8월 6일 강의free

6/6. Exacerbation symptom .sata

pulse

behavior

incontinence

hyperactive

seizure

1/6.Immediately f/u symptom.sata

client’s comment

unintentional weight loss

2/6.expected symptom.sata

depression

suicidal ideation

mood disorders

bipolar disorder

3/6. first intervention

suicidal thinking #

injury

Why are you thinking

4/6. apply nursing care.sata

ask the client in an open, nonjudgmental mannerto express concerns of suicidal ideation

conduct a brief overview of the client’s currentmental status using open-ended questions aboutsuicidal ideation

provide a safe environment for the client byremoving dangerous items from the room, suchas cords or sharp objects

5/6.Which is next nursing follow up?

determine the level of suicide risk

.Moderate depression 맞는것 select all?

①Hopeless thinking#

②Suicide idea assess#

⓷Sleeping pattern change#

④“have you noticed any changes in your routine life?”#

⑤thinking thought slower than before#

⑥flashback or 예전 trauma 생각나니?#

6/6.Need to monitoring symptom.sata

frustration

hopelessness

coping pattern

defense mechanism

1. 산과 4명

1)전자간증 (high BP, epigastric pain 등)

2)임신 2기인데 애기 움직임 적어진 것 같다(막상 검사해보니 애기 상태 괜찮았음). 근데 7분마다 수축

3)1시간 전 쌍둥이 2명 자연분만하고 fundus 배꼽 위

4)38주 산모 clear fluid 나옴. 첫 애기 때 GDM hx. 애기 상태 괜찮음

2.-f/u 필요한거? 1번산모 epigastric pain, 2번산모 자궁수축, 3번산모 자궁상태, 4번산모 fluid 나온거 등

예상 가능한 질환?

전자간증,

자궁수축지연,

조기진통

3.뭐해줄래?

1번산모 MG sulfate/단백뇨검사,

2번산모 니페디핀,

3번산모 옥시토신,

4번산모 나이트라진 테스트

내진으로 경부 열림 정도 확인

4.괜찮아진/안괜찮아진 산모?

1번산모 DTR 소실,

번산모 수축 15분간격됨,

3번산모 fundus 더 올라감

5. 천식있는데 폐렴의심 6살

2틀전부터 두통에 열나서 병원처방약 먹였는데도 안나아짐. 원래 천식 있는데도 crackle, wheezing, SOB 난리남. 열 38.6도 PP 130대 SBP 110대 RR30대 Spo2 93%. 인플루엔자 검출x WBC 20000대 Bun 정상.

애 정보중에 f/u 할거? wheezing. wbc20000

어떤 병 의심됨?

폐렴,

뇌수막염,

탈수,

천식악화

6.뭐해줄래?

스테로이드 투여,

1L n/s 시작,

광범위 항생제 투여

7.나아진거 안나아진거?

열 37.3도로 떨어졌는데 pp  130대되고 BP 90대 됨.

Spo2 90% 등.

wheezing은 더이상 없음.

8.ngn

파인애플 알러지 천식병력 아이 인플루엔자 백신 맞으러 병원옴 근데 백신맞고 점점 얼굴 입술 붓기시작

asthma

pneumonia

anaphylatic shock

angioedema

Angioedema, a type of allergic reaction involving swelling, can occur after influenza vaccination, though it's rare. Treatment focuses on managing the symptoms and preventing complications, and may include antihistamines, epinephrine, and corticosteroids. Prompt medical attention is crucial, especially if breathing difficulty or throat swelling is present.

9.우선중재

epinephrin

antibiotic

steroid

nsaids

10.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.