ȸ ۵Ǵ ...

1997.4.6
11 ȸ ۵Ǿ...............
ðε................
Ļ Ŀ 2ÿ Ű ȱȯ Բ 12 tap 3 ݿ ڰ Ű ιαȸ ߴ.
4 ù ֶ 迡 츮 ȸ ϼ ȸ ̰ ȸ ̹ ȸ ͵ ; Ҵ.
ȸ θ ְ ʾҴ. ε Ÿ ........ϴ Բ...........
ϴ ƹ .......   ȸ ҷ 츮 ȸ ߴ.
ڴ ֱٿ ȸ ̴̼.
ð ߻߸ ޾Ҵ. տ Ͻôµ ̰ ޹ Դ. ٽ ڸ ɾҴ.
ٽ ߻߰ ´......... ȭ ɰ ٽ  . ó Ե鲾 ذ Ǵ ͵ ׷ ð 3ð Ѿµ............̷ 10 ߻߰ ʰ Ҿߴ...............踦 帱 .
⵵ ----------ֱ⵵ Բ ϴ ιαȸ Ҵ.
츮 ȸ ϴ ............ ٺп 鼺 ó ɾ 췽 ϸ ÿ 뷡ϸ 긮 ̴.
׸ ῡ..............
踦 ϳԲ 帮 ߴ.
ֿ ȸ ħ 踦 ؾ߰ڴ.

 

 

1997.4.7
hematology 2 迵 ٲ̴.
輱 տ Ǽ Ͽ......

7ÿ ° PK Ǹ ϴµ ʹ غ β.
PK 󸶳 resident غ ߴ° ǰǾ.

 


1997.4.6 ȭ
AIDSȯ Ű consult λ Ϸ̴.
Lumbosacral polyradicular neuropathy........MRI arachnoiditis̴.......
CMV ϰ............
ȯ ٵǴ ̴.

 

1997.4.10
ħ ġ 4г  ̾߱⸦ .
Ź ȯڸ ԿѾ ϴ δ㰨 ̻а Բ ؼ
CMV evaluationϴ 12ñ ¦ 谨 ̴.
ְ ϰ ִµ ߻߰ Դ.
ҷ ¼ ...ȯڴ ñ............
ã ŴҰ ϴð л Ҵ.
ΰ ߿ ó ϴ л鵵 .
޸ ǰ ־.
ȯڵ ̾. dressing..........
̿ Բ Ա ߴµ ȥ ȣ 2-0 ̱ 5ȸ ϴ ¡ ԰ ̸ б ŴҰ
 а.............̿  īƮ ġ Դ......... ־ ð  ϴ ӿ ְ
˳ Ϳ Ƹ ȸ ߴ 뷡ϴ ׸ 带 ϰ ; ־ Ⱑ ̹ ƴϰ.......... ȯڵ ִ ̴.
8ÿ  order aplastic anemia......... 4õۿ   ȵǴµ ҽ ʰԼ Ȯϰ ź 𸣴 豤 㼮 ϰ TPNƮ ........ 10 30뿡 ̿ ̿ 濡 Բ ִ.
ʹݿ Hematology ϳԲ 帰.

 


1997.4.12
chage Ѵٰ .......ó ȸ ߴٰ ۵ Ǿ. Ե鲲 Ļ ־.

 

1997.4.13
charge ǰ ̷ ħ ȸ . ֳϸ 11 踦 帱 ֱ ̴.
뿡 . 𸣴 ߻߸ ޱ Ʊ ̴.
强 ñ ϽŴ.
赵 12 ߻߰ Դ. ð ߻߰ ʱ⿡ ⵵ ð ٷ ȭϴ............. ó 忡 ̾.
߿ Բ ߻߸ ޾ƾ Ȳ ȴ. Ե ̴ٰ Ѵ.
̿  ϴ ־. ̰ Ȳ ټ ̾ϴ ̰ ̷ Բ ־ִ ͸ ص ȴ.
輳 κп ޽ǿ ߻߰ Դ.
൵ 뼺⵵ ð ȭ ̰------- leukemiaȯڰ ̴.
PLT 0 ߴ. Hb 3.8 WBC 3.800
ٷ anti T/F order ׿ ambulance⵿ .

pale face ......ȸִ ȣ........... 26 ư ٽ ޽ǿ ִ.
P/C 3u PLT 10u ûϰ PLT ϱ Ұ߼ Ἥ ð ߴ. 4ð .......
ó P/C 1  PLT ڸ 10 ְ P/C 2 ޾ ־.
Ѿ P/C ۵Ǿ ȯ ȿ 3way Ǿ ݱ  ݹۿ  ʾҴ.
T/F ӵǴ Ϳ ϸ ƾ ٸ ߴ.
1ÿ dyspnea O2 ϱ ߰ 3ð ġ Ͽ ִµ ޽ ϿԼ call Դ. ƾ ȣ ̻ϴٰ ...........
ö ƾ ʾҴ. ȣ ̰ ư ......... ߴ. Ӹ ̻ ǰ.
Intubation ߴ. Ϸ ߴٰ ȣڿ warningϴ ̿ ʼ̰ CPCR غϴ ޽ ҽ ư ̰ Ƿ ϴ °ó ü ϰ ־.
intubation ϰ 30ʰ CPCR Ӵ, ƹ ̾߱ϰ 3 10п expire ߴ.
迵 ԿԼ ȯڰ ̴ּ.
1.ù° Hb3 ȯڿԼ heart ū δ̾ ̰ 3ú expireϱ 12ð ǿ Բ  fluid 1l   ʰ 12ð P/C 2 غ 3 5ε ǰ  Ext. jugular vein ū Ǽ ϼ̴.
2.Volume ε 10% ϸ.............
3.Hb 3ε ó O2 ʾҴ............

ȯڴ ICH ƴ϶ ( ܼ ߰ IDH ǥߴ.) Heart failure ̴. shock ̴. hypovolemic shock   ̴.

̷ ̾߱⸦ οԴ. Ȱ ־ ٵ..............
̰ â 𸥴. ᱹ periappendicyeal abscess ״ NPO release ԰ 11ú whole abdomen board-like rigidity ߻ߴ.
spamon, demerol pain control ϸ鼭 ̰ panperitonitis ε ȯڴ sweating ǽ ó .
11 ȯ BP ó 110-->80 fever ۵Ǿ.
tenderness Ÿ.
Ϲݿܰ callǾ.
迵 κ ȯ ö NPOŰ Ͱ ȯڿ 10% ,,,,, ߿ MFC ʾҴ° å .
׷ ϳ 𸦱............ ̿.

 


1997.6.8 AM1:20
cardiologyϴ ̴.
hematology cardiology 3° ۵Ƿ Ѵ. ߸ߴٴ Ÿ ׸ Կ Ǹϱ⵵ ϸ鼭 ϴ DZ Ǿ.
ö ̰ cardiology Ȱ 簡 ̴.
Ŭ ӵ Ҵ.
׸ ⵵ ߴ. Ϳ ȸ .
ٸ Ÿ ൿ ̵  ϴ Ȱ ϰ ϰ ο Ϳ ͼ Դ ȸ ð ٰ ͵ ̴.

ϳ ̵ ߿ ִ Ŵ. ư ִ ȿ ϳ  ׸ ϰ ׸ ģ ׸ Ŵ.
û 忡 ۽ο 濡 ڴ ϰ  ϳ ϳԸ ִ ˰ ̴.
ϳ, ϴ ƴմϴ.
Ϸ Ͽ Ǽ ˵ մϴ.
ϳ, ̻ ݺ и ʵ ⸦ ֽð ε ּ.
⵵ ʴ ⵵ ּ.............

 


1997.8.13 (Nephrology .....)

ϴ ϴ. ߽ Ż ƴ ø β Ѵ.
ϳ.... 󸶳 ū ̴ּ.... 󸶳 ߴ. ̽ ƴϴ. ׷ ...
ϸ鼭 ԰ . 𸣰 ־ ߴ.

 

 

ѵ ϱ⸦ ϴ.   ȯڿ ģ Ȱ ϱ⸦ ٴ ȭ ޿ ʾҽϴ. ϱ ............  ڸſ ۵Ǹ鼭 ϱ ̾ ˴ϴ.