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วารสารโรงพยาบาลทหารเรือกรุงเทพ ฉบับ3

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  • BANGKOK NAVAL HOSPITAL

    ..-.

    ...

  • 2

    234567891011

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  • 33

    ()

  • 4

    (: Sambuddha jayanthi)

    + (:Anniversary)

    .

    : http://th.wikipedia.org ,

    http://www.trueplookpanya.com

  • 55

    .... .. . ........

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  • 6

    .

    ( Law of Minimum Dose)

    ( Mother Tincture)

    (Potentization)

    put the right

    man on the right cure

    ...???.........

    . (from within

    outward) (mental system)

    (emotional system) (physical system)

    . (from

    above downward)

    .

    .

    Proving or deter mine the nature of medicine

    .

    (Law of similar)

    (Trigger point)

    . (Single remedy)

    ..

    HOME

    OPAT

    HY

  • 77

    .

    .

    E-Learning

    .

    .

    .

    R2R

    .

    .

    .....

    ()

  • 8

    3

    3 2547 3

    3

    3 ...

    ... ..

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  • 99

    6. Lowered seizure threshold 7. Metabolic or Endocrine effects

    8. Toxic and Allergic effects Agranulocytosis Dermatitis Cholestatic Jaundice Retinitis

    PigmentosaPhotosensitivityNonspecificskinrashes

    1. Anticholinergic effects

    2. Central nervous system effects 3. Cardiovascular effects

    4. Sexual side effectsImpotence,Ejaculatorydysfunctiondecreasedlibido

    5. Antihistaminic effects

    6. Overdose10-20

    (Atypical antipsychotic drugs)

    5

    1.

    1. Extrapyramidal side effects (EPS)

    1.1 Acute dystonia

    1-5

    1.2 ParkinsonismPseudoparkinsonism

    2-3

    1.3 Akathisia

    50-60

    1.4 Tradive dyskinesia

    1(Buccolingualmovement)

    2. Neuroleptic malignant syndrome (NMS)

    ,

    3. Anticholinergic effects 4. Sedative5. Postural hypotension

    ..

    ()

    1.Clozapine

    (Clozaril,Clopaze)

    Agranulocytosis 18

    2. Risperidone

    (Risperdal)

    Postural hypotension Erectile dysfunction

    3. Olanzapine

    (Zyprexa)

    4. Quetiapine

    (Seroquel)

    Postural hypotension

    5. Ziprasidol

    (Zeldox)

    Typical antipsychotic drugs

    1. High potency

    .Haloperidol(Haldol).Fluphenazine(Fendec).Flupentixol(Fluanxol).Trifluoperazine(Stelazine).Pimozide(Orap)2. Moderate potency

    .Perphenazine(Pernazine).Zuclopenthixol(Clopixol)3. Low potency

    .Chlorpromazine(CPZ)(Largactil).Thioridazine(Melleril)

    4. New generation

    .Mianserin.Trazodone.Tianeptine.Bupropion.Venlafaxine.Mirtazapine

  • 10

    . ..

    3 ..55

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    15 .. 55

    . ISO 9001:2008

    24 - 25 .. 55

    Big Cleaning Day

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    5 - 6 .. 55

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  • 1111

    . .. "" . .. . ... 2 . ....... .. .. .. . ...... ... .. .. ... ! ... .. ... LCDR BENJAWAN SAIVIJITR WRTN . . .. . - . . ...... .. ...... 5 . .. ... .... ! .. ... Wrist/Thumb Support S.O.S. ... .................Google Search ........... ... She ! He .... 10 ..... .. ...

    &

    4 ..

    ...

    .. . ISO......

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    ... , ... ,. , .

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  • 2 35

    - (Physical Examination)

    - (Film Chest)

    - (Urine Exam)

    - (CBC)

    - (FBS)

    - (BUN)

    (Creatinine)

    - (SGOT)

    (SGPT)

    - (Cholesterol)

    (HDL/LDL) (Triglyceride)

    - (Uric Acid)

    - (EKG)

    - (Blood Group)

    - (Pap Smear)

    50

    170 50

    90

    40

    50

    50

    50

    50

    60

    100 60

    60

    200 50

    100 1,230

    ..

    ..

    ......

    .....

    ......

    ......

    ...

    /

    :--

    www.nmd.go.th/bangkokmed/index.php

    50

    170 50

    90

    40

    60 100

    60

    50

    670

    1 35

    - (Physical Examination)

    - (Film Chest)

    - (Urine Exam)- (CBC)

    - (FBS)

    - (Cholesterol)

    (HDL/LDL)

    (Triglyceride) - (Blood Group)

    . . . 0-2475-2415

    ******

    !!