10월 21일 강의 free

1.Electrolyte imbalance after intoxination,

what needs to be controlled

track intake and output

#Treatment for electrolyte intoxication depends on the specific electrolyte and severity but generally involves medications or IV fluids to restore balance, dietary changes, and in severe cases, dialysis to filter excess electrolytes. Treatments can include IV fluids, medications to shift electrolytes or remove them from the body, oral supplements, and adjusting or stopping medications that affect electrolyte levels.

2.보타이 문제. 38wk 산모 mild clonus

애기를 화장실에서 낳아버린 산모, 응급실 왔는데, 간호사가 할 말

if intant’s babinski is negative,

it could indicate brain or spinal problem

3. 도와줄 사람이 없는 상태 head crowing state, nurse 1명만이 지키고 있을 때 어떻게 해야 하는가?

Perinium을 강하게 pushing 한다

uterus contraction 있을 때 길게 힘주라고 한다

between contraction에 head를 만출 시킨다

4.Which considers controlled substance f/u?

Heroin doesn't have physical and mental dependency

Methamphetamin is way harder to stop than weed

Alcohol intoxication stimulates CNS

오피오이드 투여중

5.substance abuse two patients reminisce fondly about drug taking?

it’s uncomfortable for me to listen to your conversation

how was your family’s life back then??

what is the purpose of your conversation?

6.Soft wrist restrict after several aggressive behaviors, n right thing

.pt  soft  restrain  했는데  pt가  nurse 를  hit  했다.  nurse  어떻게  해야하나?

①.supervisor에게  report하고  적절한  조치  취한다..

②restrain에  적정한  prn  med  받아  놓는다.. 놓은걸  투여한다.

③.dr  notify

④.환자  가족  불러  환자에  대해  얘기  한다..

7.icp monitor 중 포함될 간호?(sata)

hob 30도 이상

cervical collar 대고 neutral 자세.

coughing 하지 않음.

mannitol 주입

8.뇌압 상승 위험 있는 병 환자가 변비 증상도 있는데 해야 하는 간호는? SATA

Softener 준다

대변볼 때 무릎을 abdomen 보다 높게 한다

HOB 30 도.

constipation 있을 시 enema 시행.

suction 30 초 동안 시행.

trendelenburg position

9.ICP 환자에게 해야하는 중재로 틀린 것은?

침상 30도 올리기

enema 한다 변비예방위해

suction 30초 시행

침대 높이는 60° 이하로 한다.

침대 side에 Pading대준다.

10.Lead poisoning child parent statements, what requires fu

I let my child sweep the floor everyday

lead포함된 전번 paint 위에 lead 않섞인 paint 바르면 risk를 막을 수 있다

~~cancer의 risk factor다

#old peeling paint and getting workers to remove the paint or cover it with new paint.

11. lead poisoning

preschooler live near paint factory

school age live in urban

he is drinking from a ceramic pitcher

Father refernishes old furniture at their home

12.Ethics 교육 맞는 것

negligence can be omission and commision

Ethical nursing.. Protect health care malpractice

Assess, diagnosis, planning,implementation, evaluations

13.End of life care, which n action needs intervention

giving oral care even

Perineal area 아래로 diaper를 깔아준다

눈을 감겨주고 ~한다

~해주고 목뒤에 ~을 대준다

상체를 약간 올려주고 자세를 바로 잡아준다

14.(몽고반점 엉댕이 그림 보여주며) 부모가 걱정돼서 애기 병원 데려옴 n teaching -

that’s an mongolian spots  대부분 크면서 자연스레 사라진다

my baby needs laser therapy

deprived of oxygen, decreased tissue perfusion

Mongolian spots are present at birth, and most of them fade (at least somewhat) by age two. Most have completely disappeared by age five

15.Clean dressing change pt discharge education 틀린 것

sterile water 로 거즈를 완전히 적시겠다

sterile technique과 sterile gloves를 사용하겠다,

서플라이 떨어지면 OTC로 사겠다

16. 양수 천자할 산모가 이 시술에 대해 잘 알고 있는 것은?

의사가 배에 관을 넣어 ammnio sac을 조금 잘라내는 것이다

이 시술을 할 경우 miscarrige의 위험이 없다는 것을 안다

i will be awake during the procedure 고름

not a painful procedure

after anesthesia. needle inserted into amniotic sac..aspiration amniotic fluid 10~30cc

17.lithium toxicity중요하게 봐줄 것?

diarrhea

dry mouth

restlessness

thirsty호소

18.리튬주기전에 사정해야할거

ataxia,

fine tremor

weakness

restless

Lithium toxicity can cause neurological symptoms including ataxia (coordination and balance problems) and tremor (uncontrolled shaking). These symptoms are indicators of a dangerous level of lithium in the body and require immediate medical attention. Other common symptoms of lithium toxicity include confusion, lethargy, muscle twitching, slurred speech, and, in severe cases, seizures or coma. Treatment involves stopping the lithium and may include measures like dialysis in severe cases, but neurological symptoms can sometimes persist even after lithium is discontinued