A+_성인간호학임상실습4_사례보고서(OR), 양과 골절(Bimalleolar fracture)

소개글

"A+_성인간호학임상실습4_사례보고서(OR), 양과 골절(Bimalleolar fracture)"에 대한 내용입니다.
퀄리티 좋은 자료라고 자부합니다. 수정사항 있으면 말씀해주세요!

목차

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

Ⅱ. 문헌고찰
1. 정의 ··············································································P. 1
2. 원인 ··············································································P. 2
3. 병태생리 ·········································································P. 2
4. 증상 ··············································································P. 3
5. 진단검사 ·········································································P. 3
6. 치료(외과적 치료) ······························································P. 3
7. 일반적 간호 ·····································································P. 4

Ⅲ. 대상자 사정, 관찰
1. 대상자의 일반적 사항 ·························································P. 5
2. 객관적 관찰기록 ································································P. 6
3. 수술 부위 피부소독 및 준비물품 ············································P. 7
4. 수술 절차 ········································································P. 10
5. 마취에 사용된 약물 ····························································P. 10
6. 수술동안 사용된 약물 ·························································P. 12
7. 대상자 회복실로 옮겨 온 후 처치 ··········································P. 12
8. 회복실에서 사용한 약물 ······················································P. 13

Ⅳ. 결론 ···············································································P. 14

Ⅴ. 참고문헌 ·········································································P. 14

본문내용

Ⅰ. 서론
연구의 필요성 및 목적
발목 관절은 다리를 이루는 두 개의 뼈인 경골과 비골이 발의 거골과 만나 이루어지는 관절을 말한다. 거골은 사다리꼴 모양으로 생겨 경골과 비골 사이에서 움직이며, 이곳에서 발이 위아래로 움직이는 운동이 일어난다. 경골과 비골은 아래쪽이 튀어나와 있어 흔히 불리는 복상뼈를 과부라고 하는데, 발목의 바깥쪽을 외과, 안쪽을 내과, 뒤를 후과라고 부른다. 이러한 구조적 문제로 인해 모든 스포츠에서 발목 손상이 흔하게 일어나는 것이다. 특히 발목의 인대는 내측인대에 비하여 외측인대가 훨씬 얇고 약하기 때문에, 대부분 발이 안으로 꺾이는 외측인대의 손상이 발생한다. 발목골절의 분류는 손상되는 기전에 따른 분류가 따로 있지만, 보통은 내과 골절, 외과 골절, 양과 골절(내과와 외과골절), 삼과 골절(양과에 후과 골절 포함)로 부른다. 이렇게 골절에 대해 이론적으로 배웠지만, 실습을 나와 ~
Ⅱ. 문헌고찰

1. 정의
안쪽 및 바깥쪽 복사뼈, 경골의 뒤쪽끝(후방 복사뼈), 바깥쪽 인대성 구조들, 그리고/또는 거골 돔부위의 손상들이 포함된다. 그 중, 안정골절(stable fracture)과 불안정골절(unstable fracture)이 있는데, 안정골절은 관절의 한쪽 면만 손상된 경우이며 불안정골절은 발목의 양쪽이 다 손상된 경우로 정복되었다 하더라도 쉽게 다시 전위를 일으킨다. 또한 복사뼈 골절은 크게 두가지로 나눌 수 있는데 양과골절(bimalleolar fracture)과 삼과골절(trimalleolar fracture)이 있다. 양과골절(bimalleolar fracture)은안쪽, 바깥쪽 복사 모두 골절 혹은 비골 원위부 골절과 삼각인대 손상이 같이 있는 경우를 말하고, 삼과골절(trimalleolar fracture)은 뒤쪽 복사뼈 골절이 포함된 경우다. 추가적으로 발목의 뒤쪽탈구에서도 삼과골절이 동반될 수 있으며, 이런 경우를 '삼과골절-탈구'라고 한다.

참고 자료

성인간호학Ⅱ, 윤은자 외 저자, p. 1007~1015
Bimalleolar fracture 이미지
https://www.bmc.org/patient-care/conditions-we-treat/db/ankle-fracture
서울대학교병원, N 의학정보, 골절
http://www.snuh.org/health/nMedInfo/nView.do?category=DIS&medid=AA000548
질병관리청, 골절
https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do?cntnts_sn=5463
OrthoInfo, Bimalleolar fracture, https://orthoinfo.aaos.org/en/diseases—conditions/ankle-fractures-broken-ankle/
약학정보원,푸카인0.5%주사 Pucaine Injection
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=A11A0140A0090
약학정보원, 프리폴엠시티주2%
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=*************
약학정보원, 아트로핀
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=A11A0490A0024
약학정보원, 대원구연산펜타닐주사액
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=A11ABBBBB0007
약학정보원, 중외5%포도당생리식염액
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=A11A0210A0002
약학정보원, 대한멸균증류수(주사용수)
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=A11ABBBBB2746
약학정보원, 나제론주사액0.3mg
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=2011110100005
약학정보원, 올페인주사액
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=2015020400009
약학정보원, 유세트론주
http://www.health.kr/searchDrug/result_drug.asp?drug_cd=*************