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.