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Beloc zok 25 mg 1 x
Nitroderm TTS 1 patch 1x/jour à mettre à 20 h et à enlever à 8h
Torasemide 40 mg 1x/j
Aldactone 25 mg 1x/j
Sintrom mitis selon INR (viser 2-3)
Sortis 20 mg 1x/j à 18h
Levemir penfill 2x/j sc 29 UI à 8h et 14 UI à 20h.
Novorapid penfill max. 3x/j sc aux repas (correction selon glycémie: 10-11. mmol/l -> 2 ui, 12-13. 9
mmol/l -> 3 ui, 14-15. 9 mmol/l -> 4 ui, 16-17.9 mmol/l -> 5 ui, 18-19.9 mmol/l -> 7 ui, > 20 mmol/l
-> 9 ui).
Nexium mups 40 mg 1x/j
Euthyrox 0,175 mg 1x/j
Dafalgan 1000 mg 3x/j à 8h, 15h et 22h
Durogesic Matrix patch 25 mcg/h 1 patch à changer aux 72 heures
Sifrol 1 cpr 3x/j à 8h, 15h et 22h
Calcium sandoz D3 500/440 1 cpr 2x/j à 8h et 18h
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