患者,男,50岁,蛋白尿5年,乏力、恶心2个月,平时血压偏高,贫血貌,血压180/110mmHg,心、肺听诊无异常发现,血肌酐113μmol/L,临床诊断尿毒症。 病人在降压、纠正酸中毒及降钾治疗中,突发四肢抽搐,但神志清楚,无二便失禁,最可能原因为( )
A. 低钠血症
B. 尿毒症脑病
C. 高血压脑病
D. 阿斯综合征
E. 低钙血症
查看答案
设y(x)>0,y(0)=1,y’(0)=1,又曲线y=y(x)是单调的,凹凸性不变,且其上任意点处的切线及y轴和y=y(x)所围成的平面图形的面积等于切点处横坐标的立方,求L的方程.
破产财产优先拨付()后,才能按法律规定顺序进行清偿。
Passage Three Nursing at Beth Israel Hospital the best patient care possible, If we are to solve the nursing shortage, hospital administration and doctors everywhere would do well to follow Beth Israel’s example. At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history to his emotional state. Then she writes a care plan centered on the patient’s illness but which also includes everything else that is necessary. The primary nurse stays with the patient through his hospitalization, keeping track with his progress and seeking further advice from his doctor. If a patient at Beth larael is not responding to treatment, it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague. Nursing at Beth Israel also involves a decentralized nursing administration; Every floor, every unit is a self-contained organization. There are nurse-managers instead of head nurse; in addition to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommendations. Each unit’s nurses decide among themselves who will work what shifts and when. Beth Israel’s nurse-in-chief ranks as an equal with other vice presidents of the hospital. She also is a member of the Medical Executive Committee, which in most hospitals includes only doctors. Which of the following best characterizes the main feature of the nursing system at Beth Israel Hospital
A. The doctor gets more active professional support from the primary nurse.
B. Each patient is taken care of by a primary nurse day and night.
C. The primary nurse writes care plans for every patient.
D. The primary nurse keeps records of the patient’s health conditions every day.
女,26岁,月经增多8个月,2周来牙龈出血,下肢皮肤散在出血点及淤斑,血红蛋白78g/L,白细胞5.0×109/L,血小板计数48×109儿。临床诊断为特发性血小板减少性紫癜。 该患者激素治疗半年后,效果不佳,首先应考虑( )
A. 加大糖皮质激素剂量继续使用
B. 改用达那唑
C. 抗纤溶治疗
D. 血浆置换
E. 脾切除