We are negative!!!! And now all of us are back to work, to fight this COVID war together 💪💪
Besides home quarantine, there is a few things that you, as a community, can help us out.
👼👼
1. For those who are on medication, please be an obedient one, take your medication on time and dont missed it. Especially those on asthma medication, antihypertensive and insulin.
Don come into us for complication due to missed medication, it really helps us a lot in reduce admission.
2. Don merayau-rayau on the road unnecessarily. Reduce the accident on the road, which comprises a large portion on emergency dept admission.
3. Dear parents, it is the best time to show off your cooking skill. Cook in the house, prepare the healthy meals for the love one, so they wont come in because of food poisoning / acute gastroenteritis. 👨🍳👩🍳👨🌾
4. Dear smokers, we know you are bored. Damn bored, but please, don smoke for this critical moment, especially those with small children at home. Their breathing airways are sensitive, and we still receiving quite a number of child with respiratory distress in exacerbation ( and yeah mostly related to smoking).
5. It is NOT a festival for binge eating for now. Eat with your own portion, we don wish to accept any patient came in due to hyperglycemia or vomiting due to overfeeding ( yes we do!) 🤢🤮
6. For those who are on fluid restriction due to heart and kidney disease, please be self discipline. Don simply simply drink a big amount of water and came to us for fluid overload.
7. I know this is weird but please control your temper with the kiddos, we don wish to accept any abuse case at this moment. They could be naughty and misbehave, but we hope the parents behave as well 😬😬
8. For those with clinic appointment but not urgent one ( review growth and development in kids for example), you can kindly call up the hospital clinic to postpone the appointment, we are happy to help with that.
Lets reduce the admission and visit to hospital so all of us can focus on COVID war at this moment. You ARE A HERO too if you play your parts well.
Thank you!!! 💪💪💪💪💪
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acute exacerbation 在 加護病房查房日誌 Facebook 的最讚貼文
加護病房查房日誌20181101
各位同學真的不好意思,老師最近真的太忙了,久久都沒有發新的文章給大家看。
今天終於擠出一點時間跟大家分享一個新知,大家都知道procalcitonin吧,他可以分辨細菌的感染和其他感染或發炎的情況,但是她對於慢性阻塞性肺病的急性惡化(acute exacerbation of chronic obstructive pulmonary disease (AECOPD))的角色仍然有所爭議。
近期有一篇文章發表在Intensive Care Med. 2018;44(4):428. Epub 2018 Apr 16. 。
其中收入了302位病人,入住加護病房,合併有嚴重的AECOPD 而且懷疑有下呼吸道感染,研究結果發現,依據procalcitonin進行照護的病人和依據準則進行照護的病人來比,短期的死亡率在procalcitonin這組比較高,20 % vs. 14 %。
在一開始沒有接受抗生素的病人,也有較高的死亡率,31% vs. 12%。
此研究重點在於說明,在嚴重的ICU病人,若懷疑有感染的時候,應該不管procalcitonin的情況,先給予抗生素治療的重要性。
老師問問大家,會因為procalcitonin不高就把抗生素停掉嗎?還是會依據病人臨床的情況來決定呢?
依據病人臨床情況請+1,會依據procalcitonin的請+2,兩個都參考的+3。
#procalcitonin
#AECOPD
acute exacerbation 在 What is an acute exacerbation? - YouTube 的推薦與評價
Expert pulmonologists describe what an acute exacerbation of COPD is and the signs are to watch out for. To learn more visit: http://www. ... <看更多>