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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