엔클랙스240 [N-clex] myocarditis(심근염) - fever, tarchycardia, chest pain - dyspnea, pericaridal friction rub - gallop rhythm - murmurs - HF 2021. 6. 15. [N-clex] pericarditis(심낭염) Sx) - pericardial pain (WHEN? : Lt.sid lying, inspiration, coughing, swallowing, supine) - radiated to Lt.shoulder - fever, chill, WBC↑ - fatigue, malaise - A-fib - dyspnea - friction rub(초기) Cx) - cardiac tamponade Tx) - High fowler position, HFP - upright, leaning forward 2021. 6. 15. [N-clex] HF(heart failure) - congestive HF : 물이차고 늘어나면서 혈중 방출 : B-type nutriuretic peptide diet) - fluid, Na↓, K↑ worse sign) - rapid wt gain (1~2Ib/d, 3Ib/wk↑, Ib = 0.45kg - exercise tolerance↓ in 2~3d - cough 3~5d - nocturia, angina, swelling feet & ankle & sarcum, dyspnea at rest RHF vs LHF RHF(Right heart failure) LFT(Left heart failure) systemic congestion peripheral edema JVD distress hepatomegaly ascites(복수) depend.. 2021. 6. 15. [N-clex] Rhogam mother(Rh-), Fetus(Rh+) - Ab 생기기전에 투여 - 28wk 예방적 투여 - 분만 후 72hr 이내 투여 - coomb's test : Ab -일 경우 rhogam투여 direct : 엄마 RBC struck Ab indrect : 엄마 floating in serum Ab - 투여시 : Aseptic tech, monitoring 20min(수혈 부작용) 2021. 6. 15. 이전 1 ··· 34 35 36 37 38 39 40 ··· 60 다음