7월 30일 강의 free

Priority follow up?

have the client use the morphine PCA device#

pneumonia asses

vital check

mental asses

1. crutch 관련  sata

겨드랑이와 crutch 사이 간격은 손가락 3개 들어갈정도로 해라

elbow는 30도 구부리기

계단 오를 때 affective부터

crutch는 heel에서 6inch 간격 두고 사용.

Tip of crutch는 next to feet

elbow flexion 15도

2.raloxifen concern

wt bearing exercise

vit supplement with vit D

insomnia예방위해 아침에 복용

flushing 줄어들 것

3. Raloxifene.맞는거 골라라

otc 칼슘, 비타민제 복용

nonbearing exercise

flushing 줄어들 것

먹고 바로 누워라.

4.마약 종류별 고등학생들을 위한 알맞은 교육내용..

16year 쉼터(?)→public facility에 머무는 Pt. 계속 pain killer 요구 시 assess

해야 할 것?  ① addiction 여부 살피기

5. VT 그림주고 dysrythmia 있는 환자가 의식없어서 CPR 시행하였다. 다음 action?

① temporary pacemaker

② amiodarone

③ adenosin

④ cardioversion

##The principal therapeutic effect of adenosine is to slow AV nodal conduction. Adenosine is not an effective agent for common forms of ventricular arrhythmias or for preexcited atrial arrhythmias such as atrial fibrillation or atrial flutter

##Amiodarone also is effective for supraventricular tachycardias because it alters conduction through the accessory pathway (Class IIa if LV function is normal and IIb if ventricular function is impaired).

6. sinus tachycardia EKG 그림준후..(HR : 120회 )

① 피부가 warm 하고 red 하다.

sinus tachycardia, hot dry skin, dry mouth and tongue, dilated pupils and urinary retention.

7.다음 상황에서 nurse의 intervention은?

.Sinus Tachycardia, BP 96/57, PR 118회, Fever 38.6도. 질환 주어지지 않음.

①Defibrillator 준비

②Observation & documentation

8.Esophageal varices pt banding했다. 맞는거 (단답)

Preparation scissors on bedside

Patient can feel pain or discomfort

이건 bleeding을 막기 위해서 한 거다.#

#Endoscopic variceal banding (or ligation)

During variceal banding, a doctor uses an endoscope to place an elastic ring that looks like a rubber band around an enlarged vein. Banding the vein in this manner will cut off blood flow through the vein. It may be difficult to use this procedure while someone is actively bleeding, because the device used to place the bands obscures the doctor's vision.

Variceal banding has been shown to be as effective as sclerotherapy in treating episodes of bleeding. And it has fewer complications.

Variceal banding is often done several times to control the varices and prevent bleeding. For example, banding might be repeated every 2 to 4 weeks for 3 to 4 sessions. Your doctor will monitor (check) the varices every 3 to 12 months after that for the rest of your life.

9. Esophageal varices pt banding했다. 맞는거 (단답)

Preparation scissors on bedside banding

Patient can feel pain or discomfort.

To decrease blood circulation

10.esophageal varices 치료로 옳은것 고르기

balloon temponade

혈압약 투여

Ambulation

coughing encourage

11.LC 식도정맥류 환자 치료? 증상완화 약

propranolol,

vasopressin,

ballooning

12.esophageal varix .sata

~lol .beta blocker stop  if pulse decrease 50

encourage coughing and deep breathing

bleeding sign observation

trendelenburg p.

notify

IV