The New Generation Of Banging Hardtechno

bracerm2f

★ Cardiology:
△ stable angina:
Aspirin 0.1 qd; clopidogrel 75mg qd; bite Simvastatin 20mg qn; bisoprolol (Bosu) 2.5mg qd; isosorbide mononitrate sustained release tablets (Yimu more) 30mg qd.
△ acute extensive anterior myocardial infarction:
therapy: Aspirin 0.1 qd; clopidogrel 75mg qd; bite atorvastatin (Lipitor) 20mg qn; low molecular weight heparin 0.6ml paraumbilical subcutaneous bid; perindopril (Acertil) 4mg qd; bisoprolol (Bosu) 1.25mg qd.
relief medications: Nitroglycerin 10mg iv-vp 6ml / L; (if it can not control the use of chest pain together Pui cool.)
△ dilated cardiomyopathy complicated with right heart failure:
strong heart: digoxin 0.125mg bid (slowly increase the volume); diuretic: furosemide 20mg bid, spironolactone 20mg qd; ACEI: perindopril 4mg qd; bR blockers: bisoprolol 1.25mg qd; improve circulation: cinepazide maleate 320mg ivgtt qd,[link widoczny dla zalogowanych], Lipo 10mg ivgtt qd, tanshinone II-A 80mg ivgtt qd.
These are the main drug treatment, other treatment and symptomatic treatment usually not much said. (See Surgical treatment Summary)
△ WPW syndrome and paroxysmal supraventricular tachycardia:
radical: radiofrequency catheter ablation, the third postoperative day and discharged after dressing.

★ Endocrinology:
neurotrophic: methylcobalamin, well in the fitness 3ml im, protein extract of calf blood (Actovegin) 30ml ivgtt.
improve circulation: Shuxuening 20ml, Ginkgo biloba extract injection (Ginaton).
improve cerebral oxygen supply: almitrine - Luoba new (all welcome) a bid. Most patients in
diabetes, diabetic patients to the hospital and most of the big merger, and peripheral nerve microvascular complications, is also the main drug injected insulin, nutrition, nerves, improve circulation . How about the insulin, not too round or two weeks they get to know, here is not to say.
★ Department of Gastroenterology:
HP eradication treatment: 1. capsules ranitidine bismuth citrate (Switzerland times) 0.35g bid AC;
; 2. clarithromycin 0.5g bid;
3. furazolidone (furazolidone) 0.1g bid .
active hepatitis B (HBeAg and HBV-DNA> 10 ^ 5) anti-viral therapy:
1. entecavir 0.5mg qd; 2. adefovir dipivoxil 10mg qd; 3. lamivudine (lamivudine) 100mg qd.
prevention of upper gastrointestinal bleeding: white and mortar 250ml q8h ivgtt; 6 - aminocaproic acid (an anti-fibrinolytic drugs) 6.0 ivgtt qd.
adjust the intestinal flora: Zhengchangsheng 2 tid; compound Lactobacillus acidophilus tablets 2 tablets tid; Maleate Trimetazidine pudding (Shuli Qi energy) 0.2 tid.
hepatoprotective drug: polyene phosphatidylcholine (Tianxing) 15ml ivgtt qd; Tour Gan Security (17-AA) 500ml ivgtt qd; ornithine aspartate (Ya-stroke Division) - prevention of liver faint.
antidiarrheal medicine: diphenoxylate 2 tablets tid AC; Smecta 6.0 tid AC; berberine 0.3 tid.
external hemorrhoids bleeding treatment: anti-inflammatory topical cream; love veins Long 2 bid; security network of blood 5mg tid × 3; vitB6 20mg tid × 3; erythromycin ointment for external use.
treatment of cirrhosis of the liver many are symptomatic treatment, there's really nothing, now can not cure cirrhosis of the liver, the prognosis is not good.
★ of Respiratory Medicine:
cough and phlegm: Ambroxol (Yi Nuoshu) 120mg ivgtt bid; expectorant cough granules; chlorpheniramine; Compound Glycyrrhiza Oral Solution;
spasm and asthma : aminophylline 0.25 iv-vp bid 6ml / h; procaterol hydrochloride (U.S. & P clear) 25ug bid; Chuankezhi 4ml im bid; Gino pass; sometimes flat;
secondary cancer: Xiaoaiping 20ml qd; Bozhi glycopeptide 4mg qd; a two capsules tid; ammonia Kaishu 5.0 tid.
★ renal rheumatology:
RA drug therapy: 1.NSAID: Britain too young 50mg bid; 2.DMARD: methotrexate 10mg qw; leflunomide (properly express) 20mg qd; hydroxychloroquine 0.2 qd.
attached: 33% magnesium sulfate wet compress - swelling; 50% magnesium sulfate oral - catharsis; 25% magnesium sulfate infusion - spasm.
★ Hematology:
chemotherapy too many programs are also a lot of time and then after finishing. Interior Department now common for some symptomatic treatment, are summarized as follows:
antiemetic: metoclopramide 10mg im; Naixi Ya 0.3mg iv (before chemotherapy).
cough and phlegm: brown mixture 10ml tid; Ambroxol 60mg iv bid; fresh Zhu Li 10ml inhalation bid.
Diuretic: Spironolactone 20mg tid; furosemide 20mg iv.
Buck: Los Living hi 5mg qd; Capoten 12.5mg sublingual.
headache: rotundine 60mg po.
calcium: 10% calcium gluconate 10ml iv (slow)
★ Neurology:
Nutrition nerve: single-ganglioside sialic acid (Shen Jie) 40mg ivgtt qd ; citicoline sodium 0.1 tid; acetyl-glutamine 0.75 ivgtt qd;
improve circulation: Xueshuantong 0.6 ivgtt qd; A Dihydroergocriptine Juan acid 2.5mg bid; Salvia Bow River triazine 10ml ivgtt; gastrodin 1.0 ivgtt qd;
nutrition myocardium: million cool force 20mg tid; FDP (FDP injection); Trimetazidine; two dibutyryl cyclic adenosine monophosphate calcium 40mg ivgtt; Biocoen 200mg ivgtt
free radicals : Edaravone 30mg ivgttbid;
Defibrase: Acutobin 0.75u ivgtt be skin test;
antipsychotic drugs: Madopar 0.125 tid; have Ba 0.5 bid;
antidepressants: trihexyphenidyl hydrochloride 2mg tid; alprazolam 0.4 qn; olanzapine 2.5/5mg qn;

one, ★ neonatal ★
1, how to judge crying newborn?
A: First determine the physiological or pathological, and common reasons include: 1, a cold, nasal congestion (PS: NS nasal drip can); 2 fold of skin folds occur without cleaning the buttocks rotten or stool; 3, improper feeding; 4, lactose intolerance; 5, cow's milk allergy (absolute promotion of breastfeeding); 6, other causes colic; 7, other parts of the pain.
2, neonatal reaction to determine how low?
A: The common reasons are as follows: 1, HIE; 2, sepsis; 3, respiratory failure; 4, low body temperature; 5, low blood sugar; 6, CNS infections; 7, drug factors; 8, others.
3, how to identify newborn skin bruising?
A: The main considerations: 1, lung disease, such as hyaline membrane disease; 2, congenital heart disease; 3, methemoglobinemia; 4, brain diseases; 5, septic shock (rapid shallow breathing performance three concave obvious, with the whole body weakness, low physical tension and cold extremities, heel skin capillary refill time longer)

★ Hematology ★
1, consider the infection to be done, including checking What?
blood culture (bacteria + sensitivity, fungi) T> 38.5 degrees C;
fecal culture;
urine culture;
sputum smear examination pathogens;
sputum culture (bacteria + sensitivity, fungi);
+ sensitivity of throat swab culture bacteria, fungi + classification.
2, high white blood cell do?
hydroxy Urine 1.0 bid; allopurinol 0.1 tid; baking soda 1.0 tid. Department of Respiratory Medicine

★ ★
1, sputum pathogens check include?
smear: looking for bacteria, fungi, tumor cells, acid-fast bacilli;
culture: bacteria culture + sensitivity; fungal culture + type + bacteria count.

★ Cardiology, teaching rounds ★
☆ ACS ☆
1, mild cases of coronary stenosis treatment:
(1) stable plaques → lipid (LDL fell to 2.5 the following, eg: Lipitor)
(2) anti-platelet aggregation (eg: the first dose of 300mg of aspirin taken for life; clopidogrel; Bo Liwei 300mg 2 months of treatment)
(3) anticoagulant (low molecular weight heparin 1-2W)
2, thrombolysis: eg: urokinase 22,000 u / kg (150 万 u 1/3iv, 2/3ivgtt 30min in); streptokinase (Clinical has been less easy to allergies)
3, and then pass Index: chest pain relief; ST down; reperfusion arrhythmias; enzyme Feng advance.
☆ ☆
WPW pre-excitation syndrome (dominant housing Road) in the three major characteristics: PR interval shorter; △ wave; QRS wave widened.
Wolff type: A type △ wave up → right bundle branch block; B-type △ wave down → left bundle branch block.
Wolff acute attack treatment: QRS wave through the atrioventricular node narrow → → cedilanid prequel, verapamil, propafenone, up to the dragon; QRS pulse width → → bypass Cedilanid prequel, different stroke be disabled.
Wolff does not attack: radical resection, ablation of the bypass.

★ ★
gastroenterology clinic with chronic diarrhea of unknown origin on how to consider? (With anemia, hypoproteinemia)
1, intestinal malabsorption syndrome: Pancreatic solid organ lesions, intestinal diseases → stool, Sudan III stain;
2, infectious bowel disease: eg: hookworm , Ramsey Giardia lamblia → endoscopy, small intestinal mucosal biopsy culture;
3, Mai plastic bowel: associated with eating pasta;
4, ulcerative colitis: abdominal pain, mucus discharge pus and blood will, it After abdominal pain;
5, Crohn's disease: fever, abdominal pain, abdominal mass;
6, small intestine bacterial overgrowth. Endocrinology

★ ★
1, diabetic diet calculated?
total calories (kcal): ideal body weight (kg) = height -105; ideal body weight × (25 ~ 30kcal)
carbohydrate (kcal): total caloric × 60% / 4
protein ( kcal): ideal body weight × (0.8 ~ 1.0g)
fat (kcal): (total calories - carbs - protein × 4) / 9
2, insulin therapy:
※ INS dosage: FPG × 2; 24 urine (g) / 2; (glucose -5.6) × weight × 0.6 × 180/1000; INS first with more than 2 / 3, and the remaining 1 / 3 of the adjustment.
※ INS agents: 1, short-acting INS: + bedtime subcutaneous injection before meals; 2, mixed-INS: sooner or later, subcutaneous injection, as early as 2 / 3 is slightly less, late 1 / 3 slightly more.
※ strengthen INS treatment: 1 before breakfast → + available in the INS mixed effect; → quick dinner before the INS; in effect before going to bed → INS. 2, before meals available, before going to bed in effect. 3, three meals a day before the INS, breakfast, plus long-term. 4, mixed in the short-acting, sooner or later use. 5, INS INS continuous subcutaneous pump infusion or artificial.

II, Endocrinology:
1, diabetic foot complicated by infection, mostly for the formation of S. aureus infection furuncle carbuncle, more limited, because the S. aureus release of thrombin.
2, the preferred basis for the early treatment of diabetes mellitus for the diet + exercise + metformin.
3, note that the liver when applied to vancomycin ototoxicity, attention to monitoring blood drug concentrations.
4, goiter related primarily to humoral immunity, GD infiltrative exophthalmos major cell immunity.
5, T3 (high activity) → rT3 inactive T4 low activity
6 , radioiodine treatment of hyperthyroidism and β-rays, rather than the α rays. Because β-ray is not through the skin, is limited to a goiter, the role of external non-radioactive, and α-ray through the skin.
7, creatinine in patients with diabetic nephropathy than 300umol / L to consider dialysis.
8, high blood sugar at night, but not high postprandial blood glucose of patients: reduction of liver gluconeogenesis, peripheral tissue insulin resistance obviously. Sensitizer, metformin, and can be used (such as Avandia, Rui Tong).
9, Tang power (nateglinide) only fasting blood glucose less than 9.0mmol / L in patients with good results. (Statistical results, do not know why?)
10, is disabled during the perioperative diabetic patients metformin induced lactic acidosis to avoid the surgery.
11, scleroderma is divided into three types: diffuse, localized, overlapping. Typical clinical presentation: a thin upper lip, showing radial striae; tip of the nose, ear thin; 95% associated with Raynaud's phenomenon; finger lesion development from far and near; often associated with pulmonary fibrosis end; more a result of involvement of type II alveolar epithelial cell lesions respiratory failure and death. Treatment principles: to improve the peripheral blood supply, hormones, anti-inflammatory (autoimmune subcutaneous tissue); a dry cough, breathing difficulties that involve the lung, required cyclophosphamide.
12, BUN normal, creatinine, chronic renal insufficiency with high tips;
BUN increased, creatinine normal tips or prerenal acute renal insufficiency.
13, urine protein + or 0.5g/24h, caution metformin.
14, fructose, sodium chloride, the renal dysfunction disabled.
15, clearly three concepts: low blood sugar, hypoglycemia, low blood sugar reactions.
16, diabetes, impaired renal tubular function appears first, followed the glomerular lesions.
impaired renal tubular function in clinical performance: nocturia, increased urine specific gravity, osmotic pressure.
17, hematuria of identification: 1, stone; 2, contusion; 3, inflammation; 4 tumors.
18, IgA nephropathy Hematuria clinical manifestations, low back pain are relatively rare.
19, ENA polypeptide antibodies spectrum: ANA more than all of rheumatism and infection may be positive, non-specific. The following indicators have some specificity.
anti-dsDNA, anti-Sm antibodies → systemic lupus erythematosus;
anti U1RNP → mixed connective tissue disease;
anti-Scl-70 → scleroderma;
anti-SSA, SSB → drying Syndrome ;
anti-Jo-1 → dermatomyositis or polymyositis;
20, the treatment of hemoptysis: sedation, oxygen; the first dose of normal saline + 6 units of vasopressin (high potassium, crown Heart Disease disabled); United shell cool ;********; medical treatment does not come, please do intervene Division bronchial artery embolization.
21, clinical manifestations of aspergillosis chest pain, hemoptysis based; cough, sputum, phlegm-like drawing Candida albicans infection;
22, early onset of HAP, mostly G + bacteria infections such as Streptococcus;
late onset of HAP, mostly G-bacteria infections, such as E. coli, Pseudomonas aeruginosa; often associated with fungal infection.
23, imidazole antimicrobial agents: the role of targets for the fungal cell membrane (ergosterol),[link widoczny dla zalogowanych], cholesterol metabolism of fungi, and then inhibition. Onset usually 1-2 hours.
such as: Mika Fen net, 50mg for candidiasis; 150mg for aspergillosis.
24, aspergillosis is divided into three categories: 1, saprophytic (Aspergillus ball); 2, allergic-type: The main alveolar exudate; 3, chronic invasive (most common).
25, amikacin, moxifloxacin, rifampicin have anti-tuberculosis effect.
26, community-acquired pneumonia in the anti-infective therapy, clinical and more combined with: Levofloxacin (for G-, some G +, the atypical bacteria) + rifamycin (G +, anti-TB)
27, kidney within 3 months after transplantation, complicated by pneumonia.
28, carbapenems (meropenem) is easy to produce a long-term application of narrow-wire single Stenotrophomonas sp. (My undergraduate thesis to do statistical analysis involving this section, but do not know why, in retrospect, and suddenly it!)
29, paragraph above the bronchial lesions, the preferred bronchoscopy biopsy; section the following bronchial lesions, the preferred CT-guided lung biopsy.
30, primary lung cancer the most common site of metastasis are: head, prostate, bone.
31, Ca antagonists can reduce pulmonary hypertension, reduce the right heart load.
32, inspiratory dyspnea mainly airway obstruction; expiratory dyspnea mainly distal small airway obstruction, could be heard and rales.
33, olfactory amine Tiotropium for COPD than asthma patients with good effect.
34, β-lactams: the time-dependent, so the frequency of drug use often is 2 / day or 3 / day.
Kui Nuo ketones: the concentration-dependent, medication frequency 1 / day can be.
35, blood gas analysis, here is not to say, look thematic analysis.
36, against atypical bacterial infections, multiple choice quinolones or macrolides.
37, fungal infection can lead to wheezing.
38, the elderly re worship music should pay attention to application of the nervous system side effects are seen clinically induce epilepsy and psychiatric disorders.
39, low blood sugar damaged parts of the brain starting from the top-down development, if not in time, involving the pons, and even the medulla oblongata, can lead to respiratory depression. Died immediately.
40, met the clinical hypertension and hypokalemia must think of primary aldosteronism.
41, K: eat more and more exclusive and less emission reduction;
Sodium: eat more and more exclusive and less emission reduction, do not eat non-exclusive.
42, elderly breast development, to consider whether there are applications of spironolactone.
43, NSAID class of analgesic drugs: spondylitis is more important than the RA application.
44,[link widoczny dla zalogowanych], Lupus: humoral immune hyperthyroidism.
45, hepatitis, liver cirrhosis and schistosomiasis difference:
impaired liver function mainly the former, the latter mainly to portal hypertension. Because the small district is the site of autoimmune attack most often.
46, SLE patients: erythrocyte sedimentation rate fast, CRP is normal.
47, rheumatism involving multiple sites: SKLEN. S: skin; K: kidney; L: lung; E: eye; N: nervous system. In case of rheumatism which may be thought to be more involved.
48, phosphorus bone disease: the fracture line visible false. Neurofibromatosis can induce the disease.
49, the treatment of acute gout are three types of drugs: colchicine (two eat, according to the sixth edition of a textbook, but more complicated; department usage was the first day, 1mg 3 / day; the next day, 1mg 2 / day; the third day, 1mg 1 / day dose has been eating this week, withdrawal); NSAID analgesics; hormone.
50, hypertension and other diseases of the antihypertensive drug choice:
bronchial asthma: selection Ca antagonists, ACEI class disabled.
combined stones: selection Ca antagonists.
systolic dysfunction in heart failure: the election ACEI, ARB.
diabetes: selection ACEI, ARB.
combined benign prostatic hyperplasia: the election of high Trane (terazosin).

three commonly used drugs alias:
Propranolol - Inderal Atenolol - amine acid peace of mind ;
isosorbide mononitrate - isosorbide dinitrate

nifedipine - nifedipine song g rutin - to the brain lead to
aluminum hydroxide - Wei Shuping

Salbutamol - Salbutamol medroxyprogesterone acetate - the Palace flavonoids
metoclopramide - metoclopramide (metoclopramide)

metronidazole - Flagyl norepinephrine - are renin
adrenaline - Vice renin

15AA-hepatic safety ; 9AA-renal safety
DL Anisodamine -6542

of cefotaxime - ceftriaxone sodium governance bacteria Erbitux - Music and Song
Pentoxyverine - carbetapentane

Norfloxacin - droperidol Acid Furazolidone - Furazolidone
Lobeline - Mountain base stem vegetables

nikethamide - can Lamine Lamivudine - Lamivudine
Indomethacin - Indomethacin

Piroxicam - Yantongxiao Xikang compound aminopyrine - Antongding ;
to pain tablets - Cable secret pain ;

phenol ammonia sensitive cafe - The sensitivity and ribavirin flutter - ribavirin Berberine - berberine

isoniazid - Remy closure Citicoline - citicoline ; acetyl glutamine - glutamine

Law vinegar pain that - Rotundine Ankahuangmin capsule - quick cold capsule trihexyphenidyl - Antan

Phenytoin - Big Lundin phenobarbital - luminal Pyritinol - New Brain Complex

Piracetam - Piracetam propofol - propofol (diprivan ) Verapamil - Verapamil

metaraminol - alamin phentolamine - the benefit of its D Cinnarizine - triazine

beneficial to the brain lanatoside acetyl - D propafenone cedilanid - propafenone mexiletine - slow heart rate ;

Betahistine - training him pyridine card Topley - Captopril BM - brown mixture ;

compound potassium guaiacol sulfonate - phenergan mixture of sodium bicarbonate - baking soda cimetidine - cimetidine

dry yeast - eating is born ; Domperidone - Motilium phenolphthalein - Fruit Guide

glucuronolactone - Glucurolactone monoamine compound glycyrrhizin - potenline Hydrochlorothiazide - double g

furosemide plug m - Furosemide Spironolactone - Spironolactone Oxytocin - Oxytocin

adrenal color Comprehensive - An Aminomethylbenzoic Acid network of blood - bleeding aromatic acid Etamsylate - bleeding Min

sodium bisulfite menadione - Vitamin K3 bisulfite Menadione Sodium - living