9/30 Admitted at PM,由ER推輪椅進入,今因Fever與解黑便1次而入院,Hb:10.9g/dl, WBC: 9500/cumm, Influzom A,B: Negative, Ammoia:140.4(H), PT/APTT: 10.9/26.2, NR:1.11, GOT:23, GPT:19, Amylase:128, VBG:Ph:2380, pwc: 33.4, PO2:42.5, HCO3:19.3, 以安排Abd sono, 也向病患解釋目的及過程, Hb:10.9↓, SOAP為潛在性預防跌倒,所以加強防跌之衛教,例如漸進式下床.呼叫鈴可至於伸手可得之處.病人周圍地板保持乾淨清潔.光線保持明亮.床欄拉起.起床與下床時須有人攙扶at 0110, BT:37.1, N/S 500ml drip Angerw 1.2g IV q8h, 明早SNA–Hb, 已告知病人需NPO並持續觀察at 0130, 今SMA–E8已做, Hb data at 0700追蹤尿液培養且已輸血PRBC 4u, 暫不需輸血at 0710, pt今胃鏡已做, Data: 1.EVS F1 no RCS 2.S/P EVS with mucosal contraction 3.AC hemorrhage and erosive gastrieis 4.Portal hgpertonsive gastropathy 5.Duodoraal ulcr,F/u Hb: 9.5
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