Sunday, December 19, 2010

Day 5 in paediatric ward

今日兇惡的姑娘唔係度,好開心!
學左新野:
FEV1(forced expiratory volume in 1 second)
FEV1 is by far the most frequently used index for assessing airway obstruction, bronchoconstriction or bronchodilatation; FEV1 expressed as a percentage of the VC is the standard index for assessing and quantifying airflow limitation.
用spirometer就會出E個value
叫patient吸一口氣,之後用力吹一下
用View mode 會show理其他value
FEV1/predicted FEV1 x 100%
吹都有分pre med & post med
吹完記得要抹返部機,
同埋patient自己有自已個吹咀。




FiO2=O2 saturation given, RA is 21%


My little patient:
Kawasaki disease (KD), also known as Kawasaki syndromelymph node syndrome andMucocutaneous lymph node syndrome,[1] is an autoimmune disease that manifests as a systemic necrotizing medium-sized vessel vasculitis and is largely seen in children under 5 years of age.
There is often a pre-existing viral infection that may play a role in its pathogenesis.


Treatment:

Intravenous immunoglobulin (IVIG) is a blood product administered intravenously. It contains the pooled IgG (immunoglobulin (antibody) G) extracted from the plasma of over one thousand blood donors. IVIG's effects last between 2 weeks and 3 months. It is mainly used as treatment in three major categories:

-Salicylate therapy
-Corticosteroids

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