소개글
Endocrine, Cancer, Neuro, Fluid, Resp, GI, Rena, Gerd, Ostomy, pre-op, post-op, cardiac, psych, meds, burn, peds, OB까지 정리된 자료입니다. 다빈출개념위주로 정리했고 캐플란, 리핀콧, 싸운더스, 허스트리뷰강의교재, 찹쌀떡 간호학 책 참고해서 만든 요약집입니다.
목차
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본문내용
Treatment(20-25% TBSA 이상)
✓Fluid replacement
ￚ언제 burn 시작됐는지 아는 것 중요, Fluid therapy for the 1st 24hr는 언제 화상 입었는지로 기준.
ￚParkland Formula: 첫 8시간에 반, 다음 8시간에 4분의1, 그 다음 8시간 동안 4분의 1
ￚ4ml LR x kg x % of TBSA= total fluid requirement for the 1st 24hr after burn
ￚHypoxia #1 Priority! PAIN NEVER KILLED ANYONE
ￚRestless=hypoxia/pain/inadequate fluid replacement
ￚUO : minimum 0.5ml/kg/hr(30-50ml/hr)
✓Emergency management
ￚBlanket, cool water(no ice), remove jewelry∙clothing, cover the burn with clean dry cloth
<중 략>
Heart Failure
- Result from cardiomyopathty, valvular heart disease, endocarditis, MI, HTN-Leading cause.
- Left sided failure: blood is not moving forward into the aorta and out to the body-go backward into the lung
∙ s/s: pulmonary congestion, dyspnea, cough, blood tinged sputum, restlessness, tachycardia, orthopnea
∙ LEFT=LUNGS
- Right sided Failure: blood is not moving forward into the lungs, go backward into the venous system
∙ s/s: distended neck veins, edema, enlarged organ, weight gain, ascites.
참고 자료
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