病历摘要:患者男性,71岁,身高165cm,体重81kg,高血压,病史6年,长期服用尼群地平10mg 3/日及心得安10 mg 3/日降压治疗,血压控制在145-160/80-90 mmHg。18年前曾有反复哮喘发作史。烟龄20年,已戒烟18年。半个月来受凉后咳嗽咳痰迁延不愈,咳痰初为黄脓色,后转为白色泡沫痰。近5天来每晚11时左右出现胸闷气喘,在阳台呼吸新鲜空气并自行喷雾吸入一喷沙丁胺醇(舒喘灵),过30分钟后症状缓解,可重新入睡,但每晚气喘发作,连日来逐渐加重,遂住院进一步诊治。 正确抢救措施包括哪些()
A. 高流量吸氧,取坐位或半卧位
B. 滴注硝普钠,12.5-25μg/分钟起始,可逐渐增加用量
C. 血气分析,床边摄片
D. 缓慢静脉推注吗啡5-10 mg
E. 舌下含服心痛定(硝苯地平)
F. 心电、血压、呼吸监护
G. 静脉滴注二磷酸果糖
H. 静脉推注速尿40 mg+西地兰0.4 mg
I. 应用β受体阻滞剂
J. 舌下含服开搏通50 mg
What does the man mean?()
A. He asks for better lighting in the dining area
B. He doesn’t want to have heavy food
C. He always enjoys light food
D. He doesn’t feel like eating anything
Eufracio Tolentino:I did regular exercise when I was young, but by my 30s, I had a family and a busy job. I neglected exercise for years. At 59, I had a stroke that resulted from lack of exercise. Now I visit a recovering center in the morning and spend my afternoons exercising. I encourage my friends a start exercising. If they don’t, engaging too much in their work or family, they may also suffer from a stroke.Raymond Chiew:Think you’re healthy just because you’re within your ideal weight range for your height Wrong! Take me as an example. I figured I got enough exercise playing tennis once a week, for I wasn’t overweight and didn’t smoke or drink. Then at 57, I woke up one early morning with chest pains and tests revealed that I had serious heart trouble. I was shocked. Now I walk for an hour every day and my doctor says that my heart is improving.Dr Santos-Ringor:Whether you hire a personal trainer, take exercise classes at the community center or rent exercise videos, spending money on fitness is really money well spent, for health is wealth. But if you can’ afford any of those, just get a comfortable pair of shoes: walk is free. I form an exercise group with friends, play catch with my kids or set aside Saturdays for long walks in the country.Ruth Cheah:You’re never too late or too out of shape to start exercising. I didn’t start to exercise on a regular basis until I was 59. Now, as old as 79, I take a daily 45-minute walk, go swimming twice a week. These exercises free me from medicines, and I feel active and alert. People tell me that I look younger than my age.V. M. Chandran:Many people start exercising because they want to lose weight, and when that doesn’t happen immediately, they may give up. But the same volume of muscle weights more than that of fat, so a large person who is fit could be healthier than a thin person who is not. When I saw my weight rise past 90 kilos in my late 40s, I began taking walks for 45 minutes a day. Even though I still weigh over 90 kilos, I feel much stronger. I’m proud to have muscles, not fat.Statements V.M.Chandran()
A. Rich people know that health is wealth.
B. Exercise does not necessarily mean a big-money game.
C. Proper exercise is a must even if you are not overweight.
D. One will pay dearly for ignoring exercise due to the heavy demands of life
E. Old age or poor health is never an excuse for being inactive.
F. Exercise is good as long as it helps lose weight.
G. The right proportion of muscle and fat is the criterion of health.