Video: Dab tsi yog qib ib txwm ntawm Dilantin?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Txawm hais tias siv ntau yam yog nyob nruab nrab ntawm 10 thiab 20 µg / mL, txog ib nrab ntawm cov neeg mob qaug dab peg yog tswj tau ntawm tus nqi qis dua thiab siab dua qhov kho ntau yam . Qee qhov teebmeem ntawm phenytoin muaj feem xyuam nrog cov ntshav tshwj xeeb qib . Nystagmus feem ntau pom ntawm qib ntau tshaj 20 µg/ml
Ib yam li ntawd, tib neeg nug, dab tsi yog qhov tshuaj lom ntawm Dilantin?
Cov cim thiab cov tsos mob ntawm phenytoin toxicity feem ntau sib raug rau cov ntshav qib , thiab nce qib los ntawm qee lub sijhawm nystagmus ntawm 10-20 mcg/mL (kho mob ntau yam ) rau coma thiab qaug dab peg ntawm qib siab dua 50 mcg/mL (saib Kev Qhia thiab Ua Haujlwm). Kev kho mob yog txhawb nqa (saib Kev Kho Mob thiab Tshuaj).
Ib yam li ntawd, yuav muaj dab tsi tshwm sim thaum koj Dilantin qib siab dhau lawm? Dilantin Toxicity Mob toxicity tuaj yeem tshwm sim hauv cov neeg uas noj Dilantin . Qhov no feem ntau yuav tshwm sim thaum noj tshuaj nce lossis lwm yam tshuaj tau pib lossis nres. Cov tsos mob tshwm sim ntawm Dilantin toxicity muaj xws li kiv taub hau, tsaug zog, teeb meem kev sib koom tes, qhov muag ceev ceev, thiab qaug zog heev.
Ib sab ntawm qhov no, qib phenytoin qhia dab tsi?
Phenytoin kev kuaj ntshav raug xaj vim tias qib phenytoin cov ntshav yuav tsum tau tswj hwm nyob hauv qhov kev kho mob nqaim. Yog tias qib qis dhau, tus neeg cuam tshuam tuaj yeem ntsib qaug dab peg ; Yog tias lawv siab dhau lawm, tus neeg yuav muaj cov tsos mob txuam nrog phenytoin toxicity.
Qib Dilantin qis txhais tau li cas?
Hauv cov neeg mob feem ntau khaws cia ntawm qhov ntau npaum li cas, ruaj khov phenytoin serum qib ua tiav. Cov neeg mob txawv txav qib qis tej zaum yuav tsis ua raws li cov tshuaj hypermetabolizers ntawm phenytoin. Siab heev qib tshwm sim los ntawm kab mob siab, lub cev tsis muaj enzyme los yog kev cuam tshuam nrog cov tshuaj uas ua rau cuam tshuam kev zom zaub mov.
Pom zoo:
Dab tsi yog cov qib ntshav electrolyte ib txwm?
Cov poov tshuaj: 3.5-5 mmol/L. Pyruvate: 300-900 µg/dL. Sodium: 135-145 mmol/L. Tag nrho cov calcium: 2-2.6 mmol/L (8.5-10.2 mg/dL)
Dab tsi yog qib CK MB ib txwm muaj?
Qhov tseem ceeb ntawm CK – MB isoenzyme tau pom yuav luag tshwj xeeb hauv myocardium, thiab qhov pom ntawm qib CK – MB nce hauv cov ntshav yog qhov tshwj xeeb thiab nkag siab rau myocardial cell phab ntsa raug mob. Ib txwm siv qhov tseem ceeb rau cov ntshav CK -MB ntau ntawm 3 txog 5% (feem pua ntawm tag nrho CK) lossis 5 txog 25 IU/L
Dab tsi yog qib troponin ib txwm UK?
Kev siv ntau yam <14 ng/L Li qub Troponin. 14-30 ng/L Indeterminate Troponin: Tsis tuaj yeem cais qhov mob. Coronary Syndrome: txiav txim siab ACS ua ke. nrog daim duab kho mob
Dab tsi yog qib EtOH ib txwm?
Cawv (Ethanol, Ethyl Alcohol) Ntshav Cawv Cuam Tshuam Clinical Cov Cim & Cov tsos mob 10 - 50 mg/dL 0.01 - 0.05 g/dL Me me euphoria, txo qis kev cuam tshuam, txo qis mloog & txiav txim siab 50 - 100 mg/dL 0.05 - 0.10 g/dL Euphoria, sedation, kev sib koom ua ke tsis zoo, poob qis cov lus teb rau stimuli, txo kev txiav txim siab
Dab tsi yog qhov txiaj ntsig ib txwm rau PaO 2 Dab tsi yog qhov txiaj ntsig rau kev txiav txim siab qhov hnyav ntawm hypoxemia?
Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg