clinical Reviews ABRUPTIO PLACENTAE – Clinical Reviews Laboratory Data White Blood Cells

  5. Diseasedex Emergency Medicine - Answer b. In pregnant trauma patients, an elevated WBC count on admission (>20,000/mm(3)) is an indicator of ongoing placental abruption and requires close monitoring (Shah, 2002).

  6. CareNotes Systems • 3,000 documents cover 26 categories of diseases in simple English • Customizable • Cut-&-paste, Header & footer • Hotlist to SaveNotes • Password security • CareNotes Systems has 6 parts • General Information • Pre-care • In-patient care • Discharge care • Long term home care • DrugNotes

  7. CareNotes Systems - Question • Demonstrate how to use a Metered Dose Inhaler (MDI) • Select • Access Patient Education • The CareNotes System • Inhaler • How to use a metered dosage Inhaler • Discharge care - English

  8. CareNotes Systems - Answer • Shake the inhaler, Remove the cap from the mouthpiece……The following are the 3 methods to use an MDI. • Method 1: Hold the inhaler 1 to 2 inches in front of your mouth • Method 2: You may be given a spacer/holding chamber to use with your inhaler. This is a piece of plastic-like tubing that is put on the mouthpiece of the inhaler. Chambers come in different shapes. The medicine goes into the chamber first and slows the mist going into your mouth and throat. Close your lips loosely around the mouthpiece. Do not block the opening with your teeth or tongue. .

  9. Poisindex - Question • A 18 year-old tries to get high by consuming a bottle of Robitussin DM. The poison centre is called when he is in a stupor and has trouble in breathing. What are the clinical effects and treatment protocols? Select Robitussin DM Robitussin DM from A.H. Robins (Australia) Dextromethorphan Clinical Effects Treatment

  10. Poisindex - Answer Clinical effects– c) Rammer et al (1988) report the fatality of an 18-year-old female who ingested an unknown quantity of dextromethorphan. Drug screen for other agents was negative. Death was attributed to central respiratory depression. Treatment • a) Consider prehospital administration of activated charcoal as an aqueous slurry in patients with a potentially toxic ingestion who are awake and able to protect their airway. Activated charcoal is most effective when administered within one hour of ingestion. (Thakore & Murphy, 2002) Spiller & Rodgers, 2001).

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