10월 15일 강의 free

1. Priority?

1개월 Infant VSD P120 R40

2개월 Infant muffled heart sound P120

10개월 Coartation of aorta BP96/60 P102

12개월 PDA clubbing finger P102

2. priority?

1개월 환아, PDA, murmur, PR정상

2개월 환아, Truncus Arteriosus, puffy(?) eyelid, PR정상

10개월 환아, COA, clubbing finger, PR정상

12개월 환아, VSD, fatigue after feeding, 92/54mmHg, PR정상

3.LC 환자 lactulose 효과 환자가 한말중 틀린거 나왔습니다.

decrease protein

elevated ammonia

decrease bilirubin

bun. creatine

4. Liver cirrhosis pt immediately 중재 할 것?

itching complain

skin 이 turned more yellow during 2 day

nuerological sign

5.NGN.산후우울증

(1)GDM있고 애기 한명 -6일? -한명 7살?9살? 3.5키로? 태어나 모유수유하는데 2시간마다 하고 혼자다 희망이 없어(hopeless)

(2)세럼 글루코즈 정상

delivery후 산모 죽고 싶고 울고 있다

진단

postpartum depression

bipola

malnution

suicide

6.우선중재

hopeless

psycho therapy

7.어떻게 중재

feeding 4시간에 한번해

아기와 co-sleep해

feeding하면서 7살아이는 interaction해

8.직원교육

UAP위임

liver cirrhosis

disaster일 때

무슨 설명서?

치료진들과 프라이버시공간에서 의견나눔

9.출산한 산모 depression 있다, 확인할 내용

너의 취미가 뭐니

너는 직장으로 돌아갈 것이니

support 가족은 있니

아기 낳고 우울하니

10. postpartum depression, spouse 일마치고 돌아오면 아이가 계속 우는데 그거 못달랜다고 나한테 엄청 화내요 간호사가 물어볼거?

아이랑 너가 쉴 수 있는 shleter information 줄까

11. what is correct about postpartum depression

postpartum psychotic feature is typified by auditory/visual hallucination and delusion.

postpartum clinical manifestation is loss of appetite and interest. disturbance with sleep

12.산후우울증 Ngn.처음에 문제가 즉시 추가 fu해야하는 증상은?

. postpartum clients about common issues after pregnancy. prompt further investigation?

"I am so exhausted. As soon as the baby falls asleep, I fall asleep immediately."

"I am surprised how much my appetite has changed. I am so busy I have to remind myself to eat."

"I don't know what is wrong with me. I am just overwhelmed and can't seem to get out of bed."

"My spouse thinks that I have been more emotional since I had the baby last week."

13.두번째 선택형 으로 증상에 따른 중재?

post partum blue, psychosis correct?

psychosis 시 delusion, hallucination 있을 수 있다

분만 후 2달째부터 생긴다.

겨울에 출산한 사람들에게 생긴다.

치료하지 않으면 psychosis가 되어 ECT 치료한다.

14. Postpartum depression diagnosis에 포함될 증상. Sata

① I requested a few more weeks off of work.

② I exercise when my baby asleep.

③ I have a great deal of concern about my ability to take care of baby.

④ I tell my family to visit me when I feel lonely.

⑤ I don't want to meet or talk to anybody

15.cellulitis

celulitis ? IV site

inflammation ;localized area. edema. redness. warmth tenderness. pain. fever.lymphadenopathy. blister rare. leg ulcer. puncture wound. instructs remove any pustules. crusts gently. med apply. warm compress 2times per day.

Cellulitis treatment usually includes a prescription oral antibiotic. Within three days of starting an antibiotic

dicloxacillin, amoxicillin, and cephalexin are all reasonable choices. Clindamycin or a macrolide (clarithromycin or azithromycin) are reasonable alternatives in patients who are allergic to penicillin.