推 possibility:想問一下…劉漢傑的部份有講義嗎??? 05/20 08:13
→ possibility:不然，那個右上左下的是??? 05/20 08:14
推 tione:可以請學藝依照共筆的形式說明清楚嗎？實在看不太懂@@" 05/20 10:16
推 noguytw:ㄟ~~~~他沒講一ㄚ!!!??我錯了>< 05/20 12:29
推 meme120:我怎麼都看不懂考訊? 05/20 16:56
投影片實在是有點多..且和講一有些地方有出入..還是怕很多人會loss
所以我把他全打上來囉>< 我所打的部份是老師畫線部分
p4右上 p4左下 p5左下 p6左上標題diffusion hypoxia
p6右上標題 還有第一行的laugh gas
p6左下 ↑cerebral blood flow => mild ↑ICP; ↑ CMRO2 (oxygen consumption).
GI: a cause of post-op nausea and vomiting?
p6右下 Contra-indication of Nitrous oxide (N2O)
Bone marrow depression
Air embolism, pneumothorax, intestinal obstruction,
Because PVR↑
p7左上 Sensitized heart to the dysrhythmia effect of epinephrine.
Cerebral: Dilating cerebral vessels=>IICP
p7右上 Biotransformation (15~20%) in liver.Halothane hepatitis (1per35,000)
注釋:contraindication(猜測是要考肝臟不好的人不能用?)
p7右下 Induces seizures
enflurane-induced IICP.
detectable renal dysfunction is unlikely.
Contraindications:
p8左上 coronary steal syndrome
p8右上 The low solubility -->rapid
p8左下 nephrotoxic end product (compound A)
Fresh gas flows < 2 L/min are not recommended
p9右下 Solution with pH 10~11
thiopental
p10右下 CLINICAL PHARMACOLOGY AND USES
p11右上 porphyria
p11左下 Injected intraarterially, intense arterial spasm
p11右下 Decrease cerebral blood flow and ICP.
durg for neurosyrgical operations
p12左上 Central respiratory depression
p12右上 Venodilation.
Contractility is depressed
Cardiac output decreases
p13右下 OTHER USES OF BARBITURATES
Anticonvulsants
p14左下 BENZODIAZEPINES
p15右上 Effects on the Central Nervous System
seizure initiation "threshold"to local anesthetics
p15左下 More pronounced and of longer duration in patients with COPD
p16左上 The anxiolysis,amnesia,and elevation of the local anesthetic
seizure threshold
p16右上 Induction occurs less rapidly than with thiopental,but the amnesia is more
reliable.
p16左下 Side Effects and Contraindications
p16右下 A competitive antagonist at the BZD receptor
p17右上 KETAMINE p17右下 Dissociative anesthesia
p18左上 ↑ cerebral metabolism, CBF, ICP, and CMRO2.
p18左下 Relax bronchial smooth muscle
increase salivation
p18右下 usually↑ BP,HR,and CO increase work and myocardial oxygen consumption
p19右下 ETOMIDATE
clinically significant adrenocortical suppression
p21左上 Minimal effect on cardiovascular function
p21左下 Temporary adrenocortical suppression
p23右上 Apnea
p23左下 Arterial blood pressure↓↓CO ,stroke volume index and SVR
p23右下 Antiemetic activity
excellent culture medium
p24左上 sedation
apnea
system blodd pressure↓
p24右上 Antiemetic
p24左下 最後一段全
p24右下 Hypotension
Extrapyramidal
porlonged somnolence or detachment
老師勾的很隨性.........他上的是在是太多了...是一場硬仗
還有最後回答一下大家的問題
AB卷是只答題順序會改變 但是題目不變(也就是只變題號)
所以不會有不公平的現象 是為了防作弊
大家加油
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