4월 27일 강의.free

1 NGN .파킨손과 MG 같이 나타나지 않는 것.

shuffle gait,

diplopia

ataxia

constipation

dry mouth

2.parkinsonism pt를 assess할 때 먼저 볼 것은?

gait, appearance 관찰

mask like face

hand tremor

자세

3. 지역사회 간호사가 우선적으로 방문하여 중재가 필요한 case?

Parkinson disease – walk with wearing rubber shoes

Dysphagia – consume liquid meal

Dyskinesia

4.Malignant hyperthermia 사정할 것

protein urine

가족력

muscle rigid

5.Lung cancer있는 사람 complication- 상대정맥증후군

Lung ca 합병증은?

Polycythemia

cord compression

SVC syndrome

Thrombopenia

Polycythemia is a blood disorder that can be associated with lung cancer. Polycythemia vera (PV) is a type of blood cancer that can cause excess red blood cells, which can thicken the blood and lead to blood clots.

Polycythemia is a blood disorder that can be associated with lung cancer. Polycythemia vera (PV) is a type of blood cancer that can cause excess red blood cells, which can thicken the blood and lead to blood clots.

6. Clarify해야하는 medication은?

① pt. with Bismuth -> dark tongue

② pt. with Niacin -> face and neck flushing

③ pt. with statin -> muscle pain and tender

④ pt with~~~ -> pigmentation around mole

⑤ niacin ?mg po hepatotoxicity

7.신규간호사에게 어사인 줘도될 환자

Mi지나고 이틀됨. 가끔 pvc지나감

노인 aterial fibrillation

PSVT

2도 블럭

8.Ngn에서 변비로 너무 힘들어하는 환자 뭐부터? 너무 배 아파서 고혈약 못먹었다 함. 혈압 160대로 올라있고 pain 10/10일 때 우선 ?

혈압

pain 중재

constipation

9.Tracheoctomy 간호

석션할때 20초 내로 한다 .

안들어갈때까지 넣는다.

분비물이 빠질때까지 반복한다.

10. Tracheostomy suction 맞는거

rinse between passes

suction while pass

suction은 20초를 넘지 않는다

withdrawal 하는동안 rotation한다

11. Tracheotomy care 맞는거 다골라라

①Do not suction more than 10seconds.

②Sterile glove wear when suctioning the tracheotomy.

③Suction every 2 hours.

④Hold the catheter with dominant hand when insert the catheter

⑤Silicon tip lubricate with sterile normal saline before insert the catheter.

□Put on an intermittent suction mode when insert the catheter.