Thursday, December 16, 2010

Day 3 in paediatric ward

第一次返P shift,
一返去就聽交間
之後做routine.




Erect Suspine  BP
叫patient半訓五分鐘,
訓係度度一次BP.
之後patient起身再度一次,
如果兩個systolic 差20就要report


SaO2低
睇下個senser有無問題、
Check RR
睇有無dizzy,pale......


Abnormal BP
BP高,pulse低= increase ICP
BP低,pulse高=shock


倒尿後要寫BE(bag Empty)
唔係就=換左袋


Otraven
decongestant
最多俾3-5日
 Besides hypertension, common side effects include sleeplessness, anxiety, dizziness, excitability, and nervousness.
Decongestants are normally paired with antihistamines to lessen this effect, but the combination of both classes of drugs do not necessarily cancel the side effects of each other.
Topical nasal or ophthalmic decongestants quickly develop tachyphylaxis (a rapid decrease in the response to a drug after repeated doses over a short period of time). Long-term use is not recommended since these agents lose effectiveness after a few days.




OT返左patient要度BP,幫patient著衫,第一次小便要report.





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