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[ "5th", "cycle", "rituximab", "+", "Bendamustine", "(D1=29/6/63)" ]
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[ "หลัง", "ให้ยา", "ไม่", "มีไข้", " ", "ไม่", "มี", "หอบ", "เหนื่อย", " ", "V/S", "stable" ]
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[ "ชาย", "ไทย", "อายุ", "52", "ปี", "U/D", "HT", "รับ", "ยา", "รพช.", "ขาด", "ยา", "1.5", "-", "2", "ปี", "มา", "รพ.", "ครั้งแรก", "ด้วย", "มี", "อาการ", "วูบ", "หน้ามืด", "แต่", "ไม่", "หมด", "สต", "ิ", "มา", "ตรวจ", "ที่", "trauma", "Dx", "MHI", "mod.", "risk", "ได้รับ", "การ", "ทำ", "CT", "NC:", "normal", "ทาง", "Sx", "ส่ง", "ตรวจ", "แพทย์", "เวร", "เรื่อง", "วู", "บ", "ที่", "แพทย์", "เวร", "จึง", "เริ่ม", "ยา", "HT", "(", "enalapril(5)", "1*2", "pc+", "Atenolol(25)", "1*1", "pc)", "ผู้ป่วย", "แจ้ง", "ว่าว", "มี", "ใบหน้า", "บวม", "หลังจาก", "ได้รับ", "ยา", "Enalapril", "และ", "Atenolol", "4", "ชม.", "แต่", "ยัง", "ไม่", "ได้", "พบ", "แพทย์", "ที่ใด", "8", "ชม.", "ต่อมา", "พบ", "ว่า", "ใบหน้า", "ยังมี", "อา", "การบวม", "จึง", "หยุด", "กิน", "ยา", "แล้ว", "มา", "ตรวจ", "ที่", "แพทย์", "เวร", "พบ", "ว่า", "BP", "64/54", "mmHg", "วัด", "ซ้ำ", "78/62", "mmHg", "P112/min", "แพทย์", "เวร", "Load", "NSS", "500ml", "IV", "+", "CPM", "10mg", "IV", "หลัง", "load", "BP", "90/65mmhg", "P", "98/min,", "ส่ง", "เข้า", "ER", "ที่", "ER", "BP", "99/65", "mmHg,", "P", "94/min", "Osat", "97%,", "Epinephrine", "(1:", "1000)", "0.5", "ml", "IM,", "Dexamethosone", "5mg", "IV", "PE:", "angio", "edema", "at", "face", "and", "lips,", "no", "urticaria" ]
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[ "1.", "Angioedema", "with", "drug", "induce", "hypotension", "with", "AKI", "ผู้ป่วย", "มี", "อาการ", "ริมฝีปาก", "บวม", "หลังจาก", "ได้รับ", "ยา", "enalapril", "+", "atenolol", "consult", "allergy", "และ", "serum", "tryptase", "ที่", "ชม.", "ที่", "4", "และ", "24", "พบ", "ว่า", "serum", "tryptase", "1.84", "และ", "1.53", "ตามลำดับ", ",", "serum", "tryptase", "hr.1/hr", "24=", "1.2", "ทาง", "allergy", "ให้", "ความเห็น", "ว่า", "อาการ", "angioedema", "ของ", "ผู้ป่วย", "น่าจะ", "เกิด", "จาก", "enalapril", "มาก", "ที่สุด", "เนื่องจาก", "enalapril", "มี", "โอกาส", "เกิด", "agioedema", "ได้", "บ่อย", "ประกอบ", "กับ", "ผล", "serum", "tryptase", "ไม่", "สนับสนุน", "ภาวะ", "anaphylaxis", "ร่วมกับ", "หาก", "ผู้ป่วย", "มี", "ภาวะ", "anaphylaxis", "จริง", "น่าจะ", "มี", "อาการ", "รุนแรง", "ตั้งแต่", "ช่วง", "4", "ชม.", "หลังจาก", "ได้รับ", "ยา", "และ", "น่าจะ", "มี", "clinical", "BP", " ", "ที่", " ", "drop", "บ้าง", "ซึ่ง", "ไม่", "พบ", "ใน", "ผู้ป่วย", "ราย", "นี้", "ทาง", "allergy", "suggest", "ให้", "หลีกเลี่ยง", "การ", "ใช้", "กลุ่ม", "ACEIs", "ไป", "ก่อน" ]
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[ "2.", "HT", "ขณะ", "นอน", "รพ.", "BP", "ของ", "ผู้ป่วย", "145-160/", "90-95", "mmHg,", "P80-100/min", "allergy", "suggest", "ให้", "observe", "Bp", "ไป", "ก่อน", "เนื่องจาก", "ACEIs", "induce", "angiedema", "สามารถ", "เกิด", "ซ้ำ", "ได้", "ภายใน", "1", "เดือน", "โดยไม่จำเป็น", "ต้อง", "มี", "การ", "expose", "ยา", "เดิม", "ได้", "ประมาณ", "80%", "หาก", "เริ่ม", "ยา", "ใด", "ใด", "ใน", "ช่วงนี้", "อาจ", "เกิด", "การ", "สับสน", "เรื่อง", "การแพ้ยา", "ได้", "ค่ะ" ]
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[ "3.", "Wernike", "encepholopathy", "หลังจาก", "ผู้ป่วย", "นอน", "รพ.", "มีปัญหา", "เรื่อง", "มือ", "สั่น", "เหงื่อ", "ออก", "สับสน", "เล็กน้อย", "วุ่นวาย", "ปีน", "เตียง", "PE:", "tremor", ",", "nystagmus", "คิดถึง", "ภาวะ", "Wernike", "encepholopathy", "และ", "alcohol", "withdrawal", "ได้รับ", "การรักษา", "ด้วย", "IV", "Diazepam", "และ", "lorazepam", "ปรับ", "ตาม", "อาการ", "พูดคุย", "alcohol", "cessation", "-->", "ผู้ป่วย", "แจ้ง", "ว่าการ", "กิน", "alc.", "ยัง", "ไม่", "ได้", "เป็นปัญหา", "กับ", "การดำเนินชีวิต" ]
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