Condition:on criticalVital sign as ER routineOn EKG 、 SPAO2 、 BP monitorOn NG decompressionOn non rebreathing mask 15 L/minNG care QDFoley care QDRecord urine output Q8HChest percussion Q2HSuction p. r. nWound CD BIDCheck F/S Q6HIVF: 1. 0. 45% N/S 500 ml +jusomin lamp run 150ml/hr2. D5W 500ml run 20ml/hr3.0. 45% N/S 500 ml IVD QD for PPI use4.0. 45% N/S 500 ml IVD QD for antibioticMedication:Tapimycin (4.5gm) 0.5 vial IVD Q8HPantoprazole (40mg)1 Vial IVD Q12H(self pay)Combivent 1PC INH Q12H