간호학과 아동간호학실습 CASE STUDY 급성위장염 AGE

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"간호학과 아동간호학실습 CASE STUDY 급성위장염 AGE"에 대한 내용입니다.

목차

Ⅰ. 서론 ··············································································3
1.연구의 필요성 및 목적 ······················································3

Ⅱ. 문헌고찰·······································································3
1. 정의 ·············································································3
2. 증상 ·············································································4
3. 진단방법········································································5
4. 예후··············································································6
5. 치료··············································································6
6. 간호··············································································6,7

Ⅲ. 연구기간 및 방법··························································7

Ⅳ. 간호과정 ·······································································8
1. 아동의 건강력(History talking)············································8
2. 검사 및 치료과정 ······························································8
1) 임상검사 및 진단적 검사결과·············································9
2) 경구, 비경구적 투약과 정맥주입·········································11

3. 간호과정·········································································12
1) 간호진단/간호문제 기록지·················································12
2) 간호계획 및 수행 기록지····································12,13,14,15

Ⅴ. 결론 및 제언································································16

Ⅵ. 참고문헌·······································································16

본문내용

Ⅰ. 서론
1. 연구의 필요성 및 목적
영ㆍ유아들은 체중에 비해 상대적으로 높은 수분 요구량과 회전율, 스스로 극복할 수 있는 능력의 부족, 설사 등 탈수증상과 연관되는 점이 많다. 위장관계의 문제는 아동에게 중요한 신진 대사와 성장 발달을 위한 필수적인 영양소를 흡수하는 기능을 저하시킴으로써 아동에게 치명적인 영향을 미치게 된다.
AGE(급성위장염)은 아동의 입원에 있어서 꽤 많은 수를 차지하는 질환이다. 또한 이 질병의 주요 원인 중 하나가 바로 탈수증상이기도 하며 전염병에 감염되기 쉬운 점 등의 이유도 있어 이 질환이 더욱 관심이 갔다. 목적은 본 연구를 통하여 질병의 증상, 간호 등을 이해하여 보다 우수한 간호를 제공하기 위함이다.

Ⅱ. 문헌고찰

질환명
AGE 급성위장염 (Acute gastroenteritis)
정의
※ 위장염 (gastroenteritis)
- 급성 위염‧창자염이 동시에 일어나는 증상. 각각 개별적으로 일어나기도 하지만 대개의 경우 위염‧창자염이 동시에 발병되면서 하나의 병증을 나타내므로 일괄해서 이르는 말이다.(1) 위와 창자의 내막에 생긴 급성염증으로서의 식욕부진, 메스꺼움, 설사, 복통, 쇠약감 등이 특징적으로 나타낸다.(1)

<중 략>

2) 간호계획 및 수행 기록지
#1.설사와 관련된 전해질 불균형 위험성
간호사정
주관적자료
“밤에는 물처럼 설사를 4번이나 했어요”
“무엇인가 먹으면 토를 해요”
객관적자료
⦁입원 후 나타난 구토 및 설사증상이 관찰됨 (구토 - 2회(소량씩), 설사 - 4회 :물처럼 흐름)
⦁피부탄력 저하 및 몸에 힘이 없고 기운이 없어보임
⦁혈액검사 결과 구토/설사로 인한 Na수치 저하 (정상 : 135-145, 결과 : 127)
간호목표
일반적목표
대상자는 퇴원시까지 체액부족 현상을 겪지 않는다.
구체적목표
대상자는 4일 이내로 체액이 균형을 맞출 것이다.
간호계획
1. 정맥수액요법을 통해 체액 및 전해질 균형을 맞춘다.
2. 대변과 구토의 양상을 지속적으로 관찰한다.
3. 피부를 관찰한다.
4. 체온을 2시간에 한 번씩 측정한다.
5. 보호자에게 주의사항에 대해 교육한다.

참고 자료

지제근, 의학용어사전(2016), 아카데미아, p.215
박은숙 외 공저, 근거기반실무 중심의 아동간호학 하(2016), 현문사, p.13,17,22,117~128
서울대학교병원 의학정보, 서울대학교병원 http://www.snuh.org/
김금순, 윤은자, 김숙영 외 공저. 성인간호학Ⅰ(2017), p.379~382
은재순 외 공저, 임상약리학(2016), 현문사, p.276
약학정보원 http://www.health.kr/