急:各位幫幫忙,翻一篇醫囑!!謝謝幫忙 - 藥品

Eartha avatar
By Eartha
at 2009-06-07T00:00

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This is a 58 y/o married female who came form 慈心養護機構.She was brought by her son via OPD to our ward.
According to the past chart record and her familys report.She was quite well before the onset.
The onset time was at about MK77(about her 20 y/o).The psychosocial stressor was family stressors.
The initial symptoms were self-talking,easily hot tempor,shouting,delusion of persecution.So she was brought to凱旋hospital for help;and she was admitted for 2 times.After discharge,she can obtained well daily fanction with good drug compliance.

And about her 55yaers ago,she quited medicine use.And self-talking,irritable mood,shouting,iusomnia,disorganized was noted.So she went to our hospital for help on96/8 However,duetopoor insight and poor drug compliance,multiple relapse was noted in recent 2 years.(she was admitted for 3 times to our acute ward in recent 2 years.Thelast hospitalization was during 97/5/2-97/8/13)During the past three hospitalization at our hospital,antipychotics with haloperidol,flupenthixol,haloperidol depot,flupenthixol
Depot(皆因poor drug compliance故 shift to depot use) had been used EPS (parkinsonism,rigidity) were alsonoted too.
After last aisharge fpom our hospital ,she came home under her son and daughter’s
Care.owever,falling down due to 半夜如廁不慎跌倒 on 98/3 was happened.And R’t
tibia fracture S/P operation at 成大 was arranged (裝內固定後約住院一週後出院).After then,she was send to 慈心養茯機構 for disposition due to difficulty to care.
However,at慈心養茯機構,irritable mood,sometimes shouting,self-talking,disturbing behaviors(slef-talking.singing等干擾到其他住民),poor sleep poor drug compliance
(會藏) were noted,so she was brought by her son to our OPD help.And she was admitted
to our ward for further treatment.
Tags: 藥品

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Poppy avatar
By Poppy
at 2009-06-10T04:31
這個個案是一個58歲出已婚女性來自慈心養護機構。她被她的兒子經由我的門診帶至病房。
依據過去的病歷記錄和她的家庭報告.她發病前相當好。
她發病時間大約在MK77 (大約在她20歲時)。心理壓力是來自家庭的壓力。
最初的症狀是自我交談,easily hot tempor(顳容易熱,是否有錯,拼起來怪怪的),高喊(大聲嚷嚷),被害妄想.所以她被帶到凱旋醫院尋求幫助;她入院二次.之後出院,她能每日規律的服從藥物
在她55歲前,她放棄醫學(藥物)治療.和自言自語,急躁情緒,大聲, 失眠 ,混亂是顯著的.所以她來我的醫院尋求幫助在96年8月,然而,由於的控制差的洞察和控制差的藥物依從性,反覆復發明顯在最近2年。 (她入院3次從我們的急性病房在最近2年.最後住院治療的期間在97/5/2-97/8/13 )在過去三年在本院住院,

antipychotics
抗精神病藥物(antipsychotics)
A..適應症
抗精神病藥物主要用於治療精神病,如精神分裂症、妄想症、躁症…等,也用於治療出現激躁、幻覺、妄想或錯亂言行等證之相關病症,如瞻妄(delirium)、器質性精神病。
B..副作用
(1)錐體外徑症群(EPS):
這是因為基底核多巴胺受抑制造成的運動協調障礙。常見的EPS包括:
◎急性張力不全(acute dystonia)
◎靜坐不能(akathesia)
◎巴金森氏症候群(Parkinson syndrome )
◎遲發性運動異常(tardive dyskinesia)
haloperidol,
藥品名稱(中文): 安寧錠5公絲(哈泊度)
適應症(中文): 燥病、精神病狀態、噁心、嘔吐、攻擊性與破壞性之行為障礙、舞蹈病
副作用(中文): 坐立不安,動作遲緩,手發抖,表情淡漠,吞嚥困難
flupenthixol
射劑錠/0.5, 1, 3, 5mg
注射劑/20mg/1ml(Amp)
藥物作用:
1.為神經弛緩劑,若每天應用3mg以上,則具有精神病治療作用,能迅速消除幻覺、妄想症與戒斷等症狀。
2.藥效快,停藥後,作用也就立即停止。
治療項目:
精神抑鬱症、精神分裂症、精神病。
副作用:
1.有暫時性失眠。
2.若有錐體束外症狀,可用用抗帕金森氏症藥即可克服。
使用禁忌:
精神分裂症的激動期、急性巴比妥酸鹽、酒精和鴉片中毒的病人、孕婦等禁止用。
haloperidol 囤積 flupenthixol囤積
(皆因惡劣的藥物服從(PS:病人低依從性,控制不良)故轉變儲存使用)產生了(導致了)錐體外症候群(震顫麻痺,僵硬)非常顯著的。
從我們醫院出院以後,她回到家根據她的兒子和女兒照顧
.owever ,由於半夜如廁不慎跌倒在98年3月發生.和
右側脛骨骨折手術後在成大是安排(裝內固定後約住院一周後出院) 。經過然後,她是送到慈心養茯機構
因為情緒(性格)而難以照顧。
然而,在慈心養茯機構,急躁情緒,有時高呼,自言自語,令人不安的行為( 自言自語.唱歌等干擾到其他住民) ,睡眠差,藥物依從性差(會藏)指出(明顯發現),她被她的兒子帶到我的門診尋求幫助.而入院至我們的病房做進一步的治療.

大漢酵素與塑博士

Connor avatar
By Connor
at 2009-06-07T00:00
最近看中兩款減肥食品
塑博士 青木瓜酵素 v.s. 大漢酵素魅莉粉
請問哪種比較好
麻煩使用過的版大發表一下意見
請不要再打廣告
我就只要�� ...

請問有人知道這種生物嗎?

Wallis avatar
By Wallis
at 2009-06-06T00:00
在這個網頁上面:
http://tw.myblog.yahoo.com/roving-dreamer/photo?pi...
這張是遠處看的樣子:
http://tw.myblog.yahoo.com/roving-dreamer/photo?pi...
Update:
To小梓大� ...

糖尿病治的好嗎??有效辦法是??

Steve avatar
By Steve
at 2009-06-05T00:00
我ㄉ媽媽被檢查出有糖尿病請問有治療方法嗎 ??

漸凍人的治療藥物

Agnes avatar
By Agnes
at 2009-06-04T00:00
想問一下治療漸凍人的「riluzole」延緩死亡的藥物已嚴格解凍ㄌ嗎?因為之前要申請這種藥物它管制得很嚴格.現在有放寬申請了沒???

六合一疫苗

Oliver avatar
By Oliver
at 2009-06-04T00:00
六合一疫苗已打兩次每次都發燒是要繼續打還是要換三合一疫苗衛生所