EBM - tsgh.ndmctsgh.edu.tw · support the use of urea for a more gradual correction of hyponatremia...
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EBM C2:孟顯哲 指導老師:鄭智仁醫師
Transcript of EBM - tsgh.ndmctsgh.edu.tw · support the use of urea for a more gradual correction of hyponatremia...
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EBM
C2:孟顯哲
指導老師:鄭智仁醫師
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一位 88 歲男性有攝護腺肥大病史,主訴近半年來體能衰退很多,身體虛弱,今日早上曾因近乎昏厥(near syncope)送至急診處,心跳較慢約 58/min,規則,抽血發現 Na+ 114 mmol/L,Troponin I<0.012 ng/mL。 病人無高血壓、糖尿病、抽菸、心絞痛及呼吸困難病史,安排核子醫學掃描,心臟超音波及 24 小時 心電圖檢查均正常。病人因低血鈉收入院治療,入院期間以24小時內上升8~12mmol/L ,0.9%normal saline輸液治療。請問是否可以預測病人有無過度補充Na離子,導致osmotic demyelination syndrome的可能?
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PICO
PICO Keyword
P 低血鈉的88 歲男性 Hyponatremia
I 預測病人有無過度補充Na離子
(Prevent) Overcorrection
C 以24小時內上升8~12mmol/L
8~12mmol/L Normal saline
O osmotic demyelination syndrome
osmotic demyelination syndrome
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