此化學療程紀錄表格是當初為家妤做化療時所設計的，目的在於了解化療期間身體的狀況
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P.S. 1.4,7 次做眼科,牙科,耳科會診及腎臟功能檢查,每3個月做一次MRI |
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項目 |
正常值 |
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第 1 天 |
第4天 |
第8天 |
第10天 |
第13天 |
第15天 |
第17天 |
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日期 |
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WBC(白血球) |
4,500~11,000 |
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RBC(紅血球) |
F:4.2~5.4 M4.6~6.2 |
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HBG(血紅素) |
F:12~16g/dl M:14~18g/dl |
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HCT(血球容積比) |
F:37~47% M:40~54% |
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MCV(平均紅血球體積) |
80~96fl |
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MCH(平均紅血球血紅素) |
27.5~33.2pg |
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MCHC(平均紅血球血紅素濃度) |
33.4~35.5g/dl |
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RDW(紅血球分布寬度) |
11.5~14.5% |
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PLT(血小板) |
150,000~350,000 |
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Seg.N(分葉性嗜中性白血球) |
45~75% |
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MONO( 單核球) |
0~9 |
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LYMP(淋巴球) |
20~45% |
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ANC(絕對嗜中性白血球) |
>500~1000 |
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BAND(帶狀型嗜中性白血球) |
0~5 |
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EOS(嗜酸性顆粒球) |
1~3 |
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BASO(嗜鹼性顆粒球) |
0~1 |
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BUN(尿素氮)(腎功能) |
7~20mg/dl |
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CREAT(肌肝酸)(腎功能) |
F:0.5~1.2 M:0.7~1.5 |
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ALT(丙氨酸轉胺脢)(肝功能指數) |
0~40U/L |
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AST(天門冬酸轉胺脢)(肝功能指數) |
5~45U/L |
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ALK-P(酸性磷酸脢) |
10~100U/L |
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LDH(乳酸脫氫脢) |
95~213U/L |
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NA(鈉) |
135-147mmol/L |
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K(鉀) |
3.4-4.7mmol/L |
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CL(氯) |
100-114mmol/L |
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白血球升成素 |
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Ucrea 24hrs |
F:0.8~1.8GM/D M:1.0~2.0GM/D |
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尿量 24hrs |
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備註: |
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此表格為紀錄化學藥劑的劑量，目的在於了解病患注射何種化學藥劑，並與護理人員再次確認化學藥劑的名稱與劑量
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BW: 11.7 Kg Ht: 82.5cm BSA: 0.518m2 折數: 6 折 |
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IVF-1: |
D5-1/3NS 500cc+15% KCL 3cc or D5-1/2NS 500cc+15% KCL 5cc |
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IVF-2: |
D5-1/3NS 500cc+15% KCL 3cc+10%MgSO4 2.5cc+10% Cal gluconate 1cc+20% mannitol 15cc |
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日期 |
治療醫囑 (1 th chemotherapy) |
DOSAGE |
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96.11.28 |
Check CBC/DC(血球), BUN/Cr(腎), ALT/AST(肝) |
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Start chemotherapy on 96.11.05 (第1次) |
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IVF-1 Keep 60 md/min during ifosphamide |
3000cc/m2/d |
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Kytrie(止吐)0.5mg beore C/T |
1amp/40kg |
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VP-16 滅必治 (46.6)mg in IVF ivd for 2 hrs |
150mg/m2 |
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Ifosphamide (0.56)g & mesna 解毒 (0.56)g in IVF ivd for 24 hrs |
80mg/kg |
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96.11.29 |
IVF-2 Keep (86) md/min ivd for 3 hrs |
500cc/m2 |
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20% mannitol(降腦壓及排水) (26) cc ivd for 15 mins |
50cc/m2 |
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Navoban(止吐) ( 2 )mg ivd for 15 mins before Cisplatin |
0.2mg/kg |
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Decadrom ( 5 ) mg ivd for 5 mins befors cisplatin |
5mg, BW<20kg |
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10mg, BW>20kg |
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Cisplatin(白金) ( 28 ) mg in IVF ivd for 1 hrs |
90mg/m2 |
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IVF-2 Keep ( 86 ) md/min ivd for 6hrs |
1000cc/m2 |
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Decadrom ( 5 ) mg ivd for 5 mins befors cisplatin |
5mg, BW<20kg |
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10mg, BW>20kg |
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VP-16 滅必治 (46.6)mg in IVF ivd for 2 hrs |
150mg/m2 |
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Ifosphamide (0.56)g & mesna 解毒 (0.56)g in IVF ivd for 24 hrs |
80mg/kg |
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晚上8點左右吐一次約140cc |
晚上10點多發燒 |
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晚上10點多發燒至38.5 |
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VP-16 滅必治 (46.6)mg in IVF ivd for 2 hrs |
150mg/m2 |
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Ifosphamide (0.56)g & mesna 解毒 (0.56)g in IVF ivd for 24 hrs |
80mg/kg |
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96.11.30 |
3點吐60cc , 5點30吐10cc , 8點30吐20cc , 10點20吐46cc |
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早上5點30分打了短效止吐劑 , 10點40打了長效Kytrie(0.5)mg |
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發燒4次早上10點下午3點多晚上10點多清晨2點多 |
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發燒 |
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96.12.1 |
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