[Drug] Midazolam

Midazolam 5mg/ml

Loading: 0.03 - 0.3 mg/kg

Maintenance: 0.03 - 0.2 mg/kg/hr

Pump泡法:  10 amps + NS 90 ml  ---> 0.5 mg/ml

[60 kg] Titrate from 3 ml/hr ~ 24 ml/hr

[EKG] Misplaced Leads

1. LA-RA Reversal

• Lead I (造成RAD) & aVL completely inverted，
• aVR有可能是positive (因為 aVR和aVL互換)

2. LA-LL Reversal

• Lead III completely inverted
• Lead I的P-wave比 Lead II高 (因為 Lead I和II互換)
• aVF有可能是negative (因為 aVF和aVL互換)

3. RA-LL Reversal

• Lead I, II, III都是completely inverted
• aVR是positive

4. RA-RL Reversal

• Lead II 是flat-line
• Lead I & aVL變成Lead III的倒影

5. LA-RL Reversal

• Lead III 是flat-line

6. Arm-Leg Reversal

• Lead I 是flat-line

7. LL-RL Reversal

• No change

[自行整理]

1. [X-Ray] Wrist
https://www.dropbox.com/s/qh9lobc26bnkj8w/%5B%E6%95%B4%E7%90%86%5DX-ray%20Wrist.doc?dl=0

[EKG] Normal Sinus Rhythm Definition

1. Atrial rate: 60 ~ 100
2. P-wave UPRIGHT in lead I, II, III, aVF (& aVL) 反之是ectopic atrial
3. PR-interval: 0.12 ~ 0.20 sec <0.12: preexcitation or AV-junctional; >0.2: AV-block
4. Every P FOLLOWED by QRS
5. Every QRS PRECEEDED BY P
6. TWI in V1 & aVR

[EKG] Various Rate & Rhythm

CSF Study

	Normal	Bacterial	TB	Fungal		Aseptic
Opening pressure (mm CSF)	9-18	18-30				9-18
WBC (/mm3)	0-5	100-10000	< 500	< 300
Glucose (mg/dL)	50-75	<45			50-100
Protein (mg/dL)	15-40	100-1000	100-200	40-300	0-100

小麻

	Normal	Bacterial	Viral	Neoplastic	Fungal
Opening pressure (mm CSF)	< 170	>300	<300	200	300
WBC (/mm3)	< 5	> 1000	< 1000	< 500
% PMN	0	>80%	1~50%
Glucose	> 40	< 40	> 40	< 40
Protein	< 50	> 200	< 200	> 200
Gram stain	-	+	-
Cytology	-			+

Tintinnali 7e

[ECHO] Cardiac Views