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- *고열, 심한 통증, 출혈 등의 응급상황 발생시에는 의료기관 방문 및 문의하시기 바랍니다.</grupdetldesc>
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- *퇴원 후 일부검사(ex:배양검사, 추가면역검사 등)에 대해 추가 비용이 발생할 수 있습니다.</grupdetldesc>
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- <![CDATA[Chest AP]]>
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- <![CDATA[2동 1층 영상의학센터 접수실 ]]>
- </testplacnm>
- <orddeptcd>2112800000</orddeptcd>
- <calcscorcd>G2101-3G</calcscorcd>
- <prcpclsnm>영상</prcpclsnm>
- <prcphopedd>20140725</prcphopedd>
- </testrsrvinfo>
- <dschdrugfactinfo>
- <prcpno>412842888</prcpno>
- <drugcd>DOTS</drugcd>
- <drugnm>
- <![CDATA[Septrin tab 480mg[powder] ]]>
- </drugnm>
- <vol>960</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아침,저녁 식후30분]]>
- </direc>
- <qty>2</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>2</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>480</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842889</prcpno>
- <drugcd>DOCOMTH</drugcd>
- <drugnm>
- <![CDATA[Comthyroid[powder] ]]>
- </drugnm>
- <vol>62.5</vol>
- <prcpvolunit>mcg</prcpvolunit>
- <direc>
- <![CDATA[취침전]]>
- </direc>
- <qty>1</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>62.5</drprcpetc7>
- <prcpvolunitflag>mcg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842890</prcpno>
- <drugcd>DORIVOT</drugcd>
- <drugnm>
- <![CDATA[Rivotril 0.5mg [powder] ]]>
- </drugnm>
- <vol>0.25</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[취침전]]>
- </direc>
- <qty>0.5</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>0.25</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>0.5</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842891</prcpno>
- <drugcd>DORAMNO</drugcd>
- <drugnm>
- <![CDATA[Ramnos]]>
- </drugnm>
- <vol>3</vol>
- <prcpvolunit>pack</prcpvolunit>
- <direc>
- <![CDATA[아침,점심,저녁 식후30분]]>
- </direc>
- <qty>3</qty>
- <prcpqtyunit>포</prcpqtyunit>
- <prcptims>3</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>1</drprcpetc7>
- <prcpvolunitflag>pack</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>포</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842892</prcpno>
- <drugcd>DODENOL</drugcd>
- <drugnm>
- <![CDATA[Denol[powder] ]]>
- </drugnm>
- <vol>900</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아,점,저 식전1시간]]>
- </direc>
- <qty>3</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>3</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>300</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842893</prcpno>
- <drugcd>DOCURAA</drugcd>
- <drugnm>
- <![CDATA[Jeidin 75mg[powder] ]]>
- </drugnm>
- <vol>80</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아침,저녁 식후30분]]>
- </direc>
- <qty>1.066</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>2</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>40</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>0.533</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842894</prcpno>
- <drugcd>DEVENTO</drugcd>
- <drugnm>
- <![CDATA[Ventolin]]>
- </drugnm>
- <vol>20</vol>
- <prcpvolunit>ml</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 흡입]]>
- </direc>
- <qty>1</qty>
- <prcpqtyunit>btl</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>1</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>20</drprcpetc7>
- <prcpvolunitflag>ml</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>btl</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842895</prcpno>
- <drugcd>DEPULMR</drugcd>
- <drugnm>
- <![CDATA[Pulmican Respule]]>
- </drugnm>
- <vol>3</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 흡입]]>
- </direc>
- <qty>6</qty>
- <prcpqtyunit>amp</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>3</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>6</drprcpetc8>
- <prcpqtyunitflag>amp</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <prcpno>412842897</prcpno>
- <drugcd>DEMUCOM</drugcd>
- <drugnm>
- <![CDATA[Mucomyst ]]>
- </drugnm>
- <vol>1600</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 사용]]>
- </direc>
- <qty>2</qty>
- <prcpqtyunit>vial</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>1600</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>2</drprcpetc8>
- <prcpqtyunitflag>vial</prcpqtyunitflag>
- </dschdrugfactinfo>
- <inrsrvinfo>
- <inreq>입원예정으로 발급된 입원장이 없습니다.</inreq>
- </inrsrvinfo>
- </rsrvinfo>
- </dschcareinfo>
- </SignInfo>
- <SessionInfo name="Session정보">
- <userid name="사용자번호">ENR</userid>
- <usernm name="사용자이름">EⓐR</usernm>
- <posinstnm name="소속기관명">칠곡경북대학교병원</posinstnm>
- <posdeptnm name="소속부서명">간호부</posdeptnm>
- <dutplceinstnm name="근무지기관명">칠곡경북대학교병원</dutplceinstnm>
- <dutplcenm name="근무지부서명">정보통신파트</dutplcenm>
- <jobkindnm name="직종명">간호</jobkindnm>
- <systemnm name="시스템명칭">개인HIS개발</systemnm>
- <systeminstnm name="시스템소속기관명">개인HIS개발[칠곡 교육DB]</systeminstnm>
- <logindt name="로그인시간">20141031090611153</logindt>
- </SessionInfo>
- </SignData>
- </temp>
- <init>
- <menu>
- <item>
- <name>줄삭제</name>
- <func>fDelCurRow</func>
- </item>
- </menu>
- </init>
- <code/>
- <send>
- <cdgrupid>'172','174','178','U31','R4'</cdgrupid>
- <srchdd>20141031</srchdd>
- <dschcareinfo>
- <recdd>20141031</recdd>
- <rectm>0953</rectm>
- <recdt>201410310953</recdt>
- <recuserid>ENR</recuserid>
- <recusernm>EⓐR</recusernm>
- <dschdd>20140725</dschdd>
- <dschtypecds>02</dschtypecds>
- <dschtypenm/>
- <cscsstatcd>03</cscsstatcd>
- <dschmthdcd>03</dschmthdcd>
- <dschmthdnm/>
- <dschgoplaccd>01</dschgoplaccd>
- <dschgoplacnm/>
- <proceracomp>01</proceracomp>
- <dracomp>02</dracomp>
- <antibioallgyn>01</antibioallgyn>
- <antibioallgcd/>
- <antibioallgnm/>
- <dschcareeducinfo><dschcareeduc>
- <actscop>01</actscop>
- <dietcd>02</dietcd>
- <bathcd>01</bathcd>
- <healmngtcd>2</healmngtcd>
- <mainveintubemngt>02</mainveintubemngt>
- <mngtaftdschyn>02</mngtaftdschyn>
- <mngtaftdschcd/>
- <dschseqeducyn>01</dschseqeducyn>
- <dschmeditmedguidyn>01</dschmeditmedguidyn>
- <dschcatestatcd>2</dschcatestatcd>
- <spcffact/>
- <dschcatestatyn>02</dschcatestatyn>
- <treatdiet/>
- <bathnm/>
- <mngtaftdschnm/>
- <dietnm/>
- <healmngtnm/>
- <healmngtsymp/>
- <dschcateoxy/>
- <dschcatestatnm/>
- </dschcareeduc>
- </dschcareeducinfo>
- <etcfactinfo><etcfact>
- <tel>200-0000</tel>
- <eductrgt>1</eductrgt>
- <educunstdgrde>02</educunstdgrde>
- </etcfact>
- </etcfactinfo>
- <ordrsrvinfo/>
- <testrsrvinfo/>
- <dschdrugmedifactinfo/>
- <recflag>04</recflag>
- <pid>1877402</pid>
- <indd>20140711</indd>
- <orddeptcd>2112800000</orddeptcd>
- <instcd>032</instcd>
- <existflag>N</existflag>
- <certflag>C</certflag>
- <orddd>20140711</orddd>
- <signno/>
- <cretno>1</cretno>
- <recsaveflag>Y</recsaveflag>
- <signflag>02</signflag>
- <signgenrflag>I</signgenrflag>
- <formcd>0000001587</formcd>
- <orddrid>13154</orddrid>
- <dispyn>Y</dispyn>
- <dschcareinfo>
- <pid>1877402</pid>
- <hngnm>정명진</hngnm>
- <age>13</age>
- <sex>M</sex>
- <regist1>010316</regist1>
- <regist2>3777218</regist2>
- <orddeptnm>소아알레르기호흡기</orddeptnm>
- <wardnm>45병동</wardnm>
- <indd>20140711</indd>
- <actscope>제한없음</actscope>
- <diet>치료식( )</diet>
- <bath>제한없음</bath>
- <healmngt>체중측정</healmngt>
- <mngtaftdsch>유( )</mngtaftdsch>
- <dschseqeduc>유</dschseqeduc>
- <mainveintubemngt>중심정맥관 삽입부위 소독</mainveintubemngt>
- <dschmeditmedguid>유</dschmeditmedguid>
- <dschcatestat>Foley catheter</dschcatestat>
- <spcffact/>
- <tel>200-0000</tel>
- <seq>2014103150049</seq>
- <usernm>EⓐR</usernm>
- <logurl>http://his999dev.knu.ac.kr:8088/himed/webapps/com/commonweb/images/biglogo032.jpg</logurl>
- <curdd>20141031</curdd>
- <curtm>095432</curtm>
- <orddeptabbr>PEDAP</orddeptabbr>
- <setpidyn>N</setpidyn>
- <inreq>입원예정으로 발급된 입원장이 없습니다.</inreq>
- <roomcd>4552</roomcd>
- </dschcareinfo>
- <rsrvinfo>
- <ordrsrvinfo>
- <stat/>
- <rsrvdt>201407301104</rsrvdt>
- <rsrvday>(수)</rsrvday>
- <orddeptcd>2112800000</orddeptcd>
- <orddeptnm>소아알레르기호흡기</orddeptnm>
- <centcd>2880000000</centcd>
- <centnm>어린이병원외래센터</centnm>
- <subdeptcd>-</subdeptcd>
- <subdeptnm/>
- <orddrid>13154</orddrid>
- <orddrnm>최봉석</orddrnm>
- <fstrgstdt>20140725121627814</fstrgstdt>
- <rcptamt>-</rcptamt>
- </ordrsrvinfo>
- <ordrsrvinfo>
- <stat/>
- <rsrvdt>201408281330</rsrvdt>
- <rsrvday>(목)</rsrvday>
- <orddeptcd>2112500000</orddeptcd>
- <orddeptnm>소아청소년신경</orddeptnm>
- <centcd>2990000000</centcd>
- <centnm>발달재활센터</centnm>
- <subdeptcd>-</subdeptcd>
- <subdeptnm/>
- <orddrid>99001</orddrid>
- <orddrnm>권순학</orddrnm>
- <fstrgstdt>20140626141131442</fstrgstdt>
- <rcptamt>(+)</rcptamt>
- </ordrsrvinfo>
- <ordrsrvinfo>
- <stat/>
- <rsrvdt>201501061424</rsrvdt>
- <rsrvday>(화)</rsrvday>
- <orddeptcd>2112300000</orddeptcd>
- <orddeptnm>소아청소년내분비</orddeptnm>
- <centcd>2880000000</centcd>
- <centnm>어린이병원외래센터</centnm>
- <subdeptcd>-</subdeptcd>
- <subdeptnm/>
- <orddrid>93268</orddrid>
- <orddrnm>고철우</orddrnm>
- <fstrgstdt>20140508130405559</fstrgstdt>
- <rcptamt>(+)</rcptamt>
- </ordrsrvinfo>
- <testrsrvinfo>
- <stat/>
- <prcpkindnm>퇴원후외래</prcpkindnm>
- <rsrvdt/>
- <testnm>
- <![CDATA[Chest AP]]>
- </testnm>
- <testplacnm>
- <![CDATA[2동 1층 영상의학센터 접수실 ]]>
- </testplacnm>
- <orddeptcd>2112800000</orddeptcd>
- <calcscorcd>G2101-3G</calcscorcd>
- <prcpclsnm>영상</prcpclsnm>
- <prcphopedd>20140725</prcphopedd>
- </testrsrvinfo>
- <testrsrvinfo>
- <stat/>
- <prcpkindnm>퇴원후외래</prcpkindnm>
- <rsrvdt/>
- <testnm>
- <![CDATA[Chest AP2]]>
- </testnm>
- <testplacnm>
- <![CDATA[2동 1층 영상의학센터 접수실 ]]>
- </testplacnm>
- <orddeptcd>2112800000</orddeptcd>
- <calcscorcd>G2101-2G</calcscorcd>
- <prcpclsnm>기능</prcpclsnm>
- <prcphopedd>20140726</prcphopedd>
- </testrsrvinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842888</prcpno>
- <drugcd>DOTS</drugcd>
- <drugnm>
- <![CDATA[Septrin tab 480mg[powder] ]]>
- </drugnm>
- <vol>960</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아침,저녁 식후30분]]>
- </direc>
- <qty>2</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>2</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>480</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842889</prcpno>
- <drugcd>DOCOMTH</drugcd>
- <drugnm>
- <![CDATA[Comthyroid[powder] ]]>
- </drugnm>
- <vol>62.5</vol>
- <prcpvolunit>mcg</prcpvolunit>
- <direc>
- <![CDATA[취침전]]>
- </direc>
- <qty>1</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>62.5</drprcpetc7>
- <prcpvolunitflag>mcg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842890</prcpno>
- <drugcd>DORIVOT</drugcd>
- <drugnm>
- <![CDATA[Rivotril 0.5mg [powder] ]]>
- </drugnm>
- <vol>0.25</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[취침전]]>
- </direc>
- <qty>0.5</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>0.25</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>0.5</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842891</prcpno>
- <drugcd>DORAMNO</drugcd>
- <drugnm>
- <![CDATA[Ramnos]]>
- </drugnm>
- <vol>3</vol>
- <prcpvolunit>pack</prcpvolunit>
- <direc>
- <![CDATA[아침,점심,저녁 식후30분]]>
- </direc>
- <qty>3</qty>
- <prcpqtyunit>포</prcpqtyunit>
- <prcptims>3</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>1</drprcpetc7>
- <prcpvolunitflag>pack</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>포</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842892</prcpno>
- <drugcd>DODENOL</drugcd>
- <drugnm>
- <![CDATA[Denol[powder] ]]>
- </drugnm>
- <vol>900</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아,점,저 식전1시간]]>
- </direc>
- <qty>3</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>3</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>300</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842893</prcpno>
- <drugcd>DOCURAA</drugcd>
- <drugnm>
- <![CDATA[Jeidin 75mg[powder] ]]>
- </drugnm>
- <vol>80</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아침,저녁 식후30분]]>
- </direc>
- <qty>1.066</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>2</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>40</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>0.533</drprcpetc8>
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- <stat/>
- <prcpno>412842894</prcpno>
- <drugcd>DEVENTO</drugcd>
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- <![CDATA[Ventolin]]>
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- <vol>20</vol>
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- <direc>
- <![CDATA[의사지시대로 흡입]]>
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- <![CDATA[Pulmican Respule]]>
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- <vol>3</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 흡입]]>
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- <qty>6</qty>
- <prcpqtyunit>amp</prcpqtyunit>
- <prcptims>1</prcptims>
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- <![CDATA[-]]>
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- <drprcpetc7>3</drprcpetc7>
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- <drprcpetc8>6</drprcpetc8>
- <prcpqtyunitflag>amp</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842897</prcpno>
- <drugcd>DEMUCOM</drugcd>
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- <![CDATA[Mucomyst ]]>
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- <vol>1600</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 사용]]>
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- <qty>2</qty>
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- <diagnm>
- <![CDATA[[주] Epilepsy(Grand mal status epilepticus)]]>
- </diagnm>
- <opnm>
- <![CDATA[i.v anti med, supportive care]]>
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- <undergo>
- <![CDATA[1. pulmonary
- aspiration pneumonia 고려하여 i.v cefotaxime + unasyn med 중임.
- sputurm culture: S.aureus heavy growth 확인됨.(7.11)
- 금일 anti change 함.cefo+unasyn -> cefo+vanco
- vanco inj후 allergy Rx 양상 보여 vanco ->teico change 하였으며,
- 이후 PEG site culture 에서 S.aureus heavy growth확인 되어 merop 추가 하였으며, anti med 중 sx 호전 되어 p.o septrin change 후에도 fever 호전 되어 D/C.
- ]]>
- </undergo>
- <testrslt>
- <![CDATA[■Lab
- CBC
- Hb : 9.7 g/dL, Hct :29 %, WBC : 11200 /㎕( 77 / 15 ), Plt : 209 K /㎕
- ESR/CRP :28/0.02
- U/A
- P: -, OB: - , RBC: 0-2, WBC: 3-5, K: -
- Na/K : 135 / 4.1 mmol/L
- BUN/Cr : 7.5 / 0.4 mg/dL
- Ca/P: 9.0 /2.9 mg/dL
- AST/ALT: 127 / 98 U/L
- Blood gas analysis : V
- PH :7.43 ,PCO2 : 52 ,HCO3 :34 ,BD :9.7
- ■Radiologic findings
- Chest PA: Rt. perihilar consolidation, CTR: 58%
- ]]>
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- <![CDATA[D/C & OPD f/u]]>
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- 퇴원형태 : 퇴원지시후
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- <undergo>1. pulmonary</undergo>
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- <undergoinfo>
- <undergo>aspiration pneumonia 고려하여 i.v cefotaxime + unasyn med 중임.</undergo>
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- <undergoinfo>
- <undergo>sputurm culture: S.aureus heavy growth 확인됨.(7.11)</undergo>
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- <undergoinfo>
- <undergo>금일 anti change 함.cefo+unasyn -> cefo+vanco</undergo>
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- <undergoinfo>
- <undergo>vanco inj후 allergy Rx 양상 보여 vanco ->teico change 하였으며, </undergo>
- </undergoinfo>
- <undergoinfo>
- <undergo>이후 PEG site culture 에서 S.aureus heavy growth확인 되어 merop 추가 하였으며, anti med 중 sx 호전 되어 p.o septrin change 후에도 fever 호전 되어 D/C.</undergo>
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- <undergo/>
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- <undergoinfo>
- <undergo/>
- </undergoinfo>
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- <undergo/>
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- <testrsltinfo>
- <testrslt>■Lab</testrslt>
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- <testrsltinfo>
- <testrslt>CBC </testrslt>
- </testrsltinfo>
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- <testrslt>Hb : 9.7 g/dL, Hct :29 %, WBC : 11200 /㎕( 77 / 15 ), Plt : 209 K /㎕</testrslt>
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- <testrsltinfo>
- <testrslt/>
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- <testrslt>U/A </testrslt>
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- <testrslt>P: -, OB: - , RBC: 0-2, WBC: 3-5, K: -</testrslt>
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- <testrsltinfo>
- <testrslt>Na/K : 135 / 4.1 mmol/L</testrslt>
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- <testrslt>BUN/Cr : 7.5 / 0.4 mg/dL</testrslt>
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- <testrslt>Ca/P: 9.0 /2.9 mg/dL</testrslt>
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- <testrslt>AST/ALT: 127 / 98 U/L</testrslt>
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- <testrsltinfo>
- <testrslt/>
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- <testrslt>Blood gas analysis : V</testrslt>
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- <testrsltinfo>
- <testrslt>PH :7.43 ,PCO2 : 52 ,HCO3 :34 ,BD :9.7 </testrslt>
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- <testrslt/>
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- <testrsltinfo>
- <testrslt>■Radiologic findings</testrslt>
- </testrsltinfo>
- <testrsltinfo>
- <testrslt>Chest PA: Rt. perihilar consolidation, CTR: 58%</testrslt>
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- <testrslt/>
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- <afplan>D/C & OPD f/u</afplan>
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- <commsgjci>* 이 기록은 검사결과 등의 추후 판독에 따라 진단명 및 내용이 변경될 수 있습니다.
- *고열, 심한 통증, 출혈 등의 응급상황 발생시에는 의료기관 방문 및 문의하시기 바랍니다.</commsgjci>
- <commsgjci2>*고열, 심한 통증, 출혈 등의 응급상황 발생시에는 의료기관 방문 및 문의하시기 바랍니다.
- *퇴원 후 일부검사(ex:배양검사, 추가면역검사 등)에 대해 추가 비용이 발생할 수 있습니다.</commsgjci2>
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- <![CDATA[[주] Epilepsy(Grand mal status epilepticus)]]>
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- <![CDATA[i.v anti med, supportive care]]>
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- <![CDATA[1. pulmonary
- aspiration pneumonia 고려하여 i.v cefotaxime + unasyn med 중임.
- sputurm culture: S.aureus heavy growth 확인됨.(7.11)
- 금일 anti change 함.cefo+unasyn -> cefo+vanco
- vanco inj후 allergy Rx 양상 보여 vanco ->teico change 하였으며,
- 이후 PEG site culture 에서 S.aureus heavy growth확인 되어 merop 추가 하였으며, anti med 중 sx 호전 되어 p.o septrin change 후에도 fever 호전 되어 D/C.
- ]]>
- </undergo>
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- <![CDATA[■Lab
- CBC
- Hb : 9.7 g/dL, Hct :29 %, WBC : 11200 /㎕( 77 / 15 ), Plt : 209 K /㎕
- ESR/CRP :28/0.02
- U/A
- P: -, OB: - , RBC: 0-2, WBC: 3-5, K: -
- Na/K : 135 / 4.1 mmol/L
- BUN/Cr : 7.5 / 0.4 mg/dL
- Ca/P: 9.0 /2.9 mg/dL
- AST/ALT: 127 / 98 U/L
- Blood gas analysis : V
- PH :7.43 ,PCO2 : 52 ,HCO3 :34 ,BD :9.7
- ■Radiologic findings
- Chest PA: Rt. perihilar consolidation, CTR: 58%
- ]]>
- </testrslt>
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- 퇴원형태 : 퇴원지시후
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- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842892</prcpno>
- <drugcd>DODENOL</drugcd>
- <drugnm>
- <![CDATA[Denol[powder] ]]>
- </drugnm>
- <vol>900</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아,점,저 식전1시간]]>
- </direc>
- <qty>3</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>3</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>300</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842893</prcpno>
- <drugcd>DOCURAA</drugcd>
- <drugnm>
- <![CDATA[Jeidin 75mg[powder] ]]>
- </drugnm>
- <vol>80</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[아침,저녁 식후30분]]>
- </direc>
- <qty>1.066</qty>
- <prcpqtyunit>tab</prcpqtyunit>
- <prcptims>2</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>40</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>0.533</drprcpetc8>
- <prcpqtyunitflag>tab</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842894</prcpno>
- <drugcd>DEVENTO</drugcd>
- <drugnm>
- <![CDATA[Ventolin]]>
- </drugnm>
- <vol>20</vol>
- <prcpvolunit>ml</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 흡입]]>
- </direc>
- <qty>1</qty>
- <prcpqtyunit>btl</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>1</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>20</drprcpetc7>
- <prcpvolunitflag>ml</prcpvolunitflag>
- <drprcpetc8>1</drprcpetc8>
- <prcpqtyunitflag>btl</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842895</prcpno>
- <drugcd>DEPULMR</drugcd>
- <drugnm>
- <![CDATA[Pulmican Respule]]>
- </drugnm>
- <vol>3</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 흡입]]>
- </direc>
- <qty>6</qty>
- <prcpqtyunit>amp</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>3</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>6</drprcpetc8>
- <prcpqtyunitflag>amp</prcpqtyunitflag>
- </dschdrugfactinfo>
- <dschdrugfactinfo>
- <stat/>
- <prcpno>412842897</prcpno>
- <drugcd>DEMUCOM</drugcd>
- <drugnm>
- <![CDATA[Mucomyst ]]>
- </drugnm>
- <vol>1600</vol>
- <prcpvolunit>mg</prcpvolunit>
- <direc>
- <![CDATA[의사지시대로 사용]]>
- </direc>
- <qty>2</qty>
- <prcpqtyunit>vial</prcpqtyunit>
- <prcptims>1</prcptims>
- <prcpdayno>7</prcpdayno>
- <caucnts>
- <![CDATA[-]]>
- </caucnts>
- <drprcpetc7>1600</drprcpetc7>
- <prcpvolunitflag>mg</prcpvolunitflag>
- <drprcpetc8>2</drprcpetc8>
- <prcpqtyunitflag>vial</prcpqtyunitflag>
- </dschdrugfactinfo>
- <inrsrvinfo>
- <inreq>입원예정으로 발급된 입원장이 없습니다.</inreq>
- </inrsrvinfo>
- </rsrvinfo>
- <ordrsrvinfo/>
- <testrsrvinfo/>
- <dschdrugfactinfo/>
- </dschcareinfo>
- </main>
- <hiden>
- <dschcateinfo>
- <dschcateyn>Y</dschcateyn>
- </dschcateinfo>
- </hiden>
- </root>
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