drugs & dysphagia

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Drugs & Dysphagia まずは薬のチェックから 摂・嚥下機能法の基本技術/Ⅲ-B,2単位 (摂・嚥下障害を引き起こす薬剤) 訪問科衛養成講座(823)

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  • Drugs&Dysphagia

  • -01

  • -02

    vs

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    PMDA 18,0002631

    383 6,268 93 3,466 2,839 2,989

    031700617317

  • -04

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    .etc

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    Quality of LifePatient-Centered OutcomesInternational Classification of Functioning

  • Melonpan

    24

    17

    12

  • Sun-rise

  • -01

  • -02

    2013

  • Medication-induced Dysphagia

    2007910

    -03

  • -04

  • 1Anticholinergic Risk ScaleRudolph JL, Salow MJ, Angelini MC, McGlinchey RE. The an

  • -06

    GER

    CaLESGERD

  • -07

    GABA

    v -fight-flight response

    v

  • -08

    (lll)

  • -09

    +

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    80

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    1. 2. 3. 4. 5. 6. 7.

  • -015

    1.2.3.4.5.

    Process Model (Hiiemae)

    Stage Itransport

    Processing

    Stage transport Esophageal phase

    hypopharyngeal transit time

  • -02

    -a

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    -b

  • -04

    -cp

    p

    p

    p

    POINT

  • 23115387071412

    -05

    -d

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    -e 104/127 (82%) 7/56 (13%) 42/48 (87%)

    124 70 67 66 46 42 32 23

    76 13 6 6 5 5

    1-3 494-7 348 5

    1-3 344-7 282 20 5 3

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    Logemann J.A.Logemann

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    Logemann JA, Smith CH, Pauloski BR, et al. : Effects of xerostomia on perception and performance of swallow function. Head Neck. 2001 Apr;23(4):317-21.

  • -16

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    -bam

    Campbell-Taylor I. Benzodiazepines and pneumonia or aspiration pneumonitis. Thorax. 2013 Jun;68(6):591.Sliwa JA1, Lis S. Drug-induced dysphagia. Arch Phys Med Rehabil. 1993 Apr;74(4):445-7.Sokoloff LG1, Pavlakovic R. Neuroleptic-induced dysphagia. Dysphagia. 1997 Fall;12(4):177-9.

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    -b1) 2) 3) 4) 5)

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    1.

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  • -01

    1Anticholinergic Risk ScaleRudolph JL, Salow MJ, Angelini MC, McGlinchey RE. The an

  • -02-b

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    /

    EPSACH

    B/P

    5~20mg +++ 0 ++++ + ++ 0/+ +

    50~800mg ++ + ++++ +++ + 0 +

    4~16mg + +/++ 0 +++ + 0 ++

    15~30mg + + ++ + 0 0 +

    30~800mg +++ ++ ++ +++ 0 +++ ++

    12~64mg ++ ++ + + 0 0 +

    1~15mg + +++ + + 0 0 0

    1~10mg + +++ + + 0 0 ++

    +++++++++++

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    , . .. Vol. 17 (2004-2005) No. 3 P 399-405

    15.9, 665.6.10, , , , ., , 1.6., 8., , , ., .

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    0.670.480.380.170.440.38

    0.240.090.240.110.210.06

    p

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    1121

    40