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抗精神藥物之惡性症狀-急診注意

抗精神病藥物惡性症狀 (neuroleptic malignant syndrome ,NMS)對第一代第二代藥物的錐體外症狀特別敏感時發生,吃的時候就會昏迷,汗腺容易失調,體溫飆高,在急診室時此類病患常會被誤診為一般的發炎反應而導致死亡,因此詢問病人病史(有無服用其他藥物)是相當重要的事。急救用肌肉鬆弛劑、鎮靜安眠劑,多巴胺致效劑(有無服用其他藥物)是相當重要的事。

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外科腸胃道疾病照護

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[Phsiology] 溶液滲透度osmolaluty & osmolarity

Osmolarity is a measure of the osmoles of solute per liter of solution, while the osmolality is a measure of the osmoles of solute per kilogram of solvent . from http://en.wikipedia.org/wiki/Osmolarity Plasma osmolality Plasma osmolality is a measure of the concentration of substances such as sodium , chloride , potassium , urea , glucose , and other ions in human blood . It is calculated as the osmoles of solute per kilogram of solvent. Normal osmolality in plasma is about 280 - 303 milli-osmoles per kilogram. It is affected by changes in water content. To calculate plasma osmolarity (osmolality) use the following equation: P osm = 2[Na + ] + [Glucose]/18 + [ BUN ]/2.8 The above equation holds true if the glucose & ureas blood chemistry units are given as: mg/dL. If the units are given as: mmol/l; then the calculated osmolality is given by: P .OSM = 2[NA] + 2[K+] + [Urea] + [Glucose] Osmolality can be measured on an analytical instrument called an Osmometer....