엔클랙스240 [N-clex] Epiglottitis(후두개염) Sx) - 4D : Dysphonia(발성장애), Dysphagia, Dyspnea, Drooling - fever - sudden - 2~8y - stridor(천명) - respiratory acidosis Tx) - airway(intubation, 함부로 목안 assess X → spasm 위험) - IV line : anti(swelling↓) 2021. 6. 12. [N-clex] Epistaxis(nose bleeding) prevent) - humidity - 바셀린연고(호발부위) - 코풀기전 N/S로 적시기 - nose 직접압박 - sitting, leaning forward - cold compression 2021. 6. 12. [N-clex] tonsillectomy - WBC↑ infection 시 OP hold - prone position(의식 X) / fowler, sitting position & side-lying (의식 O) / X supine - frequent swallowing(bleeding sign) 간호) - PRN) ice collar - liquid diet - cool water(ice tea, red계통 X bleeding과 혼동) - dilluated apple juice 가능 2021. 6. 12. [N-clex] hearing test - 발달단계에 따른 확인(옹알이, 소리반응, tunning fork(5y↑) - primary caregiver 중요 - conductive : OM - sensori neural : 메니에르, loud music 2021. 6. 12. 이전 1 ··· 42 43 44 45 46 47 48 ··· 60 다음