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LI NI U
c mt hnh trang bc vo ngh tt, khng ch cn kin thc trong
hc tp m cn phi hc hi, tch ly nhiu kinh nghim t nhiu yu t bn
ngoi. Bi vy, phi hc i vi hnh.
K thc tp l thi gian sinh vin bt u lm quen vi tc phong lm
vic tiu c s y t. i vi dc s trung hc tng lai, y l c hi tt em
c th vn dng nhng kin thc c hc trn gh nh trng v kinh
nghim trong thc t hon thnh bo co thc tp.
Bi bo co thc tp ca em l cun ti liu thu nh, ghi chp li tt c
nhng vn em c hc, thc hin v nhng gt tip thu c trong qu
trnh i thc t ti c s.
hon thnh tht tt cc mc tiu nh trng giao, t chuyn i thc
t, em hc hi c nhiu kinh nghim t cc y bc s ti bnh vin. l
nhng kin thc b ch, l hnh trang vng bc sau ny bc vo ngh sau
ny trong cng tc chuyn mn.
Qua y em cng gi li xin chn thnh cm n n cc thy c gio
trong trng v cc y bc s ti bnh vin to mi iu kin gip em hc
hi nng cao v chuyn mn, kin thc thc t
Bun Ma Thut, ngy 27 thng 1 nm 2014
Sinh vin
ng Th Thu Tho
Trang 1
Trng Trung Cp Y k Lk
LI CM N
Qua mt nm hc tp ti trng Trung cp y t k Lk, y l khong
thi gian khng di nhng em c cc thy c tn tnh dy d, truyn t
cho em nhng kin thc qu bu v b ch trong ngnh y dc.
Sau t thc tp thc t 5 tun ti bnh vin a Khoa Tnh k Lk va
qua em cng hiu hn cng sc ca cc thy c, nhng k nng kint hc m
cc thy c trao i cho chng em l rt ln m chng em khng bao gi
qun.
Bi thu hoch ny ch l mt phn kin thc nh b, n cha nh gi ht
nhng g m thy c ch dy cho chng em.
Em xin chn thnh cm n.
* Ban gim hiu, phng o to vi qu thy c trong trng du dt
chng em t nhng bc i u tin, xy dng cho chng em mt nn kin
thc qu bu v b ch trong ngnh y dc.
* Ban gim c bnh vin a Khoa Tnh k Lk, cng ton th cc cn
b y, bc s ca bnh vin to iu kin thun li cho em thu nhp s liu ti
bnh vin.
Em xin chn thnh cm n!
Bun Ma Thut, ngy 27 thng 1 nm 2014
Hc sinh
ng Th Thu Tho
Trang 2
Trng Trung Cp Y k Lk
Trang 3
Trng Trung Cp Y k Lk
Trang 4
Trng Trung Cp Y k Lk
Trang 5
Trng Trung Cp Y k Lk
Trang 6
Trng Trung Cp Y k Lk
+ Trnh m mc cho thuc vin, trnh chy nc cho vin nang, vin bao
ng.
+ Thng xuyn theo di cc hin tng bin cht, i mu, vn c,
hunh quang i vi thuc tim.
- Dc liu phi c ng gi v c bin php bo qun thch hp vi
tng loi
+ ni kh ro thong mt
+ m bo tiu chun cht lng quy nh, c nh k kim tra, c
bin php phi sy.
+ Chng h hng, su mt, mc.
+ nh k chuyn, o kho.
- Thuc, ha cht c yu cu bo qun c bit
* Ch cp pht thuc khoa dc
- Phiu lnh thuc nu ghi sai hoc phi thay th thuc phi c bc s
iu tr sa li v xc nhn vo phiu sau khi c kin ca dc s khoa dc.
- Thuc gy nghin, thuc c, thuc hng thn phi thc hin cp pht
thuc theo quy nh hin hnh.
- Thuc bt, thuc nc phi ng gi liu nh cho tng loi, tng ngi
bnh
- khoa dc bnh vin c cc phng cp pht thuc: kho cp pht thuc
bo him y t, y dng c v kho cp pht thuc vin ph, ngun thuc cho tr em
di 6 tui, hai kho ny c nhim v qun l, d tr, cp pht thuc v cp y c
cho ni tr, ngoi tr.
+ Khoa ni nhi nhim
+ Khoa ngoi sn
+ Khoa cp cu
+ Ngun bo him
+ Ngun tr em di 6 tui, vin ph, cp thuc chng trnh
+ thc hin tt cng tc cp pht thuc ngi dc s trc khi pht
thuc phi thc hin tt 3 kim tra, 3 i chiu.
SVTH: ng Th Thu Tho
Trang 7
Trng Trung Cp Y k Lk
Tn Thuc
Nystatin
Clrithromycin 500mg
Erythromycin 250mg
Hoxithromycin 250mg
Spyramycin 1,5tr VI
Spiramycin 3tr VI
Spiramycin 750.000VI
Spiramycin +
13
14
15
Nalidixicacide 500mg
16
Oflexcin 200mg
Sunfamethoxa +
18
19
20
21
22
Hng SX
VT
Qung Bnh
vin
Bidiphar
Danaphar
S. Pharm
vin
Th Nh K
vin
Ampharco
Khapharco
Tipharco
Domesco
Domesco
Domesco
vin
vin
vin
vin
vin
vin
Ung Naphacogyl
Nam H
vin
Stada
VN
vin
l
Khapharco
vin
India
vin
Ba Lan
vin
Ung
Ung
M tra mt
Ung
Ung: Pharmox
Stada
Mekopha
Qung Bnh
Domesco
TW7
vin
vin
tube
vin
vin
Metronidazole
Gprofloxacin 500mg
Gprofloxacide 0,3%
17
Bit Dc
trimethoprin
Doxycylin 100mg
Tetracylin 500mg
Tetracylin 1%
Tinidazol 500mg
Amoxycillin 500mg
penotran
ung: Amfarex 500
ung: Erythromycin
Ung
Ung Dorepcin
Ung Dorepcin
Ung Dorepcin
500
Ung: Mediflox 200
Trang 8
D
Tr
Trng Trung Cp Y k Lk
23
24
25
26
Amoxycillin 250mg
Amoxycillin 250mg
Amoxyallin +
ung
Ung eumocin
Ung ofmantin 250 +
Clavulalamic
Amoxycillin +
3125
Ung Claminat 500 +
Clvlalamic
125
Ung Unasyn 250 +
27
Ampicillin + Sulbactim
28
29
30
31
32
33
34
35
36
37
38
39
40
Cefalexin 500mg
Cfalexin 250mg
Cefalexin 250mg
Cefixime 100mg
Cefixime 200mg
Cefaclor 250mg
Cefaclor 500mg
Cefuroxin 250mg
Cefuroxim 500mg
Cefadroxyl 500mg
Cefdinir 300mg
Cefdinir 125mg
Cfradin 500mg
41
Phenoxy Methypenicillin
42
43
44
45
46
47
II
48
49
50
III
Gentamycin 0,3%
Bnh nh
Eoviphar
vin
vin
Domesco
vin
Imexopham
vin
vin
Cyprus
Bnh nh
Euviphar
TW7
Torren
VN
Medo
Indian
Indian
Torren
Uphace
Uphace
Bidiphar
vin
vin
gi
vin
vin
vin
vin
vin
vin
vin
vin
gi
vin
Mekopha
vin
Bidiphar
Nh mt: Maxitron
Euviphar
Nh mt: Fyraan
Nh mt: Eytobra D
Korea
Thy S
Php
Domesco
Medipharco
Domesco
vin
tube
vin
125
Ung Cefalexin 500
Ung Cefalexin 250
Ung Eulexcin
Ung Mexim 100
Ung forfexim 200
Ung
Ung: Medoclo
Ung: Penturox 250
Ung: Lexibase 500
Ung: Torodroxyl
Ung Uphacefdi 300
Ung Uphacefdi 125
Ung Bfrandin
Ung: penicillin
400000 VI
Nh mt: Gentamycin
10g
Neomycin + polymicinB
+Dexa
Thramycin
Thramycin +
Dexamethas
Chloramphenicol +
Dexamerh
Providon + Acidbo +
Nh mt Sperradex
5ml
Nh mt: Oculotect
Nacl + KG
10ml
Thuc nhm Virus
Acyclovir 200mg
Ung Acylovir
Acyclovir 5%
Dng ngoi
Lamivudin 100mg
Ung
Thuc khng nm vng ngoi
Trang 9
Trng Trung Cp Y k Lk
51
Clotrimazol +
52
53
Betamothsol
Fluconazol 150mg
Ketoconazole 200mg
54
Ketoconazole 2%
55
56
Nystatin 100.000VI
Nystatin 500.000VI
Nystatin + Metro +
57
58
59
60
IV
61
62
63
V
64
65
VI
66
67
Cloram + Dexa
Nystatin + Neomyein +
Ploy
Saliaflic aad +
tube
Ung: Flucoted
Ung
Dng ngoi: Comzel
t V Ph
Stada
vin
vin
VN
tube
Medipharco
ng Nai
vin
vin
DP 3/2
vin
t: Fungract
Indian
vin
Ampharco
tube
OPV
TW7
Indian
l
vin
vin
vin
vin
Danaphar
Danaphar
vin
vin
Apla
Apla
Vidiphar
Pymephare
c
vin
ng
VN
ng
ng
Organon
Organon
B
vin
vin
vin
5g
t
Ung
Dng ngoi:
Betamethason
Keradesim 15g
Du m u
Dng ngoi
Thuc tr giun, sn
Albendazol 200mg
Ung zentel
Mebendazole
Ung: Benca 500mg
Pysantel 125mg
Ung: pantel
Thuc chng ri lon tm thn
Sulepercl 200mg
Ung
Amitriptylin 25mg
Ung
Thuc hc mn, thng thn, ni tit t:
Dng ht: Budenase
Budesomicl
AQ
Beclometason
Dng xt: Beclate
(Dicloproncit)
Dexamethason +
0,1%
Nh mt, mi:
69
70
Neomycin
Methyl prednisolo 4mg
Hydrocortisone 100mg
71
Hydrocotisone 1%
polydexon 5ml
Ung: Medison
tim
Dng ngoi: Enoti
72
Ergometrin
73
74
75
Estriol 1mg
Lynestrenol
Progestersone
68
10g
Tim: Egrometrin
0,2mg/1ml
Ung: ovestin
Ung: orgametri 5mg
Ung: Utrogestan
Trang 10
Trng Trung Cp Y k Lk
VII
76
77
78
79
80
81
82
VIII
83
84
85
86
87
IX
88
89
90
91
92
93
94
95
96
97
X
98
99
100
100mg
Thuc h ng huyt, huyt thanh v gluco min dch
Gliclazide 80mg
Ung: Gliclazic 80
Domesco
Gliclazid 30mg
Ung Dcron 30MR
Domesco
Gliclazid 80 +
Ung: Dianm M
Indian
Metformin 500
Tim Wosulin
Insulin (30/70)
Wockhardt
4000L/10ml
Metfomin 500mg
Ung Finascar
Banglades
Proglitazon 15mg
Ung: Dobidi
Domesco
Huyt thanh khng un
Tim: Sat 5000l/mlIvae
vn
3ml
Thuc gin c v tng trng lc c
Epesison 0,05g
Ung Macininr
Indian
Pipercusium bronmicle
Tim arduan 4mg/2ml Hung
Suxamethonium
Tim
c
100mg/2ml
Thiccolehicosid 4mg
Ung Coltramyl
Russel
Neostigmine bromicle
Tim Notigmine 0,55 c
Thuc iu tr mt, tai, mi, hng
Nh mt: Tetracin
Dicein
DP 3/2
0,5%
Acetazolemide 250mg
Ung
Pharmedic
Nh mt: Isopto
Piloceurpin 2%
Alcol
carpin
Nh mt: Airopin
Atropin 0,1%
Vin mt
0,1%
Nh mt, mi Natrol
Natri chloride 0,9%
Euviphar
10ml
Triopicamid 0,5% 5ml
Nh mt: Mydrin P
Nht
Nh mi:
Xylometazolin 0,05%
Danaphar
Xylometazolin
Naphazolin 0,05%
Dng ngoi: Euvinex Euviphar
Argyrol 3%
Nh mt
Danaphar
Betahistin
Ung: Sese 8mg
H Lan
Thuc cm mu, thc , gy t, m
Oxytexcin 50L
Tim: Vinphatoxin
Vinpharco
Mysoprostol
Ung: Alsoben 200mg Korea
Halothan
ng h hp: 250ml Anh
vin
vin
vin
ng
vin
vin
ng
vin
ng
ng
vin
ng
l
vin
l
l
l
l
l
l
l
vin
ng
vin
l
Trang 11
Trng Trung Cp Y k Lk
101
Bupsvaceine
102
103
Lidocein _ Adrelnalin
Lidocein 10%
104
Lidocein 2%
105
Lidocein 2%
106
Isoflusane
107
Propofol
108
109
Ioxitalmetmeglumin +
20ml/200mg
Tim telebrix 35
Sodium
Thiopental 1g
mg/50ml
Tim
Thy S
ng
Korea
Hungari
ng
l
Thy S
tube
Vnh Phc
ng
Anh
Brdun
ng
Php
l
l
D tr
Kho BHYT
Kho vin ph
Khoa lm
sng
Khoa cn lm
sng
Mua
Vn chuyn
Khoa ngoi
sn
Qun l ti
khoa
Khoa cp cu
lin chuyn
khoa
Khoa ni
nhi nhim
ng y
Kim k
Lp s sch
SVTH: ng Th Thu Tho
Thng k
Cp pht
Trang 12
Kim tra
Trng Trung Cp Y k Lk
MC SUY
THN
Acetazolamid
Nh
Nng
Gentamycin
Nh
Insulin
Ironiazid
NHN XT
trnh dng, nhim c aud, chuyn ha
Tranh dng vi nc v natri gin tit sau khi
TM nhanh
Dng liu hiu qu thp nht gy tch nc v
natri, yhair chc nng thn c th dn n suy
Trang 13
Trng Trung Cp Y k Lk
Magnesi sulfat
Va
Morphin
T va n nng
Ofloxacin
Nh
Pethilin
T va n nng
Kaliclorid
Va
Propranolol
Nng
Nng
Nh
thn nng
Trnh Dng
Gim Liu
Dng vi1/2 liu thng thng nu thanh
Nh
Wasfarin
Calcionin
Nng
Va
Cefoaxim
Nng
Amoxicylin
Amoxicylin +
Nng
Quinin
Streptomycin
Sulfa methoxazolt
trimethoprum
Acidclauvulanic
Ampicillin,penzathin
, pennicillin
Carbamazepin
Cloramphenicol
Cloroguine
Cimeiclin
Ciprofloxacin
Nng
git
Hng sn xut khuyn co nn thn trng
Trnh dng nu c thuc thay th gim d to
Nng
Nng
Clindamycin
SVTH: ng Th Thu Tho
va
Trng Trung Cp Y k Lk
Codein
T va n nng
Diazepam
Nng
Digoxin
Nh
Ephedrin
Erythromycin
Fusoseinid
Ceflexin
Clopromazin
Closythromycin
in phn.
Nng
Trnh dng, ng c h thn kinh trung ng.
Nng
Dng liu ti a 1,5g/ngy, ng c thnh gic
Va
C th cn dng liu cao
Nng
Liu ti a 500mg/ngy
Nng
Bt u thp nht
T va n nng Dng vi liu
Dng vi liu tc dng thp, theo di chc
Biclofencie
Fentanyl
T va n nng
Indomethacin
Nh
Pisoixcam
T va n nng
Tetracylin
Nh
Nh
nng thn
Gim liu
Bt u vi liu thp hn
Tobramycin
Diltiazem
* Nhng loi thuc nn trnh hoc thn trng khi dng cho:
TN THUC
Acid Acetylsalicylic
Amynophylin
Carbamzpin
Theophylin
Eteme
Levonrgestrel
NHN XT
Trnh dng nguy c chy mu, ng tiu ha.
Gim liu
Suy gim chuyn ha bnh gan ang tin trin
Gim liu
Trnh dng
Trnh dng ngi bnh gan tin trin nu c lch s bnh
nga hoc vim mt trong thi k mang thai.
Trang 15
Trng Trung Cp Y k Lk
Silfamethoxzel + Trime
Testostesson
gan nng
Trnh dng th tt hn c kh nng gy c theo liu v gy
tch nc
NHN XT
S lng ln c th nh hng n tr v gim tiu th
sa
Tng nguy c xut huyt do thiu vitamin, warafin an ton
nn trnh dng phenidone, hng sn xut dicuomasol gi
d phng vitamin K cho tr.
Mt s thuc Histamin vo sa m vi mt s lng ln
mc d cha r tc hi nhng cc hng sn xut khuyn
co khng nn dng, c thng bo tr b hoa mt, chng
Cephalospin
mt vi thuc Clemastine
C bi xut trong sa m vi nng thp.
Nn dng loi khng sinh khc v c th gy ng c ty
Closmaphenicols
Gprofloaxcin
Isonizid
khi cai sa m.
Ch c lng nh trong sa m
Lng thuc qu nh khng gy hi nhng mt s nh
sn xut khuyn co nn trnh dng.
Theo di tr phng c ng c thuc nguy c trn l
thuyt v co git v bnh thn kinh khuyn dng
Pysidoxin d phng cho c m v con
Liu iu tr khng c nh hng n tr, vi nhng b m
Morphin
Nicolin
Norflexain
Trang 16
Trng Trung Cp Y k Lk
Paracetunol
Penicillin
Theophylin
1.2.3)
Vi liu lng c ch h hp s sinh, gim trng lng
Thuc gy m ti ch
Thuc ng mu
Heparin (1.2.3)
Nhn xt
Trnh s dng nh hng ti thai nhi, huyt p v chc
men chuyn ng
Angiotesin
Albandazol
Ru (1,2)
trn ng vt
Cc nh sn xut c gy qui thai trn ng vt
Nu dng hng ngfy c th gy qui thai (hi chng ru
trong thai nhi) v c th gy chm pht trin nu thnh
thong ung v ung t c th an ton, c th xut hin hi
Thuc nhm
Trang 17
Trng Trung Cp Y k Lk
Aminoglycosid
(2,3)
Nicotin (1,2,3)
Omeprazol
Gim u Opi (3)
Parasetmol
Penicillin
Cephalosprin
Cimetidin
Clayrthromycin
Cha bit tc hi
Cha bit tc hi
Cha bit tc hi
Nn trnh s dng ngoi tr tht cn thit
Cha bit tc hi, tuy nhin nn trnh dng tr khi li ch
Corticosteroid
Thuc li tiu (1)
cao hn nguy c.
Ch dng khi li ch cao hn nguy c.
Khng dng trong khi iu tr tng huyt p trong thai k,
nn trnh dng Actnzolamio v toracemid thuc Thiazid
tonDc
cho lm
ngi
bnh
sng
T vn theo di ADR
ang gi s dng thuc
theo di thuc iu tr,
phng phi thuc v
tng
Cc vn
lin quan
ti thuc
Nhn
bit
Gii quyt
Ngn nga
Trang 18
Trng Trung Cp Y k Lk
V. Mt s n thuc
1. n 1:
H tn bnh nhn: T Th Thy Lan
Nm sinh: 2007
Trang 19
Trng Trung Cp Y k Lk
Trang 20
Trng Trung Cp Y k Lk
- Cefuroxim 125mg x 10 gi
- Ung: Sng 1 gi Chiu 1 gi
- Presnisolon 5mg x 10 vin
- Ung: Sng 1 vin Chiu 1 vin
- Mitux (Acetylsystein) 200mg x 5 gi
- Ung: Sng gi Chiu gi
- Hapacol (paracetamol) 125mg x 10 gi
- Ung: Sng 1 gi Chiu 1 gi
7. n 7
H tn bnh nhn: Nguyn Th Vn
Nm sinh: 1966
- Bar x 60 vin
- Ung: Sng 2 vin Chiu 2 vin
- Cetirizin 10mg x 10 vin
- Ung: Sng 1 vin Chiu 1 vin
- Hankocin x 30 vin
- Ung:
- Ginrokin x 30 vin
- Ung:
8. n 8
SVTH: ng Th Thu Tho
Trang 21
Trng Trung Cp Y k Lk
- Ibamentin x 10 gi
- Ung:
- Preolnisolin 5mg x 10 vin
- Ung:
- Bameplex 100ml x 1 chai
- Ung: Sng 1 tha c ph Chiu 1 tha c ph
- Porox 10 vin
- t hu mn
10. n 10
H tn bnh nhn: Nguyn Th Hng
Nm sinh: 1960
Trang 22
Trng Trung Cp Y k Lk
Trang 23
Trng Trung Cp Y k Lk
Trang 24
Trng Trung Cp Y k Lk
Trang 25
Trng Trung Cp Y k Lk
7. Amoxicillin 500mg
Ch nh:
- Ngi bnh c tin s vi bt k Penecillin no.
Liu dng:
- Ngi ln ung 1 2 vin/ ln, ngy 3 ln.
- Tr em 20 40 mg/kg th trng/ ngy, chia 3 ln.
- Bnh lu: ung liu duy nht 3g cng vi 1g probenecid.
8. Buscopan.
Ch nh:
- iu tr au bng co tht trong hi chng kch thch rut.
Chng ch nh:
- Mn cm vi hot cht thuc hoc cc thnh phn khc ca thuc, hp c
hc ng tiu ha, to tit trng, b tiu do chn p di bng quang, glaucom
gi hp, nhp tim nhanh v chng nhc c nng.
Liu dng:
- Ngi ln v tr em tui n trng 1 2 vin nen bao ng, 3 ln/
ngy.
- Liu n: 10 20 mg, liu hng ngy ti a 60mg hyoscime N
Butylbromid).
- Vin nn bao ng nn c nut nguyn vin nhiu nc.
9 Hapacol 500mg (paracetamol)
Ch nh:
- iu tr cc triu chng au nhc v st trong cc trng hp.
+ Cm lnh, cm cm, au u, au c xng, bong gn, au khp, au
lng, au rng, au bng kinh, au do chn thng, au thn kinh.
+ Nhim khun ng h hp trn: au tai, au hng, vim mi xoang do
nhim khun, hay thi tit.
+ Sau phu thut nha khoa, nh rng, ct abiclan.
Chng ch nh
Trang 26
Trng Trung Cp Y k Lk
Trang 27
Trng Trung Cp Y k Lk
Trang 28
Trng Trung Cp Y k Lk
KHOA LM SNG
KHOA DC CN LM SNG
Trang 29
Trng Trung Cp Y k Lk
TN THUC, HM
LNG
Diazepam 5mg
Ampicillin 1g
Atropun 0,25mg
Cefotaxime 1g
Calcichlorua 5ml
Gentunycin 80mg
VT
Vin
L
ng
L
ng
ng
LNG
Ghi ch
10
10
10
10
5
5
Trang 30
Trng Trung Cp Y k Lk
7
8
9
10
11
12
13
14
15
16
*
17
18
19
*
20
21
22
23
24
Paracetamol + Diclophenac ng
Primral 10mg
ng
Frurocemid 20mg
ng
Hyoscin 20mg
ng
Insulin 400VI
ng
Nc ct
ng
Glucoza 5%
Chai
Glucoza 10%
Chai
Ringerlactat
Chai
Nacl 0,9%
Chai
Thuc st rt
Astecan
Vin
Cloroquin 250mg
Vin
Frimaquin 13,2mg
Vin
Vt t tiu hao
Dy oxy 2 nhnh
Dy
ng ht m
Dy
Sondenelaton
Ci
Sonde poley
Ci
Dy truyn dch
Dy
* Mt s bnh n ti khoa ni nhim
5
5
5
5
1
10
5
5
5
5
20
20
2
2
2
2
5
* Bnh n 01:
- H tn ngi bnh: Trn Vn Tng, tui 1984, Nam/n: Nam
- a ch: Thn 9, P.Tn An, TP.BMT, k Lk.
- L do vo vin: St
- Chun on: Vim amydan cp
- Nhp vin: 01/04/2012
* iu tr
Ngy, gi
15h30
Y Lnh
- Claminat 625mg x 3v
01/04/2012
cn, km au hng.
x 4v ung 16h-21h.
- Lc vo:
- Paracetamol 0,5g x 3v
+ T: 39OC
+ M: 100 nhp
+ HA: 120/70
21h.
Trang 31
Trng Trung Cp Y k Lk
khng nn i.
ung ri rc.
- Cho tht
tim u.
- Phi khng nghe sau, bng
mm.
- Gan lch khng ln, c m.
- Amyden sng to, .
- XN mu: BC: 10.900/mmg
N: 67%; CRN: dng tnh.
- Kt lun: Vim Amydan cp
2/04/2012
- Claminat 625mg x 3v
ung 8h-16h-20h.
- Alphachymotrypsin 4,2mg
x 4v ung 8h-16h.
- Paracetamol 0,5g x 4v
ung 8h khi st cch 6h.
- Sumiton x 2v ung 8h
16h.
- Dung dch ORS x
1000ml.
- Ung ri rc.
- Cho, sa, chm sc cp
3.
03/04/2012
Trang 32
Trng Trung Cp Y k Lk
04/04/2012
- M: 90 ln/ pht
ung 9h-16h-22h.
- To: 37oC
- Alphachymotrypsim
- Tim: T172 u.
- Paracetamol 0,5g x 3v
- Suniton x 2v ung 9h
16h.
Tui: 1956
Nam/N:
N
a ch
L do vo vin
Chun on
Nhp vin
: 02/04/2013
* iu tr:
NGY/GI
DIN BIN BNH
15h
Bnh nhn tnh, khng st, mt
02/04/2013
Y LNH
Ringerlactat x 500ml
M: 72 ln/ pht
To: 37oC
GT: 15 gi
Trang 33
Trng Trung Cp Y k Lk
15h 22h
- i cu lng ton nc, khng nn, - Papaverin 40mg x 2v, ung 15h
03/04/2013
tiu t ch
22h
- Cho CSC3
- Siu m bng
- Bnh nhn tnh, khng st, cn i - Ringerlactat x 500ml
lng phn nc
04/04/2013
- Cho : chm sc cp 3
Bnh nhn tnh, khng st, cn i - Ringerlactat x 500ml
lng phn nc.
Trang 34
Trng Trung Cp Y k Lk
05/04/2013
- Cho : chm sc cp 3
Bnh nhn tnh, khng st, tim u, - Ringerlactat x 500ml
r, phi khng ral.
GT: 9 gi
- Amoxicilin 500mg x 4v, ung
9h 16h
- LbiO 1g x 2 gi, ung 10h 17h
- ORS 1000ml ung dn
- Hankocin x 2v, ung 9h 16h
- Negram 0,5g x 4v, ung 9h
16h
- Cho : chm sc cp 3
07/04/2013
08/04/2013
r, bng mm, cu c
Bnh n nh
Cho ra vin
Trang 35
Trng Trung Cp Y k Lk
Tui: 1957
Nam/N:
Nam
a ch: khi 19, phng Ha Khnh, TP.BMT, k Lk
L do vo vin: St
Chun on: St siu vi
Nhp vin ngy: 29/04/2013
* iu tr:
NGY/GI
DIN BIN BNH
Y LNH
8h
Bnh nhn tnh to, tip xc tt, Dung dch Ringerlactat x 1000ml
29/04/2013
To: 37oC
- Cm - cho
Spo2: 95%
tiu 24h.
Tim nhp r
9h
lc 9h.
12h
Diclomine x 1 ng
Tim bp
19h
2h
30/04/2013
Truyn TM x 5 git/pht
bp lc 12h.
Paracetamol 0,5g x 1,5v ung lc
6h30
SVTH: ng Th Thu Tho
6h30.
Trang 36
Trng Trung Cp Y k Lk
7h40
To: 38,5oC
chia 3 ln.
SPO2: 94%
Nhp tim r
dn
SPO2 2h/ln
M: 71 ln/pht
16h30
To: 38,5oC
NT: 20 ln/ pht
SPO2: 96%
Nhp tim r, phi khng nghe ral
Kt lun: st cha r nguyn nhn
17h
Thm thuc :
M: 71 ln/pht
To: 38,5oC
17h30
Cho ra vin
Trang 37
Trng Trung Cp Y k Lk
L TH VN Tui: 1937
Nam/N: N
M: 100 ln/pht
TM lc 15h30
To: 37,5oC
15h30
Tim nhp khng r, phi gim thng Acetylsystein 0,2g x 4v, ung
kh, c t ral m, ral rt hai bn.
16h30
Trng Trung Cp Y k Lk
nc tiu 24h
Kt qu xt nghim:
Thm thuc
BC: 12700/mm3
Cefotaxim 1g x 4 l
N: 84%
Gentamycin 80mg x 2 ng
Ure: 38
tim TM lc 16h30
Creatinin: 118
Kaleorid 10% x 2 ng ha vo
Ghure:120
dung dch
ACT: 24 u/l
truyn xx git/pht
Na+: 137
Berodual x 3ml
K+: mEg/l
Cl-: 110
kh dung.
H K+ mu
Bnh nhn tnh to, theo di ti khoa
khng ln cn kh th
M: 81 ln/pht
To: 37oC
HA: 130/80 mmHg
NT: 20 ln/ pht
SPO2: 96%
Chuyn khoa ni iu tr tip
Kt lun: Co PD trung bnh, THA/
04/05/2013
h K+ mu
Bnh nhn tnh to, da, nim mc Nm u cao
hng
Berodual x 6ml
Cn kh th II
To: 37oC
Trang 39
Trng Trung Cp Y k Lk
M: 80 ln/pht
12h.
Gentamycin 80mg x 2 ng
Khng ph
tim bp lc 10h
TMC: -45o
Tiu nhiu
20h 4h
Tim p u
Bng mm
Kt lun: t cp co PD mc 20h
trung bnh/THA.
05/05/2013 Bnh tm n
* Phn tch pht iu tr
Cm nht
Cho ra vin
NGUYN TH HNG
Tui: 1937
Nam/N: N
Trang 40
Trng Trung Cp Y k Lk
NGY/GI
DIN BIN BNH
Y LNH
02/06/2013 Bnh nhn vo khng st, ngi mt Ringer lactate 500ml x 1 chai
mi, rt hu mn, th trng gy, tiu Natriclorua 9o/oo x 2 chai
03/06/2013
t ch.
Amoxicilin 0,5g x 4v
Clanftheomycin 0,5g x 2v
Mch: 86 ln/pht
Omeprazole 20mg x 2v
Nhit : 37oC
Diamicron 30mg x 2v
Ginrokin 40mg x 2v
ng.
Bnh nhn mt, khng st, nhp Ringer lactate 500ml x 1 chai
tim u, r, bng mm, gan lch Natriclorua 9o/oo x 2 chai
khng ln.
Amoxicilin 0,5g x 4v
Clanftheomycin 0,5g x 2v
Mch: 85 ln/pht
Omeprazole 20mg x 2v
Nhit : 37,5oC
Diamicron 30mg x 2v
Ginrokin 40mg x 2v
Cho, sa, chm sc cp 3
04/06/2013
Ch tiu ng
Bnh nhn mt, khng st, nhp Ringer lactate 500ml x 1 chai
tim u, r, bng mm, gan lch Natriclorua 9o/oo x 2 chai
khng ln.
Amoxicilin 0,5g x 4v
Clanftheomycin 0,5g x 2v
Mch: 85 ln/pht
Omeprazole 20mg x 2v
Nhit : 37,5oC
Diamicron 30mg x 2v
Ginrokin 40mg x 2v
Cho, sa, chm sc cp 3
05/06/2013
Sinh tn n nh
Ch tiu ng
Cho ra vin
Tim: u, r
Phi khng nghe rale
SVTH: ng Th Thu Tho
Trang 41
Trng Trung Cp Y k Lk
1
2
3
4
5
6
7
8
9
10
TN THUC
Morphin 10mg/1ml
Dolargan 100mg/2ml
Diazepam 10mg/2ml
Diazepam 5mg
Alphatrimotripsin 5mg
Adrenalin 1mg/1ml
Ampixilin 1g
Atropin 0,25mg/1ml
Doxycillin 100mg
Drotaverin 40mg
VT
ng
ng
ng
vin
vin
ng
l
ng
vin
ng
P. SANH
PK SN
1
5
5
5
100
5
15
5
10
(no spa)
10
GHI CH
Thuc gy nghin
Thuc gy nghin
Thuc hng thn
Thuc hng thn
Biseptol 48mg
11
Sunfamethoxa+trimethoprin
SVTH: ng Th Thu Tho
vin
10
Trang 42
Trng Trung Cp Y k Lk
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
Canciclorua 0,5g/5ml
Cefalexim 500mg
Cefotuxim 1g
Clopheniramin 4mg
Cefado
Methyldopa 250mg
Furrosemide 20mg
Gentamycin 80mg/2ml
Lidocain 2%
Magnesium 15%
Methyl Frgometrin 0,2mg
Metronidazole 250mg
Nc ct 5ml
Naloxon 0,4mg/1ml
Nifedipin 10mg
Oxytocin 5UI/1ml
Hyorin 20mg
Hydrocorthyson 100mg
Paracetamol+Diclofenac
Paracetamol 500mg
Primperan 10mg/2ml
Transamine 250mg/5ml
Acetylcystein 200mg
Simethyson 250mg
St Furmarat+Flic+B12+C
Vitamin
A,E,B1,B2,B6,PP,acid
38
Vitamin K1 10mg/1ml
*Dch truyn
39
Gelatin 500ml
40
Glucoza 5%, 500ml
41
Glucoza 10%, 500ml
42
Ringerlactat 500ml
43
NaCl 0,9%, 500ml
44
Nabicarbonat 1,4%
45
Metronidazole 100ml
ng
vin
l
vin
vin
vin
ng
ng
ng
ng
ng
vin
ng
ng
vin
ng
ng
ng
ng
vin
ng
ng
vin
vin
vin
vin
5
200
50
10
50
10
2
100
50
10
10
10
50
1
5
150
20
5
10
60
10
10
10
20
20
100
ng
20
chai
chai
chai
chai
chai
chai
chai
2
20
4
50
8
1
6
1
2
Gii tnh: N
Trang 43
Trng Trung Cp Y k Lk
mang thai khe, nay thy ra nc Nghe tim thai bng my dopler
m o, vo vin.
- Cm
Mch: 90 ln/pht
- Cefotaxime 1g x 1l
Nhit : 37oC
Huyt p: 170/80 mmHg
- Tim phi bnh thng
- Khm sn: t cung hnh trng, t
th trung gian c t cung t lt
ngn tay, u cao, i v t nhin gi Glucoza 5% 500ml x 1 chai
th 5.
11h
Oxytocin 5UI x 1 ng
Buscoban 20mg x 2 ng
d, CSC 1.
BC/VB: 26/84cm
21h
Buscoban 20mg x 2 ng
11/09/2013
Trang 44
Trng Trung Cp Y k Lk
12/09/2013
sau
Gentamycin 80mg x 2 ng
Cefotaxime 1g x 3 l
Oxytoxin 5UI x 2 ng
St folic x 1v
Cm, chm sc cp 3
Cefotaxime 1g x 2 l
St folic x 1v
lm thuc m
13/09/2013
Cm, CSC 3
T cung go hi tt, sn dch ra t, n Avacan 1g x 2v
ng tt
14/09/2013
lm thuc m, CSC 3
T cung go hi tt, sn dch ra t, n Avacan 1g x 2v
ng tt
15/09/2013
St folic x 1v
lm thuc m, CSC 3
T cung go hi tt, sn dch ra t, n Avacan 1g x 2v
ng tt
16/09/2013
St folic x 1v
St folic x 1v
lm thuc m, CSC 3
T cung go hi tt, sn dch ra t, n Avacan 1g x 2v
ng tt
17/09/2013 Bnh n
* Phn tch pht iu tr:
St folic x 1v
lm thuc m, CSC 3
Cho ra vin
Trang 45
Trng Trung Cp Y k Lk
Gii tnh: N
6h45
- u cao
Oxytocin 5UI x 2 ng
Cefotaxime 1g x 2 l
Oxytocin 5UI x 2 ng
Mgie B6 x 2v
04/10/2013
Trang 46
Trng Trung Cp Y k Lk
05/10/2013 Bnh n
* Phn tch pht iu tr:
- Buscopan: chng co tht ng niu, sinh dc
Tui: 1990
Nam/N: N
tnh to
Glucoz 5% x 500ml
M: 80 ln/pht
TTM 40 git/pht
To: 37oC
GT 8h
Gentamycin 80mg x 2 ng
GH: 16h
16h
TB: 9h
16h
Thai 8 tun sy
Oxytocin 5UI x 2 ng
TB: 9h
Varocomin x 2v
ung 9h
10/11/2013
16h
Tnh, ht au bng
Cm, CSC2
Ringerlactat x 500ml
Sn dch ra t
Glucose 5% x 500ml
Sinh tn n nh
TTM 30 git/pht
Trang 47
Trng Trung Cp Y k Lk
GT 9h
Gentamycin 80mg x 2 ng
TB: 9h
Cefotaxim 1g x 2 ng
TMC: 9h
16h
Varocomin x 2 vin
TMC: 9h
11/11/2013
16h
Cm, CSC2
Ngi bnh tnh, khng st, than Gentamycin 80mg x 2 ng
mt, t cung go tt, sn dch ra va
TB: 8h
Cefotaxim 1g x 2 ng
TMC: 8h
16h
Varocomin x 2 vin
ung: 8h
12/11/2013
16h
Cm, CSC3
Ngi bnh tnh, khng st, cn Gentamycin 80mg x 2 ng
mt, t cung go tt, sn dch ra va
TB: 8h
Cefotaxim 1g x 2 ng
TMC: 8h
16h
Varocomin x 2 vin
ung: 8h
13/11/2013
16h
Cm, CSC3
Gia nh xin chuyn tuyn trn iu Gentamycin 80mg x 2 ng
tr
TB: 8h
Cefotaxim 1g x 2 ng
TMC: 8h
16h
Varocomin x 2 vin
ung: 8h
16h
Cm, CSC3
* Phn tch pht iu tr:
- Gentamycin: iu tr nhim khun
SVTH: ng Th Thu Tho
Trang 48
Trng Trung Cp Y k Lk
Tui: 1982
Nam/N: N
M: 80 ln/pht
To: 37oC
ECG.
Cm, chm sc cp 3
Buscopan 20mg x 2 ng
16h
CSC 2
Oxytocin 5% UI x 2 ng
G: 40 3
Lidocaine 2% x 4 ng
Cefoxime 0,5g x 4v
u: cht
Trang 49
Trng Trung Cp Y k Lk
6 gi sau .
3.
Sn ph tnh, khng st, t cung go Cefoxime 80mg x 2 ng
hi tt, sn dch ra t, b khe, b tt Cefoxime 0,5g x 4v
Oxytocin 5% UI x 2 ng
St folic x 1v
lm thuc m, rn b
04/11/2013
Cm, CSC 3
Sn ph tnh, khng st, t cung go Cefoxime 80mg x 2 ng
hi tt, sn dch ra t, b khe, b tt Cefoxime 0,5g x 4v
Oxytocin 5% UI x 2 ng
St folic x 1v
lm thuc m, rn b
Cm, CSC 3
Cho ra vin
05/11/2013 Bnh n
* Phn tch pht iu tr:
- Buscopan: chng co tht ng niu sinh dc
- Ringerlactat: b nc v in gii cho c th
- Lidocaine: tc dng gy t
Tui: 1985
Nam/N: N
Trang 50
Trng Trung Cp Y k Lk
14/11/2013
M: 80 ln/pht
To: 37oC
m h, m o bnh thng
Bnh nhn tnh, tip xc tt
Papaverin 40mg x 1 ng
Vitamin E 400 x 2v
dch bt thng.
Xt nghim nc tiu ECG
Bnh nhn tnh, khng st, khng Papaverin 40mg x 1 ng
au bng, khng ra dch bt thng.
Vitamin E 400 x 2v
Trang 51
Trng Trung Cp Y k Lk
Vitamin C 0,5g x 2v
Ngh ngi tuyt i, cm, CSC 3
Cho ra vin
VT
NGOI PK
GHI CH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
ng
ng
vin
ng
ng
vin
ng
vin
vin
vin
l
vin
vin
vin
l
vin
vin
vin
gi
vin
ng
vin
ng
1
1
10
5
5
20
5
100
5
20
10
20
5
10
50
10
20
20
10
20
2
20
5
Thuc gy nghin
Thuc gy nghin
Thuc hng thn
Thuc hng thn
Dolargan 100mg
Morphin 10mg
Seduxen 5mg
Ephedrin 10mg
Adrenalin 1mg
Acetyleystein 200mg
Alphachymotripsin 500 UI
Alphachymotripsin 5mg
Amlodipin 5mg
Amoxcillin 500mg
Ampicillin 1g
Biseptol 480mg
Triobex
Cefadroxil 500mg
Cefotaxime 1g
Chlopheniramin 4mg
Ciprofloxacin 500mg
Amoxcillin+Acidclauvulamid
Amoxcillin+Acidclauvulamid
Cefuroxim 600mg
Diaphylin 4,5%
Dlosmin+Hosperidin
Hydrocortison 100mg
SVTH: ng Th Thu Tho
500mg+125mg
250mg+625mg
5
Trang 52
Trng Trung Cp Y k Lk
24
Gentamycin 80mg/1ml
25
Lidocain 2%
26
M: Tetracylin 1%
27
Nc ct 5ml
28
Nifedipino 10mg (Adalat)
29
Ofloxacin 200mg
30
Oxy gi
31
Hyoscin 20mg
32
Methylprednisolon 5mg
33
Primperan 10mg/2ml
34
Paracetamol+Dclofenac
35
Paracetamol 500mg
36
Paracetamol 250mg
37
Tenidazol 500mg
* Dch truyn:
38
Glucoza 5% 500ml
39
Glucoza 10% 500ml
40
Glucoza 30% 500ml
41
Lactat zinger 500ml
42
NaCl 0,9% 500ml
ng
ng
tube
ng
vin
vin
l
ng
vin
ng
ng
vin
gi
vin
40
30
2
50
2
10
5
5
30
5
10
50
10
20
chai
chai
chai
chai
chai
15
5
2
15
5
70
3
3
3
5
Tui: 45
Nam/N: Nam
M: 80 ln/pht
SVTH: ng Th Thu Tho
Trang 53
Trng Trung Cp Y k Lk
To: 37oC
HA: 120/80 mmHg
Tim, nhp th r
Phi khng nghe ral
Bng mm, gan lch khng ln, s
bng au tc vng bng di, tiu
21/01/2013
kh.
Bnh nhn tnh to, sinh liu n, n Claminat 625mg x 2v, ung 9h
au tc h v, tiu but rt
16h
Alphachymotripsin 4,2mg x 6v,
ung 9h 16h.
Paracetamol 0,5g x 2v, ung 9h
16h
Triobex x 2v, ung 9h 16h
Ung nhiu nc, cm, cho
Tip tc iu tr
Tui: 62
Nam/N: N
Trang 54
Trng Trung Cp Y k Lk
vin.
Triobex x 2v
01/04/2013 , gim
* Phn tch pht iu tr
Trang 55
Trng Trung Cp Y k Lk
* iu tr
Ngy, gi
3h
M: 10 ln/ pht
To: 38oC
HA: 120/70mmHg
Khm: Bnh nhn au bng h v
(P).
MC-Burney(-) Blumbesg (-)
- Tinh hon sng au
8h
- Cefotaxim 1g x 1 l
- Gentumycin 80mg x 2 l
- Diclofhenac 80mg x 2 ng
- TB 1 ng khi au
- Prednisolon 4mg x 2v
- Ung tra sau ba n
- Triobex x 2v
- Ung 9h-16h
11/04/2013
- Cefotuxim 1g x 2 l
- Cn au tc vng bng
- TB: 9h-16h
- Gentamycin 80mg x 2 ng
- TB: 9h
- Diclophenac 8mg x 2 ng
- TB: 1 ng khi au.
- Precl nisolon 4mg x 6v
- Sng ung 4v, tra 2v.
- Triobex x 2v
Trang 56
Trng Trung Cp Y k Lk
12/04/203
, gim
* Phn tch pht iu tr
- Ung: 9h 16h
Ra vin
- Triobex x2v
- M: 80 ln/ pht
- Ung 9h30-10h30
- To: 38oC
- HA: 110/60mmHg
- NT: 20 ln/ pht
- Khm: Khi u vng c tay (I)
- n khng au, gii hn r, khng
di ng.
- Kt lun: U bao hot dch c tay
11/05/2013
(I).
- Hi chun li hon thng nht.
- Gentamycin 80mg x 1 ng
Trang 57
Trng Trung Cp Y k Lk
- Claminat 625mg x 2v
- Ung 2 ln
- Paracetimol 0,5 x 6v
- Alphachymotripson x 6 v
- Triobex x 3v
- Chia 3 ln ung
12/05/2013 , gim
*Phn tch pht iu tr:
- Cm, cho
Cho ra vin
- M: 85 ln/ pht
- Ch m
- To: 37oC
- HA: 130/90mmHg
- NT: 20 ln/ pht
- Tim u phi khng nghe ral bng
mm, gan lch khng ln.
- Vng i (P) c khi g ln, s
SVTH: ng Th Thu Tho
Trang 58
Trng Trung Cp Y k Lk
thy d vt.
8h
22/06/2013
8h
23/06/2013
M ly d vt
Bnh nhn tnh, khng st thy cng Gii thch, cam oan
i (P) di dch s thy d vt qua da
9h30
- Tm nhn, CSC 3
Sau m bnh n, chuyn hi sc sau - Alpha Chymobripsin 500 01x
23/06/2013
m, iu tr tip
2 l
- Diclofenac 85 mg x 3 ng
24/06/2013
- Cm, CSC 3
Bnh tnh khng st, vt thng r - Cefotaxmie 1g x l
dch, thm bng au
- Gentamyin 80mg x 2 ng
- Alpha-Chymotripsin 500 01x 2
l
- Hapacol 0,5g x 2v
- Magie B6 x 1v
- Tha bng
25/06/2013
- Cm, CSC 3
- Bnh tnh, khng st, vt m kh, - Cofotaxime 1g x 2 l
au t.
- Gentamyin 80mg x 2 ng
- Du hiu sinh tn n
- Alphatrymotripsin 500 01 x 2 l
- Hapacol 0,5g x 2v
- Magie b6 x 2 v Thay bng
26/06/2013 - Bnh n nh
* Phn tch pht iu tr
- Cm, csc 3
- Cho xut vin
Trang 59
Trng Trung Cp Y k Lk
TN THUC
Alphachymotripsin 5mg
Acetylaystein 200mg
Alimemazin 5mg
Ampcillin 1g
Amoxcillin 250mg
Amox 500 + Acidclauxulamid
Amox 250 + Acidclauxulamid
Besodaan 20ml
Cefuroxuim 250mg
Chiophesamin 4mg
Nc ct 5ml
Hydrocostison 100mg
ORS
Gentamycin 80mg
Penicillin 1.000.000 VI
Prednisolon 5mg
Paracetamol 500mg
Paracetamol 150mg
Paracetamol 80mg
Paracetamol 100mg
Salbutamol 20mg
Simethicone 15ml
Loratidime 10mg
Lactobacilus+Acidophilus
Glucoz 5% 500ml
VT
Vin
Vin
Vin
l
vin
Vin
Vin
Vin
L
Vin
ng
ng
Gi
ng
L
Vin
Vin
Gi
Gi
Vin
vin
l
vin
gi
chai
Lng
20
10
10
5
20
10
10
20
10
20
2
5
20
10
5
20
20
20
20
20
20
5
20
20
5
GHI CH
Trang 60
Trng Trung Cp Y k Lk
26
Lactat ringer 500ml
27
NaCl 0,9% 500ml
28
Artesunat 50mg
29
Primaqui 13,2g
30
Chloroqui 250mg
31
Artecan
* VT LIU TIU HAO
32
Bm tim 5ml
33
Bm tim 10ml
34
Dy truyn dch
35
Dy oxyte
36
Cun cathete TE
37
Sonde hu mn
* MT S BNH N TI KHOA NHI
chai
chai
vin
vin
vin
vin
5
5
10
10
10
10
ci
ci
ci
20
5
5
ci
* Bnh n s 01:
- H v tn bnh nhn: TRN VN HONG Tui: 48 thng Nam/N: Nam
- a ch: khi 3, phng Tn Li, TP.BMT, k Lk
- L do vo vin: Nn i, i cu phn lng
- Chun on: vim rut
- Ngy nhp vin: 08/04/2013
* iu tr:
NGY/GI
DIN BIN BNH
Y LNH
8h30
Bnh 3 ngy, tr st, nn i, i cu (1) Ringer lactat x 500ml truyn
08/04/2013
1 gi khi st cch 4h
M: 130 ln/pht
To: 39oC
NT: 30 ln/pht
TB: 9h
P: 13kg
- Sa, cho
Bng chng nh, tim nhp u, (2) Negram x 1v, ung 10h
SVTH: ng Th Thu Tho
Trang 61
Trng Trung Cp Y k Lk
(3) ORS x 2 gi
Cho ra vin
Tui: 4
Nam/N: Nam
1 gi khi st cch 4h
M: 130 ln/pht
To: 39oC
NT: 30,8 ln/pht
P: 12kg
Mt trng nh, mi kh,
SVTH: ng Th Thu Tho
Trng Trung Cp Y k Lk
TB: 9h
lng
Negramdicin 50g x 1v
Doperadol x 1v
Ra vin
Tui: 15 thng
Nam/N: N
Y LNH
Berudual x 2ml+Natri clorua 9% x
Tim u
2ml
15/02/2013
Tr tnh
14h sau n
Berudual x 2ml+Natri clorua 9% x
Trang 63
Trng Trung Cp Y k Lk
2ml
Cefotaxim 2mg x 1v, ung 9h-16h
Tocemux 2g x 1 gi, ung 9h-16h
Salbutamol 2mg x 1v, ung 9h-16h
Gentamycin 80mg x 2/3 ng, ung
9h
Prednisolon 5mg x 2v, ung 9h
20h30
16h sau n
Tr l , mi kh, mt hng, sinh Paracetamol 150mg x 3 gi, ung
16/02/2013
liu n
khi st
Phi ral, mt nc TB
2h
Th oxy 15 pht
Actapuligit x 1/2 gi, ung 23h
Kaliorid 0,5g x 1/2 vin
Tui: 10 thng
Nam/N: N
Trang 64
Trng Trung Cp Y k Lk
- L do vo vin: st
- Chun on: vim mi hng cp
- Ngy nhp vin: 10/08/2013
* iu tr:
NGY/GI
DIN BIN BNH
Y LNH
10/08/2013 Bnh khi pht ngy 2 ln vi st Gentamycin 80mg x 1 ng IM
cao, km au bng, gia nh lo lng Cefalexin 1mg x 2v
cho vo vin.
Cefixim x 6v
Tr tnh
Alphanea x 6v
M: 130 ln/pht
Tocemux 2g x 6 gi
Ra vin
Tui: 5
Nam/N: Nam
Cefixim x 6v
Tr tnh
Alphanea x 6v
Trang 65
Trng Trung Cp Y k Lk
M: 130 ln/pht
Tocemux 2g x 6 gi
Ra vin
Trang 66
Trng Trung Cp Y k Lk
LI KT
Trong qu trnh v thc tp ti Bnh vin A KHOA TNH K LK, em
hiu hn v trch nhim, nhim v ca mt dc s trung hc ang hc, s kt
hp gia l thuyt v thc hnh l mt phng php rt hay gip cho hc sinh
c nhn nhn v va chm thc t tip xc vi cc cn bnh, hc hi hng
iu tr ca cc bc s, ca cc c ch v anh ch trong ngnh.
Em xin chn thnh cm n Trng khoa Dc, Ni, Nhi, Truyn nhim, Ngoi,
cng tt c cn b nhn vin ca khoa nhit tnh gip v to iu kin
cho em hon thnh tt t thc tp ny.
Em xin cm n cc thy, cc c Trng trung cp Y Dc L Hu Trc to
iu kin cho chng em c thc t ti c s pht huy vn kin thc t cc
thy c truyn dy vo thc t. Em ha s c gng thc tp tt xng ng vi
cng sc ca cc thy c truyn dy.
Em xin chn thnh cm n, v knh chc cc thy, c, cc y, bc s ca Bnh
vin A KHOA TNH K LK li chc sc khe v cng tc tt.
Trang 67
Trng Trung Cp Y k Lk
Trang 68
Trng Trung Cp Y k Lk
ng Th Thu Tho
Trang 69