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Medicine Comprehensive Tutorial by P'Lek

Medicine Comprehensive Tutorial by P'Lek

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Published by Chucky

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Published by: Chucky on Mar 12, 2007
Copyright:Attribution Non-commercial

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05/08/2014

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ComprehensiveComprehensivetutorialtutorial
Internal Medicine 2007
Kraisorn(P’lek) ,MDKraisorn(P’lek) ,MD
 
1.Rx brain edema1.Rx brain edema
ข้อสังเกต
strok
 จะซึมเม่ือเป็น
brain stem stroke
หรื
lesion
 ใหญ จนเกิ
brain edema
หรื
herniation
แล้ วกด
brainstem
Sign brain herniate : Cushing’s response
Rx brain edema
ABCD
 
ซึ
GCS < 8
 ใส
tube
Hyperventilation
Mannital
Restrict fluid
 
นอนหั วสู
20-30°
 ไมเอียงคอ
 
Rx in strokeRx in stroke
Ischemic
Thrombosis
Within 3 hrs
→thrombolytic (t-PA)
Long term →ASA
Embolism
Anticoagulant
→warfarin
Hemorrhagic
surgery : large, post fossa, cerebellum,IVH

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