9월 24일 강의 free

1.LPN인지 UAP가 VAD를 제거했는데 발생할 수 있는 합병증은? SATA

air embolism

extravation

intrafiltration

bleeding, blood clots, and infection, and take appropriate preventive measures. This involves careful monitoring, proper insertion and removal techniques, maintaining sterile environments, managing blood flow, and having a plan for when complications arise, such as with infections or device malfunctions.  rt heart failure.

2.간호사가 주도할 수 있는 therapy?

physical therapist

psychotherapist

occupational therapist

respiratory therapist

There is no single "RN leading therapist"; instead, a Registered Nurse (RN) Psychotherapist is a nurse who provides therapy, or a Psychiatric Mental Health Nurse Practitioner (PMHNP), which is a highly trained type of nurse who provides psychotherapy and can prescribe medication, is a type of RN who provides leadership in mental health care. The term "leading therapists" is too broad and does not specify a particular role, but a PMHNP is a nurse with advanced training in psychotherapy and patient care

3.VAD설명 맞는것은?

혈관 약한사람 토니켓 안묶는다

수액세트 끝부분이 컨타되면 알콜솜으로 잘 닦아서 말린 다음 사용

튜브에 있는 에어를 포트쪽에 모아서 주사기 이용해서 빼기?

혈관선정시 proximal에서 distal쪽으로

4. intravenous injection

30-40 도 각도로 injection

proximal  try to distal injection

tourniquet tie 3 –4inch above needle site

arm의 dorsal vein 과~~ vein을 사용하겠다

An IV injection is given at a 15-30 degree angle, with 25 degrees often being the standard

5.IV 맞는 것 sata

30-45 도 각도

토니켓 4-6 inch 위에

proximal 에서 부터 주사 시작한다.

dorsal vein 이 가장 적절하다.

Common sites of insertion are the

cephalic or basilic veins of the lower arm;

or the dorsal venous arch located on the

back of the hand

6.ngn

파인애플알러지 천식히스토리 아나필락시스 진행

ox퀴즈

좌측위 취한다

부모한테 천식약 있는지 물어본다

우리아기는 바늘무서워하니 바로 주고 바로 바늘 뺄래

a pineapple allergy can trigger asthma-like symptoms, such as wheezing and shortness of breath, and can even lead to life-threatening anaphylaxis. The main culprit is a protein called bromelain, a protease found in pineapple that can cause IgE-mediated allergic reactions, including respiratory ones. Pineapple allergies are often associated with cross-reactivity with pollen and other fruits like bananas and kiwi. Treatment involves complete avoidance of pineapple, medication like antihistamines or inhaled corticosteroids, and carrying an epinephrine auto-injector (like an EpiPen) for severe reactions

laid flat, and should not stand or walk. If breathing is difficult, they can sit with their legs outstretched.

7.위마비 gerd. pud

중재 대구경iv카테터

ng튜브 사용해 감압한다

8.complications.

PUD환자 EGD예정. 환자 발언 중 indicated/not indicated 선택

입에 마우스피스 끼울거다-indicated

FLEXIBLE 호스가 식도, 위, 십이지장까지 들어간다-indicated

최대 30분 소요된다 –not indicated

검사후 gag reflex가 돌아올 때까지 음식을 못 먹을 것이다.-indicated

목에 마취 spray가 뿌려진다-indicated

Catheter Use for GERD

Esophageal pH Monitoring: A thin, flexible catheter is inserted through the nose into the esophagus.

Function: This catheter measures acid levels and non-acid reflux over a 24-hour period, helping to confirm a GERD diagnosis.

Purpose: It helps determine the presence and amount of stomach acid in the esophagus, providing data for treatment decisions.

Catheter Use for Peptic Ulcer Disease

Trans-Catheter Arterial Embolization (TAE):

In cases of active or severe upper gastrointestinal bleeding from a peptic ulcer that cannot be controlled by endoscopy, a catheter is used for embolization.

Procedure:

Angiography is used to confirm the site of the bleeding, and a catheter is guided to the bleeding vessel.

The catheter is used to deliver embolic material to block the vessel,stopping the blood flow to the ulcer.

9.

10. 단핵구증 .Mononucleosis 퇴원 설명. 다음중 맞는 것은?

면역이약하다.

6주간 안티인플라메이션 약 먹어야할수도 있어,

이틀 안에 다시 피곤하면 hcp 노티할게

antibiotic 치료할 것이다

정기적으로 cbc 검사받겠어요

A regular Complete Blood Count (CBC) check can be helpful in diagnosing mononucleosis, but it's not the primary test used. A CBC with a differential, along with a rapid heterophile antibody test, is typically performed. While a CBC can reveal a high white blood cell count, especially lymphocytes, and atypical lymphocytes, which are characteristic of mononucleosis, these findings are not specific to the condition

11.소마틱 환자에 대한 진술중 옳은것 고르기

신체증상등에 대한 과도한 불안?

병원을 자주갑니다

환자가 호소하는 증상을 다 사실이라고 인정해준다.

환자가 처방받은 약을 combine 하는 위험성?  처방약 관련해서 알려주는거 피한다.

12.Fluid retention 환자 중재?

Oral care 자주 한다

fluid stop

lung sound 청진

의사 noti

The sweat electrolyte test is a test that measures the level of chloride in sweat. In children, increased sodium and chloride concentrations in sweat can indicate cystic fibrosis, an inherited disease that affects the respiratory and digestive system

13. 간호사는 End of life 상태의 환자를 돌보고 있다. 어떻게 해주는 것이 좋은지 모두 고르시오SATA

방을 어둡게 한다

조금씩 환자가 원하는 음식을 먹을 수 있도록 한다

가족들이 physical care에 involve하도록 한다.

전기 웜블랭킷 덮어준다

기저귀 채운다

electric warm blankets are generally not used or recommended for hospice care patients at home due to safety risks

14.재난 퇴원 우선순위

유문절제술후 1번피딩실패 2번피딩유지중

장절제 2일경과 장음없음

after gasterectomy nausea

15.수술전 물어봐야할것 우선순위

악성고열 가족력있냐

수술한적있냐

수술 부위 Marking

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