\u0111\u01a1n thu\u1ed1c tham kh\u1ea3o t\u1eeb K15a1 (XH)<\/p>\n
T\u0102NG HA \u0110\u1ed8 2 NGUY\u00caN PH\u00c1T<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 55 Nam\/n\u1eef: nam<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 II nguy\u00ean ph\u00e1t<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Indapamid 1.25 mg x 14 vi\u00ean (l\u1ee3i ti\u1ec3u thiazid)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean<\/p>\n
2. Perindopril 5 mg x 14 vi\u00ean (\u1ee9c ch\u1ebf ECA)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– H\u1ea1n ch\u1ebf \u0103n m\u1eb7n, \u0103n nhi\u1ec1u rau qu\u1ea3, ko u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n
– T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean<\/p>\n
– Tr\u00e1nh lo \u00e2u, c\u0103ng th\u1eb3ng<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng HA:<\/p>\n
– Ch\u1eb9n \u03b2<\/p>\n
– Ch\u1eb9n k\u00eanh canxi<\/p>\n
– L\u1ee3i ti\u1ec3u thiazid<\/p>\n
– \u1ee8c ch\u1ebf ECA\/\u1ee9c ch\u1ebf receptor c\u1ee7a angiotensin II<\/p>\n
– Gi\u00e3n m\u1ea1ch tr\u1ef1c ti\u1ebfp<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5:<\/p>\n
– Indapamid:<\/p>\n
+ R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i<\/p>\n
+ T\u0103ng acid uric m\u00e1u (l\u01b0u \u00fd v\u1edbi BN gout), t\u0103ng \u0111\u01b0\u1eddng m\u00e1u, t\u0103ng lipid m\u00e1u<\/p>\n
– Perindopril:<\/p>\n
+ Ho khan (do t\u0103ng PG \u1edf ph\u1ed5i)<\/p>\n
+ Ph\u00f9 m\u1ea1ch (do bradykinin ko b\u1ecb gi\u00e1ng h\u00f3a)<\/p>\n
+ Suy th\u1eadn c\u1ea5p<\/p>\n
\u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG TYPE I<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 30 Nam\/n\u1eef: n\u1eef<\/p>\n
C\u00e2n n\u1eb7ng: 50 kg<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type I<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Mixtard 30\/70 flexpen x 1 b\u00fat ti\u00eam (25 IU\/ng\u00e0y \u2013 0.5 IU\/kg)<\/p>\n
Ti\u00eam d\u01b0\u1edbi da: s\u00e1ng 12.5 IU (6 h), t\u1ed1i 12.5 IU (18 h)<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– B\u1eaft bu\u1ed9c ph\u1ea3i \u0103n u\u1ed1ng \u0111i\u1ec1u \u0111\u1ed9<\/p>\n
– \u0102n nhi\u1ec1u rau, h\u1ea1n ch\u1ebf \u0103n \u0111\u1ed3 ng\u1ecdt, ko u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n
– T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean<\/p>\n
– Ti\u00eam d\u01b0\u1edbi da v\u00f9ng quanh r\u1ed1n, thay \u0111\u1ed5i v\u1ecb tr\u00ed ti\u00eam \u0111\u1ec3 tr\u00e1nh r\u1ed1i lo\u1ea1n d\u01b0\u1ee1ng m\u1ee1<\/p>\n
– B\u1ea3o qu\u1ea3n thu\u1ed1c trong ng\u0103n m\u00e1t t\u1ee7 l\u1ea1nh<\/p>\n
– Ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0110T\u0110 type I:<\/p>\n
– Insulin t\u00e1c d\u1ee5ng nhanh (Insulin HCl) (1)<\/p>\n
– Insulin t\u00e1c d\u1ee5ng ng\u1eafn (2)<\/p>\n
– Insulin t\u00e1c d\u1ee5ng trung b\u00ecnh (Insophan insulin \u2013 NPH) (3)<\/p>\n
– Insulin t\u00e1c d\u1ee5ng ch\u1eadm (Insulin protamin k\u1ebdm) (4)<\/p>\n
(2) + (3) -> Mixtard<\/p>\n
(1) + (4) -> Analog: ti\u00eam tr\u01b0\u1edbc khi \u0103n<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a insulin:<\/p>\n
– D\u1ecb \u1ee9ng<\/p>\n
– H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/p>\n
– T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft h\u1ed3i \u1ee9ng: ng\u1eebng thu\u1ed1c sau khi d\u00f9ng insulin li\u1ec1u cao<\/p>\n
\u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG TYPE II<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 46 Nam\/n\u1eef: nam<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type II<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Metformin 500 mg x 20 vi\u00ean (biguanid)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean, t\u1ed1i 1 vi\u00ean (sau \u0103n)<\/p>\n
2. Dapagliflozin 50 mg x 10 vi\u00ean (\u1ee9c ch\u1ebf SGLT2)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean (sau \u0103n)<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb<\/p>\n
– \u0102n nhi\u1ec1u rau, h\u1ea1n ch\u1ebf \u0103n \u0111\u1ed3 ng\u1ecdt, ko u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n
– T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean<\/p>\n
– Ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0110T\u0110 type II:<\/p>\n
– Thu\u1ed1c k\u00edch th\u00edch b\u00e0i ti\u1ebft insulin:<\/p>\n
+ Sulfonylure<\/p>\n
+ Ko ph\u1ea3i sulfonylure<\/p>\n
– Thu\u1ed1c l\u00e0m t\u0103ng nh\u1ea1y c\u1ea3m c\u1ee7a t\u1ebf b\u00e0o \u0111\u00edch v\u1edbi insulin:<\/p>\n
+ Biguanid<\/p>\n
+ Thiazolidindion<\/p>\n
– Thu\u1ed1c l\u00e0m gi\u1ea3m h\u1ea5p thu glucose \u1edf ru\u1ed9t<\/p>\n
– Thu\u1ed1c t\u00e1c d\u1ee5ng tr\u00ean h\u1ec7 incretin:<\/p>\n
+ Thu\u1ed1c gi\u1ed1ng incretin<\/p>\n
+ Thu\u1ed1c \u1ee9c ch\u1ebf DPP-4<\/p>\n
– Pramlintid<\/p>\n
– Thu\u1ed1c \u1ee9c ch\u1ebf SGLT2 (ch\u1ea5t \u0111\u1ed3ng v\u1eadn chuy\u1ec3n Na \u2013 glucose \u1edf \u1ed1ng th\u1eadn)<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5:<\/p>\n
– Metformin:<\/p>\n
+ R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a (n\u00ean u\u1ed1ng sau \u0103n)<\/p>\n
+ Gi\u1ea3m h\u1ea5p thu vitamin B12<\/p>\n
+ T\u0103ng acid lactic<\/p>\n
– Dapagliflozin:<\/p>\n
+ Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u (do t\u0103ng glucose ni\u1ec7u)<\/p>\n
+ R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/p>\n
+ R\u1ed1i lo\u1ea1n h\u1ea5p thu<\/p>\n
LO\u00c9T D\u1ea0 D\u00c0Y HP<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 31 Nam\/n\u1eef: nam<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: lo\u00e9t d\u1ea1 d\u00e0y HP (+)<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Omeprazol 20 mg x 28 vi\u00ean (\u1ee9c ch\u1ebf b\u01a1m proton)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean, t\u1ed1i 1 vi\u00ean (tr\u01b0\u1edbc \u0103n 30 ph\u00fat)<\/p>\n
2. Amoxicillin 1 g x 28 vi\u00ean<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean, t\u1ed1i 1 vi\u00ean (sau \u0103n)<\/p>\n
3. Clarithromycin 500 mg x 28 vi\u00ean<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean, t\u1ed1i 1 vi\u00ean (sau \u0103n)<\/p>\n
4. Bismuth subcitrat 120 mg x 56 vi\u00ean (b\u1ea3o v\u1ec7)<\/p>\n
U\u1ed1ng s\u00e1ng 2 vi\u00ean, t\u1ed1i 2 vi\u00ean (tr\u01b0\u1edbc \u0103n 30 ph\u00fat)<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb<\/p>\n
– Ko u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n
– Tr\u00e1nh lo \u00e2u, c\u0103ng th\u1eb3ng<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lo\u00e9t d\u1ea1 d\u00e0y:<\/p>\n
– Thu\u1ed1c kh\u00e1ng acid<\/p>\n
– Thu\u1ed1c l\u00e0m gi\u1ea3m b\u00e0i ti\u1ebft HCl v\u00e0 pepsin:<\/p>\n
+ Thu\u1ed1c kh\u00e1ng histamin H2<\/p>\n
+ Thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton<\/p>\n
– Thu\u1ed1c b\u1ea3o v\u1ec7:<\/p>\n
+ Bismuth<\/p>\n
+ Sucralfat<\/p>\n
+ Misoprostol<\/p>\n
– Kh\u00e1ng sinh di\u1ec7t HP:<\/p>\n
+ Amoxicillin<\/p>\n
+ Clarithromycin<\/p>\n
+ Metronidazol<\/p>\n
+ Tetracyclin<\/p>\n
+ Fluoroquinolon<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5:<\/p>\n
– Omeprazol: r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, nhi\u1ec5m khu\u1ea9n ti\u00eau h\u00f3a, t\u0103ng gastrin m\u00e1u<\/p>\n
– Amoxicillin: d\u1ecb \u1ee9ng<\/p>\n
– Clarithromycin: r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a nh\u1eb9, d\u1ecb \u1ee9ng<\/p>\n
– Bismuth subcitrat: \u0111en mi\u1ec7ng, \u0111en ph\u00e2n<\/p>\n
VI\u00caM KH\u1edaP<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 47 Nam\/n\u1eef: n\u1eef<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: vi\u00eam kh\u1edbp<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Meloxicam 7.5 mg x 14 vi\u00ean (acid enolic)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean (sau \u0103n)<\/p>\n
2. Omeprazol 20 mg x 14 vi\u00ean (\u1ee9c ch\u1ebf b\u01a1m proton)<\/p>\n
U\u1ed1ng s\u00e1ng 1 vi\u00ean (sau \u0103n)<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– Ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u vitamin v\u00e0 canxi, ko u\u1ed1ng r\u01b0\u1ee3u bia<\/p>\n
– T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp:<\/p>\n
– NSAIDs:<\/p>\n
\u1ee8c ch\u1ebf COX ko ch\u1ecdn l\u1ecdc:<\/p>\n
+ Nh\u00f3m acid salicylic<\/p>\n
+ Nh\u00f3m pirazolon<\/p>\n
+ Nh\u00f3m indol (sulindac)<\/p>\n
\u00fc + Nh\u00f3m acid enolic<\/p>\n
\u00fc + Nh\u00f3m acid propionic (ibuprofen)<\/p>\n
\u00fc + Nh\u00f3m acid phenylacetic (diclofenac)<\/p>\n
+ Nh\u00f3m acid heteroarylacetic<\/p>\n
\u1ee8c ch\u1ebf ch\u1ecdn l\u1ecdc tr\u00ean COX-2:<\/p>\n
+ Nh\u00f3m coxib<\/p>\n
+ Nh\u00f3m indol (etodolac)<\/p>\n
+ Nh\u00f3m sulfonanilid<\/p>\n
– GC<\/p>\n
– Thu\u1ed1c b\u1ea3o v\u1ec7 d\u1ea1 d\u00e0y<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5:<\/p>\n
– Meloxicam:<\/p>\n
+ \u00cdt h\u01a1n v\u00e0 nh\u1eb9 h\u01a1n c\u00e1c NSAIDs kh\u00e1c<\/p>\n
+ Lo\u00e9t d\u1ea1 d\u00e0y<\/p>\n
– Omeprazol: r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, nhi\u1ec5m khu\u1ea9n ti\u00eau h\u00f3a, t\u0103ng gastrin m\u00e1u<\/p>\n
HEN PH\u1ebe QU\u1ea2N<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 40 Nam\/n\u1eef: n\u1eef<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: hen ph\u1ebf qu\u1ea3n<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Salbutamol 100 \u03bcg x 1 b\u00ecnh h\u00edt 200 li\u1ec1u (SABA)<\/p>\n
H\u00edt = mi\u1ec7ng khi l\u00ean c\u01a1n hen: 1-2 nh\u00e1t\/l\u1ea7n, t\u1ed1i \u0111a 3-4 l\u1ea7n\/ng\u00e0y<\/p>\n
\u0110\u1ec1 ph\u00f2ng c\u01a1n hen do g\u1eafng s\u1ee9c: h\u00edt 2 nh\u00e1t tr\u01b0\u1edbc khi v\u1eadn \u0111\u1ed9ng 15-30 ph\u00fat<\/p>\n
2. Seretid (salmeterol\/fluticason propionat = 25\/250 \u03bcg) x 1 b\u00ecnh h\u00edt 120 li\u1ec1u (LABA + GC)<\/p>\n
H\u00edt = mi\u1ec7ng: s\u00e1ng 1-2 nh\u00e1t, t\u1ed1i 1-2 nh\u00e1t<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– L\u1eafc b\u00ecnh tr\u01b0\u1edbc khi h\u00edt<\/p>\n
– S\u00fac mi\u1ec7ng sau khi h\u00edt<\/p>\n
– Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi t\u00e1c nh\u00e2n k\u00edch th\u00edch: ch\u00f3, m\u00e8o, b\u1ee5i\u2026<\/p>\n
– Gi\u1eef \u1ea5m c\u01a1 th\u1ec3 khi tr\u1eddi l\u1ea1nh<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n:<\/p>\n
– Thu\u1ed1c l\u00e0m gi\u00e3n ph\u1ebf qu\u1ea3n:<\/p>\n
+ Thu\u1ed1c c\u01b0\u1eddng \u03b22 (SABA, LABA)<\/p>\n
+ D\u1eabn xu\u1ea5t c\u1ee7a xanthine<\/p>\n
+ Thu\u1ed1c h\u1ee7y ph\u00f3 giao c\u1ea3m<\/p>\n
– Thu\u1ed1c ch\u1ed1ng vi\u00eam:<\/p>\n
+ GC<\/p>\n
+ Thu\u1ed1c \u1ed5n \u0111\u1ecbnh d\u01b0\u1ee1ng b\u00e0o<\/p>\n
+ Thu\u1ed1c kh\u00e1ng leukotrien<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5:<\/p>\n
– Salbutamol + salmeterol: \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, nh\u1ecbp tim nhanh, run tay<\/p>\n
– GC: nhi\u1ec5m n\u1ea5m candida, kh\u00e0n ti\u1ebfng, ho<\/p>\n
VI\u00caM PH\u1ebe QU\u1ea2N C\u1ea4P \u1ede TR\u1eba EM D\u01af\u1edaI 24 TH\u00c1NG TU\u1ed4I<\/p>\n
\u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean<\/p>\n
\u0110\u01a0N THU\u1ed0C<\/p>\n
H\u1ecd t\u00ean: Tu\u1ed5i: 22 th\u00e1ng Nam\/n\u1eef: nam<\/p>\n
H\u1ecd t\u00ean b\u1ed1:<\/p>\n
C\u00e2n n\u1eb7ng: 10 kg<\/p>\n
\u0110\u1ecba ch\u1ec9:<\/p>\n
S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3):<\/p>\n
Ch\u1ea9n \u0111o\u00e1n: vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb:<\/p>\n
1. Cefuroxim 150 mg x 10 g\u00f3i (30 mg\/kg\/ng\u00e0y)<\/p>\n
U\u1ed1ng s\u00e1ng 1 g\u00f3i, t\u1ed1i 1 g\u00f3i (sau \u0103n)<\/p>\n
2. Paracetamol 80 mg x 10 g\u00f3i (10-15 mg\/kg\/ng\u00e0y)<\/p>\n
U\u1ed1ng 1 g\u00f3i khi s\u1ed1t tr\u00ean 38.5oC, c\u00e1ch 6 h<\/p>\n
Ng\u00e0y ??, th\u00e1ng ??, n\u0103m 2018<\/p>\n
B\u00e1c s\u0129 kh\u00e1m b\u1ec7nh<\/p>\n
L\u1eddi d\u1eb7n:<\/p>\n
– Cho b\u00e9 u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc<\/p>\n
– V\u1ec7 sinh m\u0169i, gi\u1eef \u1ea5m cho b\u00e9<\/p>\n
– Gi\u00fap b\u00e9 b\u1edbt ho b\u1eb1ng v\u1ed7 rung<\/p>\n
– Kh\u00e1m l\u1ea1i xin mang theo \u0111\u01a1n n\u00e0y<\/p>\n
1. C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p:<\/p>\n
– Kh\u00e1ng sinh:<\/p>\n
+ \u03b2 \u2013 lactam<\/p>\n
+ Macrolid<\/p>\n
+ Newquinolon (III)<\/p>\n
– NSAIDs: paracetamol<\/p>\n
2. T\u00e1c d\u1ee5ng ph\u1ee5:<\/p>\n
– Cefuroxim: nh\u1eb9 v\u00e0 ng\u1eafn (r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a)<\/p>\n
– Paracetamol: ho\u1ea1i t\u1eed t\u1ebf b\u00e0o gan \u1edf li\u1ec1u cao<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0111\u01a1n thu\u1ed1c tham kh\u1ea3o t\u1eeb K15a1 (XH) T\u0102NG HA \u0110\u1ed8 2 NGUY\u00caN PH\u00c1T \u0110\u01a1n v\u1ecb: b\u1ec7nh vi\u1ec7n \u0111\u1ea1i h\u1ecdc T\u00e2y Nguy\u00ean \u0110\u01a0N THU\u1ed0C H\u1ecd t\u00ean: Tu\u1ed5i: 55 Nam\/n\u1eef: nam \u0110\u1ecba ch\u1ec9: S\u1ed1 th\u1ebb b\u1ea3o hi\u1ec3m y t\u1ebf (n\u1ebfu c\u00f3): Ch\u1ea9n \u0111o\u00e1n: t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 II nguy\u00ean ph\u00e1t Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb: 1. Indapamid 1.25 mg …<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,41],"tags":[],"class_list":["post-2001","post","type-post","status-publish","format-standard","","category-mon-co-so","category-duoc-ly"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2001","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=2001"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2001\/revisions"}],"predecessor-version":[{"id":2002,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2001\/revisions\/2002"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=2001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=2001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=2001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}