(6) P29.
考古第一題選項
*(b)(c)(d)(e) 應改成 (a)(b)(c)(d)
考古第2題詳解要改一下 但答案不變 C
* B -> Naxolone 屬於opioid和clonidine 的解毒劑 共筆P18
-----------------------------------------------------------------------------
關於這題 答案應該還是要選 (C)Heroin的這個選項
可是錯的原因在於Heroin是造成bradycardia
而Heroin本身就是opioid 所以解毒劑的確是Naxolone
我查到Methadone也可以，此藥主要用途本來就是鴉片類的戒毒
可參考昨天小綠補充的表格 或老師講義表格(比較不清楚)
或是以下論文
Acute Heroin Overdose
Karl A. Sporer, MD
Acute heroin overdose is a common daily experience in the urban and suburban
United States and accounts for many preventable deaths. Heroin acts as a
pro-drug that allows rapid and complete central nervous system absorption;
this accounts for the drug's euphoric and toxic effects. The heroin overdose
syndrome (sensitivity for diagnosing heroin overdose, 92%; specificity, 76%)
consists of abnormal mental status, substantially decreased respiration, and
miotic pupils. The response of naloxone does not improve the sensitivity of
this diagnosis. Most overdoses occur at home in the company of others and are
more common in the setting of other drugs. Heroin-related deaths are strongly
associated with use of alcohol or other drugs. Patients with clinically
significant respiratory compromise need treatment, which includes airway
management and intravenous or subcutaneous naloxone. Hospital observation for
several hours is necessary for recurrence of hypoventilation or other
complications. About 3% to 7% of treated patients require hospital admission
for pneumonia, noncardiogenic pulmonary edema, or other complications.
Methadone maintenance is an effective preventive measure, and others
strategies should be studied
--
※ 發信站: 批踢踢實業坊(ptt.cc)
◆ From: 114.46.215.19
※ 編輯: xup6415 來自: 114.46.215.19 (11/18 00:46)