1.
coffee ground -> vital sign -> okey -> 1. NG  2. lab:CBC( check HB),BUN,Cr 3. PPI
                            -> no okey -> call R

2.
Af



amiodarone :150 mg f/u + ekg monitor

survey sympathic increase underlyine, like pain...

6Amp in D5W 250 glass bottle run 16 cc /hr 前六小時






3.
Vomitting

4.
dizzing

5.
dyspnea


6.hyperglycemia 350 FBS

(1) under insule treatment patient and totally use 30u

1500/30=50
350 -150=200
200 => 4U

(2) new onset
:    0-80: orange juice, milk, and call a doctor
:  80-200: 2U regular
: 201-250: 4U regular
: 251-300: 6U regular
: 301-350: 8U regular
:    >400:10U regular and call a doctor
survey inf. etc...

7.seizure:
最重要的是避免seizure continue or recurrent+survey etiology
Keep ABC
Ativan 1amp IV slow push,間隔2-3min,max:3 amp-->之後考慮depakin or keppra loading

*if status epilepsy :
IV: thiamine 100mg IV à dextrose 50mg IV push
ativan 
depakin or keppra pump
IV run 快一點,record I/O(prevent rhamdomyolysis àAKI)

Check:CBC/DC,electrolyte(Na,Ca,Mg),BS,BUN/Cr,ABG,amonia,drug level(CT)

*if patient have brain injury related history->add anticonvulsant for seizure prophylactic
*注意病人post-ictal意識是否有回復


Intermittent claudication

 CILOSTAZOL TAB 50MG

 overactive bladder

VESICARE TAB 5MG

after load
-
pre load
-ACEI