Xuat Huyet Tieu Hoa Flashcards

0
Q

Phan do nang XHTH

A
Mau mat: 20-20/30-30
Tong trang:
-tot, hoi met
-met nhieu, chong mat, va mo hoi
-vat va, khat nuoc, thieu nieu
Niem
-bt- xanh-xanh xao, lanh chi
Sinh hieu
-m(100, HA bt- m100-120, ha kep, tilt test -m)120, HA tut
Hct 30-30/20-20
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1
Q

CLS de nghi trong XHYH

A

CBC, nhom mau
Dong cam mau
BUN, Crea

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2
Q

BRoCkall

A
Age: 60-79:1, )80: 2d
M)100:1d, ha(100:2
Benh nen: 
Suy than, xo gan, bly ac tinh 3d
Cô lai 2
Nguy co cao:4-7 ; thap:0-3
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3
Q

Brockall hoan chinh

A

H-w khing sang thuong: 0/Ac tinh tieu hoa- 2

Mau trong oth, I, IIa-b

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4
Q

Vit k

A

10 mg tm/tb 3 ngay

War/xo gan

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5
Q

PPI truoc soi

A

80mh TM

40mg/12h

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6
Q

Chi dinh can thiep noi soi PUD

A

Ia-b iia-b

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7
Q

PPI sau noi soi PUD

A

72h
80 mg TM
8mg/gii (1 lo-5h)

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8
Q

Thuoc trong M-w

A

Metoclopramide 10 mg.2 /ngay TB

Sucrafate 4goi/ngay

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9
Q

PPI sau vatices, va thuoc

A

PPI ome 80 mg/ngay tm

Sucrafate

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10
Q

Somatostatin va dan xuat

A
Ocreotide(sandos)
Bolus 50-100mcg
TM 25-50 mcg/gio .3-5 ngay
Soma
250 mcg bolus
250 mcg/gio 3-5 ngay
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11
Q

Terlipressin

A

2mg/4gio IV

Het xuat huyet- 1mg/4h 3-5 ngay

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12
Q

Khang sinh ngua SBP/ xHTH/xo gan

A

Ceftri 1gram/ngay
Cipro 200mg 1lo.2
Norflox 400 mg .2
7 ngay

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13
Q

Propqn, nando

A

20mg/ngay

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14
Q

Dieu tri SPB

A
Ks+_albu
Ks: ceftri 2g/24h; cefotaxim: 2g.3lan/ngay
Albu:
Cd cre mau)1 BUN)30 to bil) 4
1,5g/kg 6h dau, 1g/kg ngay thu 3
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15
Q

Ngua SBP

A

Dai: norflo 400mg/ngay hay cipro 500mg/ngay Hay TMP 1 double-strength tab/day

16
Q

Chi dinh ngua lau dai SPB

A
Tien can SBP
Khong SBP: pro dich bang (1,5 + 1 trong caca tieu chuna
Cre )1,2
Bun )25
Cp )9 va to Bil )3
Na (130
17
Q

Dieu tri nao gan

A
Tang kali
Lactulose ( thut, uong 45-90g/ngay)
Han che dam
Metro 250 mg.3/ngay
Probio va prebio
Orthinine aspartate
Acid amin nhanh TM/uong