皮膚科工作手冊.docVIP

財團法人彰化基督教醫院 皮 膚 科 (工作手冊( ===== 民國九十六年三月修訂 ===== Dermatology 病房工作手冊 目錄 處方範例 Herpes zoster of head and neck 4 Cellulitis 5 Erythema multiforme 6 Stevens-Johnson Syndrome 7 Toxic Epidermal Necrolysis 8 Erythroderma 9 Dermatology Cancer Practice Guidelines 10 Squamous cell carcinoma 11 Basal cell carcinoma 16 Primary cutaneous melanoma 22 附錄 常用表格 PASI score for psoriasis 38 Stages of male pattern baldness 40 Fitzparick skin type……………………………………………………………41 Stagings and Classifications 43 Clarks and Breslows classification of depth of invasion 44 AJCC staging of malignant melanoma 45 AJCC staging of non-melanoma skin cancer 44 應通報傳染病 46 Progress Note寫作原則 51 住院醫師訓練記錄手冊 53 住院醫師考核表 68  Herpes Zoster of head and neck Admit to GI wardOn GMR Diagnosis: Herpes zoster Condition: guarded Allergies: ? 一定要問 Vital Sign: q 6 h and call physician if: Pulse120 or 60 systolic BP90 Temp 38.3 or 36.5 老年人特別注意，由其疼痛嚴重者 6. Activity: Bed rest Diet:as tolerated Nursing activityN/S packing bid/20 minWound care with aq BI and gentamycin cream IVF:Acyclovir 1 amp/IV drip q8h 5days 0.9%NaCL 500-1000cc IV requirements 視patient情況而定.. Medications:Periactin 1# tid/POUlcerin-P 1# tid/POIlosone 1# tid.PO Oral chemoprophylaxis視patient skin condition而定.. St Order CBC/DC, BUN, Cr, Na, K Routine 注意勿與急門診重複 X-ray視病人情況而定 CXR  Cellulitis (Admission order) =On GMR =On the service of Dr. = Diagnosis: Cellulitis =Condition: Guarded If shock(+), on critical condition =Allergies: NKA 一定要問 =Vital sign: q8h SBP90mmHg, or HR120/min, call physician =Activity: bed rest Watch postural hypotension =Diet: as tolerated =Medication: IVF: N/S 1Bt IVD qd D5W 1Bt IVD qd Cefa 1Amp q6h IB =Nursing activities: Rivanol packing 20min/tid St Order CBC/DC, BUN, Cr, Na, K Routine 注意勿與急門診重複 X-ray視病人情況而定 CXR  Erythema multiforme Admit to Derm ward and On GMR Diagnosis: erythema multiforme Condition: Guarded Allergies: none 一定要問 Vital Sign: BP, Pulse,