8월 14일 강의 free

1.NGN – HF,비호지킨, cardiac stent Hx  할머니

할머니가 chest pain 및 chest에 petechia, crakles, cough 증상보이는데 “나 죽을건가봐!!” 공포스러워 함

intervene 필요한 증상고르기SATA

.stent를 삽입한 Artery disease 환자 f/u해야할 증상은 SATA

DTR++

warm sense

severe pain증가

tingling numbness

incision site oozing

pt`s fear

anxiety

2.우선 간호?

symptom 호전까지 3-5뷴마다 혈압재기,

IV 잡기,

ekg 연결,

5분간격 ntg 3타블렛먹기

naproxen 먹기

3.오른쪽 hemiphlegia bed에서 chair 로옮기는 것 2문제. 처음 옮기는 것임.

gait belt 다른사람 도움 없이한다,

기계 사용한다

환자가 의자에 앉을 때 UAP는 양쪽 발을 나란히 해서 균형을 잡는다.

unaffected foot을 침대 바로 아래에 놓고 affected 발을 앞쪽에 두도록 한다.

편마비환자 휠체어 마비된 쪽으로 놓고~

침대에서 stretcher car로 옮길 때 uap는 환자의 머리를 지지한다.

4.Desmopressin

물 많이 먹을게

nasal irritation있을 수 있어

BP monitoring 하겠다

갑자기 소변량이 줄어들면 의사에게 noti 하겠다

매주 처방받아야해.

Desmopressin (deamino-8-D-arginine vasopressin) is a drug that regulates urine volume and concentration in the body. It is also used as a nasal spray to treat nocturia

5.요도 통해 방광 cancer 제거 수술했어 옳은 것은?

주기적으로 scopy 필요해

radiation and chemo treat

antibiotic

Cystoscopy and urine tests are both important for diagnosing and monitoring bladder cancer. Cystoscopy involves visually examining the bladder using a thin, flexible or rigid tube with a camera. Urine tests, including cytology and newer molecular tests, analyze urine for cancer cells or markers

6.산모 4명 med-surg 간호사 배정

left leg swelling

preeclampsia,

4hr back pain&bleeding,

7.2살 아기가 stridor.dyspnea,SOB..증상을 보인다. 아빠한테 물어볼것을?

전에도 이런 증상이 있었냐

언제부터 증상이 있었나

HIB 백신 맞았나

MMR vaccine

8.dementia 환자 불안&돌아다님 우선 중재

따뜻한 거 마시게 한다,

침상난간 올린다,

진정제,

신체보호대

making the home safer for walking, and using safety tools.

9.precautiom 같이 있어도 되는 환자

acute pancreatiris, UC

hbv .hav

hiv. aids

pneumonia .pcp

10.precaution 개입 필요한 경우

viral meningitis 와 bacterial meningitis#

protozola pneumonia와 pneumococcal pneumonia

HAV .HEV

11.DI Pt reqire f/u

thristy 증가되면 notify하겠다.

condition이 나아져도 처방된 lasix 계속 먹겠다

DI인데 lithium 먹음

Lithium-induced nephrogenic diabetes insipidus (NDI) is a known side effect of lithium treatment, characterized by the kidneys' inability to concentrate urine, leading to excessive urination and thirs

12.QI설명옳은거

①환자의 간호 질 향상을 위한 것이다

②조직을 위한 거

③error를 줄이는 게 목표이다

④벌을 주기 위함이다

13.clindamycin anaphylatic ngn

NGn 파인애플알러지있는 애기 인플루엔자 백신맞고 ㅇ15분 앉아있었는데 맞은 부위 발적있고 애기 울고 이리타블 호흡 40??

애기가 주사 맞고 부종있고 불안있음. Lab결과 모두 정상, 바이탈 bp만 90대. 어떤 증상인가

아나필락시스

패닉,

백신 부작용

14.ngn .forearm abscess pt clindamycin 1st dose 들어가고 r/o

airway obstruction

respiratory disease

anaphylatic sx

phlebitis

Clindamycin, while commonly used, can trigger a severe allergic reaction called anaphylaxis, which can be life-threatening. This is particularly relevant when treating forearm abscesses with clindamycin, as any route of administration, including oral, topical, or intravenous, can potentially lead to anaphylaxis. While anaphylaxis from clindamycin is rare, immediate recognition and intervention are crucial.

Anaphylaxis is a potentially life-threatening condition requiring immediate medical attention. Symptoms can include hypotension, cardiovascular collapse, respiratory failure, and skin reactions like flushing and urticaria. While anaphylaxis from clindamycin is rare, it's crucial to be aware of the possibility, especially in patients with penicillin allergies, as clindamycin is sometimes used as an alternative.

15.아나필라틱 쇼크 중재

Systemic Inflammatory Response Syndrome- X

Acute Radiation Syndrome- X

아나필라틱- O

Look for pale, cool and clammy skin; a weak, rapid pulse; trouble breathing; confusion; and loss of consciousness. Do the following immediately: Call 911 or emergency medical help. Use an epinephrine autoinjector, if available, by pressing it into the person's thigh.

Anaphylactic shock symptoms include a sudden onset of severe allergic reactions, potentially involving skin, respiratory, and cardiovascular systems, and can be life-threatening. SIRS and ARS are not directly related to anaphylactic shock; they are broader terms related to systemic inflammatory response and acute respiratory distress respectively

16.아나필락시스 환자 과일 조심할거

바나나

meat

fish

pourtry

common allergens like peanuts, tree nuts, fish, shellfish, milk, soy, wheat, and eggs. It's crucial to carefully read food labels and inform restaurants about your allergies. Carrying an epinephrine auto-injector and knowing how to use it is also vital for managing severe allergic reactions.

it's important for individuals with banana allergies to avoid bananas and foods containing them to prevent anaphylactic shock