快樂小藥師 Im pharmacist nichts glücklich

BACKGROUND

The impedance threshold device (ITD) is designed to enhance venous return and cardiac output during cardiopulmonary resuscitation (CPR) by increasing the degree of negative intrathoracic pressure. Previous studies have suggested that the use of an ITD during CPR may improve survival rates after cardiac arrest.

眼藥水紅色和透明的你可能見過，但是黃色的可能就不常看到了。

先複習一下，在繼續看下去吧：

眼藥水為何是紅色的？

相關參考：

Drugs known to cause pulmonary disorders 已知會引起肺部異常的藥物

Drugs induced pulmonary disorder 藥物導致的肺部異常症狀表

Drugs that can cause other atypical pulmonary patterns 其他引起非典型肺部疾患的藥物

相關參考：

Drugs known to cause pulmonary disorders 已知會引起肺部異常的藥物

Drugs induced pulmonary disorder 藥物導致的肺部異常症狀表

上次跟各位介紹的，是藥物，

Drugs known to cause pulmonary disorders 已知會引起肺部異常的藥物

這次是介紹疾病與相關症狀

藥物引起的肺部疾病，大家最熟悉的，應該就是bleomycin和amiodarone了，

這邊我連續整理了四份表格給大家最參考：

Drugs induced pulmonary disorder 藥物導致的肺部異常症狀表

Drugs that can cause other atypical pulmonary patterns 其他引起非典型肺部疾患的藥物

液態絆創膏，之前已經跟各位介紹很多了，

コロスキン Coloskin 可樂膚 液體絆創膏
流絆 液態絆創膏 Ryuban liquid plaster リュウバン
3M 無痛保膚膜（3M Cavilon no sting barrier flim）

不過前一陣子如果你去找，可能會找不到coloskin，因為代理商換了，所以現在改由新鮮視的代理商來出貨：

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 35-year-old woman who has never been pregnant and who has a 5-year history of hypertension wants to become pregnant. She has stopped using contraception. Her only medication is lisinopril at a dose of 10 mg per day. Her blood pressure is 124/68 mm Hg, and her body-mass index (the weight in kilograms divided by the square of the height in meters) is 27. What would you advise?

最近夏天到了，太陽異常耀眼，很多人都會選擇配戴太陽眼鏡

只是，你有仔細看過你的太陽眼睛上面的說明嗎？

亞甲藍液，這一個化學試劑，對國中生來說，應該比其他人都還要清楚一些（原則上啦）

為了導正視聽，所以我要在這邊特別寫一篇文章來告訴各位：

最近因為部分副作用報告頻繁，所以增加了新的給付規定：

藥物使用與Serotonin syndrome

市面上有許多美容產品和健康食品，都標榜含有「左旋維他命Ｃ」，並強調左旋C比右旋C抗氧化、美白效果更好；維他命C是由6個碳原子、8個氫原子和6個氧原子組成的分子，左旋、右旋真的差那麼多嗎？

Epinephrine，學醫的人最先接觸的藥物之一，甚至很多常看醫學相關連續劇的人，都不時會聽到他的名字。

或許你聽到的不是Epinephrine，是Adrenaline或是Bosmin等等的，要不然，你就會聽到一個最熟悉的中文：腎上腺素。

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 55-year-old woman with severe, persistent asthma requiring glucocorticoid therapy for the past 3 months presents for care. Her medications include albuterol, inhaled fluticasone with salmeterol, montelukast, and prednisone (at a dose of 10 mg per day). In the past, she received several intermittent courses of prednisone at a dose of 15 mg or more per day. Her weight is 45.5 kg (100 lb), and her height 157.5 cm (62 in.); the body-mass index (the weight in kilograms divided by the square of the height in meters) is 18. Scattered wheezing is heard during expiration. Findings on vertebral percussion and rib-cage compression are unremarkable. How should her case be evaluated and managed to minimize the risk of fractures?

BACKGROUND

Treatment of latent tuberculosis in patients infected with the human immunodeficiency virus (HIV) is efficacious, but few patients around the world receive such treatment. We evaluated three new regimens for latent tuberculosis that may be more potent and durable than standard isoniazid treatment.

Raffaele De Caterina, M.D., Ph.D.

N Engl J Med 2011; 364:2439-2450June 23, 2011

什麼是落磯山斑疹熱？ 
　屬於斑點熱群立克次體的疾病。致病菌為立克次氏立克次體（Rickettsia rickettsii），為斑點熱群立克次體（spotted fever group）的代表。

你也可以直接上協會查：http://www.turnersyndrome.org/

Turner's Syndrome 特納氏症或是透那氏症，端粒綜合症，也稱為性腺發育不良或先天卵巢發育不良，是一種先天性的染色體異常疾病，是由性染色體全部或部分缺失引起的（正常人有46個染色體，其中2個是性染色體）。一般女性有2個X染色體，但Turner綜合征患者的性染色體缺失或有其他異常。在某些情況下，有些細胞中有缺失的染色體，而了一些沒有，這稱為嵌合體（mosaicism）。