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미국 간호사 시험(N-clex)

[N-clex] DVT

by 유창고 2021. 6. 19.

Sx)

- tenderness, pain

- swelling, edema

- homan's sign(+)

- warm

- erythema(redness)

- fever

 

risk factor)

- age, trauma, surgery, preg, oral pill, immobilization, autoimmu Dz(IBS), obese,

HF, smoking, stess, family Hx, dehydration, Fx(특히 하체), sepsis

 

care)

- BR with leg elevate

- X massage

- ted hose

- warm compress

- monitor SOB

- anticoagulant monitor bleeding

 

prevent)

- exercise(ambulation)

- hydration

- Ted hose(압박 스타킹)

- Int. compression device

- anti coagulant

- warm compress

 

antithrombostocking 착용법

- washing and dry foot

- leg elevation for 15 min

- ensure the stocking

- turn stocking inside out

- slip over the foot

- evenly 돼있는지 check

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