엔클렉스 자주 출제된 개념과 약물 정리본

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본문내용

1. Best nursing response, priority response 물어볼 때 답은 항상 assessment 먼저!!!!
Assessment 먼저 하고 그 다음 환자에게 맞는 intervention 하기!!!!

<간호 순서 앞 알파벳 따서 AIR로 암기!!!>
A – assessment before
I - intervention
R – re-assessment

2. 심전도 보여주고 어떤 약물 줄건지 물어볼 때
-Bradycardia : atropine
-V fib. : LAP로 암기하기(Lidocaine, Amiodarone, Procainamide)
-A fib : digoxin, warfarin
-A flutter : digoxin, warfarin
-SVT : adenosine
-Torsades de pointes : magnesium sulfate

3. Hyperthyroidism, Hypothyroidism
Hyperthyroidism
원인
-graves disease
-iodine excess
-levothyroxine excess

s/s
-exopthalmos : use eye patch/tape
eyelids down, head elevated
-goiter
-high BP, HR, palpitations
-weight loss
-hot & sweaty skin “diaphoresis”
-heat intolerance
-diarrhea
-palpitation, A-fib

중재
1. Methimazole : not baby safe
2. PTU propylithiouracil : baby safe
3. SSKI : Shrinks the thyroid, Stains the teeth(∴use a straw), Keep 1hr apart from other meds
4. B-blockers
5. RAIU-radioactive iodine
6. thyroidectomy

참고 자료

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