8월 20일 강의

1. Osteoporosis .osteroarhritis 구분definition

cartiliage demage -osteoarthritisOA is the result of damage to cartilage and usually occurs with aging or overuse.

inflammatory disease-osteoarthritis

decreased density (mass/volume) of normally mineralized bone-osteoporosis

connective issue에서 inflammation-rheumatic arthritis

degeneration of cartilage-osteoporosis

Osteoporosis is a skeletal condition characterized by decreased density (mass/volume) of normally mineralized bone. The reduced bone density leads to decreased mechanical strength, thus making the skeleton more likely to fracture.

inflammatory bowel disease show a significant reduction of their bone mass during the course of their chronic inflammatory disease

2.Osteomyelitis 환자에게 heat (감염 확산 위험)

Osteomyelitis is a serious infection that happens when bacteria or fungi infect your bone marrow. Infections usually start on your skin at a wound or surgery site then spread to your bones through your bloodstream. It can cause permanent bone damage if it's not treated right away.

3.Hypothyroidism + goiter

hypothyroid 환자 goiter  갖고 있음.correct ?

내가 호르몬 잘 못만들어서 이게 생긴거야

parathyroid adenoma

자가면역으로 인한 질병이다.

Hyper secretion ACTH

A goiter, or an enlarged thyroid gland, can be a symptom of hypothyroidism (underactive thyroid). Hypothyroidism occurs when the thyroid doesn't produce enough thyroid hormones, which can lead to the thyroid gland trying to compensate by growing larger to try and capture more iodine

4.Hypothyroidism goiter 환자 f/u 해야할 진술

my neck is swelling because my thyroid try to make many thyroid hormones

hormone replacement theraphy 1년 시행

decrease thyroxine function

5.hyperthyroidsm 원인?

=.grave's ds

parathyroid adenoma

자가면역으로 인한 질병이다.

Hyper secretion ACTH

Related to parathyroid disease

A goiter, or an enlarged thyroid gland, can be a symptom of hypothyroidism (underactive thyroid). Hypothyroidism occurs when the thyroid doesn't produce enough thyroid hormones, which can lead to the thyroid gland trying to compensate by growing larger to try and capture more iodine

6.AKI의 postrenal 원인

Acute renal failure oliguria 옳은것

Lactic alkalosis 위험있다(?

수분 제한 + add 불감성소실~ 1000ml

Oliguria ~ 'Up to' 500ml ~ 24 시간

post renal failure

# less than 400 milliliters (mL) to 500 mL (around two cups) of urine per 24 hours.

Postrenal failure, also known as postrenal acute kidney injury (AKI), is a condition that occurs when urine flow is obstructed after it leaves the kidneys

anuria-less than 100 mL per day

Postrenal failure, also known as postrenal acute kidney injury (AKI), is a condition that occurs when urine flow is obstructed after it leaves the kidneys

anuria-less than 100 mL per day

7.Diltiazem 부작용

dipolpia

nystagmus

peripheral edema

Edema

Diarrhea

Bradycardia

8.Lyme disease의 특징적인 피부병변과 감염관리

.환자 assess했는데 Right foot에 erythema migrans 있다. 무슨 질병?

Lyme Dz

Rocky mountain

encephalitis

West nile

9.그림문제 왼쪽다리 무릅바로 아래에 도넛모양의 rash- Lyme ds.SATA

cover the wound when going out from sunlight.

나무가 너무 많은곳은 피한다.

긴팔긴옷을 입고 허리에 tucking 하고 양말도 tucking한다.

avoid 벌레 퇴치용 약

얼굴근처도 가린다는 내용

suncream 바른다

숲피한다

옷은 긴팔입는다

10.Schizophrenia 환자의 acting-out 상황 중재

schizo 환자 방안에서 acting-out 하고 있다. 간호사의 행동은?

방문을 열고 환자에게 이행동은 incorrect 하다고 말한다

다른 환자는 방밖으로보낸다

acting-out 끝날 때까지 기다린다