aspirinc

Cellulitis
oxacillin 2g q6 (flucloxin)  無效-->necrotizing fasciitis 再加clindamycin 600-900mg q8 
penicillin 3MU q6  (syphilis 2.4MU im x1)
anaerobes: augmentin 1.2g q8 , unasyn 1.5g q6

IE 26642273
vancomycin  1g q12 + GM 80mg q8


BTI(E coli & KP) 17202630, 36086336 (ac cholecystitis s/p LC)
首選cefuroxime 1.5g q8 + metronidazole 500mg q8
      cefmetazole   2g q8  (+exacin 400mg qd)    

PTGBD 1198
revision GI


Pseudomonas
cefoperazone 2g q6-q8   


MRSA
teicoplanin 400mg q12 x3, qd (SE少)
vacomycin 1g q12 (run 2hr, red man syndrome)


ESBL(E coli. KP)
carbapenem   >>   ertapenem 1g qd(IAI)


HP eradication  bid x 10-14days
PPI 1#
clarithromycin 500mg
amoxicillin 1g   (or metronidaxole 500mg bid)




Hemoptysis 5587473(RUL, atelectasis)
transamin 2amp iv q8
epinephrine 0.25cc in 5cc NaCl
codeine


EV bleeding
PPI, somatosan


ACS 27053050, 36170420
NGT 50mg/10ml in NS/D5W 250ml , 1.5m/h 開始 
10ug/m = 3 ml/h 
20              6 

bokey + plavix 1# qd
ismo20, tritace(2.5), NTG prn
lipitor
xanax


Vertigo, HA
trental, sibelium
cephandol, benamine
merislon
seglor
Nystagmus+, Romber's test:+, Tendam gait: unstable


SCI
methylprednisolone 2g in N/S 250ml run 15min, 休45min
8g in N/S 250ml  pump 23hr 


IICP singof (Cushinig's  triad)
hypertension(progressively increasing SBP)
bradycardia
irregular respirations

mannitol 150cc q6
glycerol  1bag q8


Multiple myeloma 14221739
C6-7 compression fx


acute on CRF with hyperKalemia 6111257
DC ACEI or diuretic or NSAID
hydration


BT
WBC<1000  -> GCSF    (ANC(Seg)<500)
Hb<10 (8)    -> PRBC    (2U=1)
PLT<10萬     -> ph 2U    (1u=1萬, 1W)
ALB              -> FFP
bleeding      -> vitamin K1, transamin, FFP


HD fistula
AVF -> CVS angioplasty, bridge 2F 
FVC 暫 HD
heparin 1000u/10NaCl frush

Fluid supply
10kg 100ml
20kg 50ml
adult 2500cc/day

Oral ulcer
parmason
mundisal
PBK(prednisolone100mg+benadryl8.33mg+kaopectin33.33mg)/100ml


COPD
broen-c  (danzen)



Stone
rowapraxin+scanol


hypotension
midodrine


dementia
hydergine
trental

PPU 16689262
Hematuria 7336314
Diverticulitis 32108853, 19930804 
appendicitis (anti) 6406991 
appendicitis (appendectomy) 31963969
Rt UVJ stone 36169638, 3476388
lung absess 36201895
ADPKD 4171464
ICH 14821626
GIST 22921671

PTX 36170873
FUO 26204842

hemothorax 36285731
hemopneumo 36286176F43
septic arthritis 19490621


COUMADIN OVERDOSE 9254904
VIT K1 + transamin 2 amp q8 + FFP 2U



*******************************

VIT-B12 deficiency   14173514, 1675907
1amp IM QM, 250ug 2# po bid
IM: 1 mg/D x1W -> 1 mg/W x4W -> PA: 1 mg/M
PO: 1000-2000ug/D


PCOS
metformin, avandia

口乾
salagen (pilocarpine)


Telmisartan (Micardis)   ARB

DOPSCAN
TRANSCRANIAL


hypotension  midodrine  32657300
adrenal ins    fludrocortisone 


Vaginitis 13269197
flagyl(250) 1# tid x 7
lomexin vaginal supp(200) qn x 3
econazole cream bid x 3

30630650
nystatin vag qn x 5 (14)
ampicillin(500) 1# q6h x 5
rinderon bid x 5