영어/NCLEX
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Venous thromboembolism( VTE ), Deep venous thrombosis( DVT ) -> Pulmonary Embolism (PE)영어/NCLEX 2024. 6. 16. 21:37
마사지 하지 마세요Occurs when a blood clot (thrombus) becomes lodges in deep veins, frequently in the lower extremitiesDiminished or blocked blood flow causes inflammation and edema at the site of blockagePredisposed by Virchow triadAltered blood flow (Stasis) + Endothelial damage + hypercoagulable state(pregnancy) = thrombosis Risk factorsAge >65ImmobilityObesityOral contraceptivesPregnancysurgeryFract..
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[Pediatrics] Intussusception : 장중첩입니다..!!영어/NCLEX 2024. 6. 16. 20:45
Ileum telescopes into cecum -> Pain, obstuction, edema-> compression of blood vessels-> bowel ischemia-> rectal bleeding (currant jelly stools) PathologyOccurs when a segment of the intestine telescopes into an adjacent segment.-leads to obstruction, inflammation, and edema-can lead to life-threatening bowel perforation and peritonitis-most common site: ileocecal valve.-cause unknown in most pai..
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[Fendamental] Enteral Tube Feeding영어/NCLEX 2024. 6. 16. 20:42
Nasoentric tubes are passed through the nares into the duodenum or jejunum when it is necessary to bypass the esophagus and stomach. Nasoenteric tubes have a decreased risk of aspiration compared with nasogastric tubes; however, a nasoenteric tube can become dislodged to the lungs, causing aspiration of enteral feedings. If a client with a feeding tube develops signs of aspiration pneumonia(dimi..
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[Adults] hypoglycemia영어/NCLEX 2024. 6. 16. 20:02
symptoms of hypoglycemia1. sweating & pallor2. irritability3. tremors & weakness4. tachycardia5. drowsiness6. hunger -> it presents an immedicate danger to the client because life-threatening neurologic impairment (eg. lethargy, seizures, coma) can occur when the brain becomes glucose depleted. Nursing intervention for this emergency1. assess the client2. check the capillary blood glucose3. pro..
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[Adults] Angina영어/NCLEX 2024. 6. 16. 19:53
앤지나.Chest pain in response to myocardial ischemia or vasospasm Chronic Stable Angina1. Occurs due to a fixed partial obstruction-symptoms result when myocardial oxygen demand exceeds supply-Also called exertional angina-occurs with exertion, stress, or emotional upset-Chest pain, nausea, and dyspnea-Relieved with rest or nitroglycerin-usually has a stable pattern of onset, duration, severity and..
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[Pediatrics] Hyperbilirubinemia영어/NCLEX 2024. 6. 16. 19:26
Excessive unconjuated bilirubin, a product of RBC breakdown, accumulated in the blood.=> can cross the blood-brain barrier and cuase neurological dysfunction and brain injury.=> jaundice, urine that is dark gold or bronxe tinted. TreatmentPhototherapy with specialized fluorescent lights that facilitate conversion of unconjugated bilirubin in the skin into a water-soluble form that is excreted th..
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[Pediatrics] Acute Pediatric Epiglottitis 후두개염영어/NCLEX 2024. 6. 16. 19:14
Pathophysiology-inflammation of the epiglottis-Typically caused by bacterium, HiB(Haemophilus influenzae type B)-Vaccination can prevent (during the 2- and 4-month visits)-Medical emergency toxic and very suddenly Clinical features-Sudden-onset fever-Sore throat-Toxic appearance: Agitated, Restless, Anxious.-Tripod position, which opens the airway and helps airflow!!-4 D's: Drooling, Dysphonia(i..
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Clopidogrel영어/NCLEX 2024. 6. 16. 18:55
Clopidogrel is a platelet aggregation inhibitor used to prevent blood clot formation in clients with recent myocardial infarction, acute coronary syndrome, coronary atrery stents, previous storke, or peripheral vascular disease. Because clopidogrel can cause thrombocytopenia and increase the client's risk for bleeding, the nurse should notify the health care provider (HCP) of the low platelet co..