Re: [情報] 健保再增加8項給付

看板medache作者CKun (溫水煮青蛙)時間14年前 (2010/02/25 12:07)推噓5(5推 0噓 2→)

留言7則, 5人參與討論串2/2 (看更多)

: 推 madguy:可不可以不要再刪我的keto了… 02/25 10:56 : → Sensible:全民健康保險藥品給付規定: 02/25 11:17 : → Sensible:Ketorolac成分之注射劑：(97/7/1) 02/25 11:17 : → Sensible:限用於無法口服之病人且為手術後中重度急性疼痛之短期 02/25 11:18 : → Sensible:治療（治療期間為≦5天），惟禁止使用於產科止痛 02/25 11:18 : → Sensible:要"無法口服"這條件其實相當嚴苛啊~ 02/25 11:21 為什麼 Keto 禁用於產科止痛啊? NSAID是治療產後子宮收縮疼痛的唯一利器, 連嗎啡都不夠力僅僅是不適合哺喂母乳,生產前,或生產過程中使用, 就要無限上綱到整個產科都不能用? 健保局也管太多了吧 ------------------------------ Google的 Obstetric Anesthesia 第492頁 http://ppt.cc/dn6L Roche (manufacturer) has stated that ketorolac is contraindicated in nursing mothers because of the possible adverse effects of prostaglandin synthetase inhibitors on neonates. In contrast, the American Academy of Pediatrics considers ketorolac to be compatible with breast feeding. Ketorolac 可用在 postcesarean analgesia, reduce uterine cramping pain ---------------------------- Roche 仿單的說明 In late pregnancy, as with other NSAIDs, TORADOL should be avoided because it may cause premature closure of the ductus arteriosus. The use of TORADOL is contraindicated in labor and delivery because, through its prostaglandin synthesis inhibitory effect, it may adversely affect fetal circulation and inhibit uterine contractions, thus increasing the risk of uterine hemorrhage -- ※ 發信站: 批踢踢實業坊(ptt.cc)

推

bkidd

02/25 15:25, , 1^F

02/25 15:25, 1^F

還記得國考送分題的模式嗎? 只要題目有「全部,絕對,一定」等關鍵字,大家都知道該怎麼作答吧所以這一題「禁用在產科止痛」會讓人反射性想到 "是所有的產科疼痛都不能使用keto嗎?" 答案當然是「否」所以會去 Google 這個資料來佐證,才發現這麼大的破綻

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deltaz

02/25 15:40, , 2^F

02/25 15:40, 2^F

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CKun

02/25 17:10, , 3^F