8월 5일 강의free

1/6 .Which is Need to F/U? SATA

tremors

V/S

heart rhythm

history of alcohol use

reported career stress

2/6 Expected symptom.sata

hypertension crisis

alcohol withdrawal syndrome

a-fib with rapid ventricular response

increase bp. p

nausea and vomitting

3/6.filled to blanket (drop box)

The client is most likely experiencing ________________as evidenced by ______________________.

alcohol withdrawal syndromet

he sudden cessation of alcohol

4/6.applied nursing follow up?sata

administer thiamine

observe for signs of seizure activity

assess the client’s orientation every hour

benzodiazepin apply

viatal check

5/6,First  implementation nursing

gather supplies to insert a peripheral VAD

seizure precaution

high vitamin

1.amlodipine 복용 주의해야하는환자

맥박 정상

bp 140대

dizziness 잇는사람

2.Ngn 속옷만 입은 할아버지 무지개

. 정신: Schizo : Visual hallucination

속옷만 입고 밖에서 발견, 위생상태 불량, 저체온, 계속 무지개가 보인다고 함, 이전에도 같은 증상 있었음

-사례 내용 중 우선 순위로 봐야할 부분 sata

-이 사람의 진단명은? (단답)

-적절한 중재 (약물 등) 해당/비해당 체크

-이 사람이 호전되었다고 파악할 수 있는 응답 sata

[NGN2]cold weather unappropriate apperance

"i see rainbow 천장보면서" denial drug and alcohol.

v/s 35.8 bp 낮음

client's friend say 'she try fell down 무지개 잡으려고, end life? 생을 끝내려고?'

BAL(blood alcohol l?) pending -> 0

drug level? pending -> negative

중재후 체온상승

immediately follow up?

temperature

visual hallucination

apperance

3.concern sata

visual hallucination

depression

substance use disorder

4.effect sata

not attend group therapy

important regular medication

i see rainbow but there weren't(보이지만 없다는 것을 안다)

5.Ngn 산모 자궁fim, 배꼽두마디 아래잇고, 소변시 burning, 수유시 abdomen cramping(?), 진단 -Retroperitoneal hematoma -> 수혈하고

retroplacental hematoma,

uterine inversion , 태반조기박리

x ray –not indicated

c t check- indicated

6.V/D한 여성환자, 자궁이 한쪽으로 치우쳐져있음 + pad 피로 흠뻑 젖음 (urinary retention&자궁 파열 증상...)

Drop-down cloze 문제유형 1개짜리 문제...

출산 한지 얼마 안된 환자, 산후출혈 문제로 이어지는 내용, viginal discharge로 패드 많이 젖은 상태

(saturated pad 증상) 때문에 진단명은 (post partum hemmorage)로 추정된다.

7.대상자가 겪고 있는 것으로 예상되는 문제 빈칸 채우기(dropbox) 2개

첫번째 dropbox ?

retroperitoneal hematoma

8.두번째 dropbox

uterine atony

uterine rupture

uterine inversion

inversion

Uterine inversion is a rare but serious obstetric complication where the uterus turns inside out, either partially or completely, and may protrude through the cervix or even the vaginal opening. It is characterized by the fundus of the uterus collapsing into the endometrial cavity. This can lead to significant hemorrhage and shock due to the inability of the uterus to contract properly and control bleeding.

다음 지문

Percutaneous embolization 시술 준비

indewelling urinary catheter 삽입하고 이것저것 동의서도 받았나 등등 여러 준비 하고 시술 완. 통증 2/10으로 완화 됨

Percutaneous embolization, a procedure used to block blood vessels, can have both benefits and risks during pregnancy. While it can effectively treat conditions like uterine fibroids or pulmonary arteriovenous malformations (PAVMs), potentially allowing for a successful pregnancy, it can also be associated with adverse effects on fertility and pregnancy outcomes

9.orthopnea position 해야하는사람 -

lower back pain

Heart failure

10.ngn : 태아 시간별로 FHR 104엿나(무튼 110 아래),이 상태에서 문제되는거 뭔지

variability(minimum) ,

accel(absent)

decel(absent)

그 다음문제에서 variability (moderate)으로 바뀌고 aminoinfusion 바람직한지 아닌지,