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[성인간호학]검사 및 투약간호

"[성인간호학]검사 및 투약간호"에 대한 내용입니다.
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한컴오피스
최초등록일 2023.06.14 최종저작일 2021.03
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[성인간호학]검사 및 투약간호
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    본문내용

    주요검사: CBC

    검사목적
    : 채혈을 통해 모아진 소량의 검체를 통해 신체의 이상여부를 확인하는 가장 기본적인 임상검사

    검사전후 간호
    : 채혈부위 피부를 준비한다. (염증부위나 멍이 든 부위, 상처난 부위는 피한다 정맥주사를 맞고 있는 팔은 채혈하지 않는다 - 알코올이 마른 후에 혈액을 채취한다.

    허용치
    : WBC 4000 ~ 10000개 / ㎕
    RBC 남성 420만 ~ 630만 / ㎕, 여성 400만 ~ 540만/㎕
    Hb 남성 13.0 ~ 17.0 g/㎗ 여성 12.0 ~ 16.0 g/㎗
    PLT 150,000 ~ 450,000 / ㎕

    결과해석
    WBC 이상▲ : 감염, 염증성 질환, 백혈병, 알러지반응, 임신, 비장 적출후
    이하▼ : 재생불량성빈혈, 골수질환, 악성종양, 자가면역질환, 패혈증
    RBC 이상▲ : 진성적혈구증가증,폐질환, 선천성 심장질환, 신장암, 탈수
    이하▼ : 외상, 적혈구파괴, 급성 혹은 만성 출혈, 영양 결핍, 골수 손상,신부전
    Hb 이상▲ : 진성적혈구증가증, 폐질환, 선천성 심장질환, 신장암, 흡연, 탈수
    이하▼ : 적혈구 파괴, 만성 출혈, 영양 결핍, 골수 손상, 골수 질환, 신부전
    PLT 이상▲ : 암, 외상, 심장병, 만성췌장염, 결핵
    이하▼ : 바이러스 감염, 폐렴, 알러지, 급성백혈병, 용혈장애

    주요검사: X-ray

    검사목적
    : 방사선(X-ray)을 인체에 투과하여 나타나는 음영의 차이를 이용하여 진단하는 검사

    검사전후 간호
    : 방사선 가능한 환자인지 확인

    주요검사: CT

    검사목적
    : X-선을 투과시켜 그 흡수차이를 컴퓨터로 재구성하여 인체의 단면영상을 얻거나 3차원적인 입체영상을 얻는 영상진단법

    참고자료

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  • AI와 토픽 톺아보기

    • 1. CBC (Complete Blood Count)
      The Complete Blood Count (CBC) is a widely used diagnostic test that provides valuable information about a person's overall health. It measures the levels of different blood cells, including red blood cells, white blood cells, and platelets. The CBC can help detect a wide range of conditions, from anemia and infections to blood disorders and certain types of cancer. By analyzing the results of a CBC, healthcare providers can gain insights into a patient's overall well-being and make informed decisions about their treatment and management. The CBC is a crucial tool in the field of clinical medicine, as it helps healthcare professionals identify potential health issues early on and monitor the progress of various medical conditions. Overall, the CBC is an essential component of routine health checkups and plays a vital role in maintaining and improving the health of individuals.
    • 2. X-ray, CT, MRI, 내시경, 골반초음파, 심장초음파
      Diagnostic imaging techniques, such as X-ray, CT (Computed Tomography), MRI (Magnetic Resonance Imaging), endoscopy, pelvic ultrasound, and cardiac ultrasound, are invaluable tools in modern healthcare. These technologies allow healthcare providers to visualize the internal structures of the body, enabling them to diagnose and monitor a wide range of medical conditions with greater accuracy and precision. X-rays provide a quick and cost-effective way to examine bones and detect fractures, while CT scans and MRI offer more detailed, three-dimensional images of the body's organs and tissues, helping to identify abnormalities or diseases. Endoscopy allows for the direct examination of the gastrointestinal tract, while pelvic and cardiac ultrasounds provide real-time images of the reproductive organs and the heart, respectively. These diagnostic tools play a crucial role in early detection, accurate diagnosis, and effective treatment planning, ultimately improving patient outcomes and enhancing the overall quality of healthcare. As technology continues to advance, the capabilities of these imaging modalities will likely expand, further enhancing their value in the medical field.
    • 3. ABGA (Arterial Blood Gas Analysis)
      Arterial Blood Gas Analysis (ABGA) is a crucial diagnostic test that provides valuable information about the functioning of a patient's respiratory and metabolic systems. By measuring the levels of oxygen, carbon dioxide, and other important blood gases, ABGA helps healthcare providers assess the body's ability to transport and utilize oxygen, as well as the balance of acids and bases in the blood. This information is particularly important for patients with respiratory or cardiovascular conditions, such as chronic obstructive pulmonary disease (COPD), asthma, or heart failure. ABGA can help identify the underlying causes of respiratory distress, guide the administration of oxygen therapy, and monitor the effectiveness of treatment. Additionally, ABGA is often used in critical care settings, such as intensive care units, to closely monitor the status of patients with life-threatening conditions. Overall, ABGA is an essential tool in the management of a wide range of medical conditions, as it provides healthcare providers with the necessary data to make informed decisions and deliver targeted, personalized care to their patients.
    • 4. 심장효소검사
      Cardiac enzyme tests are a crucial diagnostic tool in the evaluation and management of patients with suspected heart-related conditions. These tests measure the levels of specific enzymes and proteins that are released into the bloodstream when the heart muscle is damaged, such as troponin and creatine kinase-MB (CK-MB). By monitoring the levels of these cardiac enzymes, healthcare providers can detect the presence and extent of myocardial injury, which is often associated with conditions like acute myocardial infarction (heart attack), myocarditis, and other forms of heart disease. Cardiac enzyme tests are particularly valuable in the emergency department, where they can help differentiate between chest pain caused by a heart attack and other non-cardiac conditions. Additionally, these tests can be used to monitor the progress of treatment and the recovery of heart function in patients with known cardiac conditions. Overall, cardiac enzyme tests are an essential component of the diagnostic toolkit for healthcare providers, as they provide critical information that can guide the timely and appropriate management of patients with suspected or known heart-related issues.
    • 5. 전해질검사
      Electrolyte tests are a fundamental component of routine laboratory testing and play a crucial role in the assessment and management of a wide range of medical conditions. Electrolytes, such as sodium, potassium, chloride, and bicarbonate, are essential for maintaining the body's fluid balance, nerve and muscle function, and acid-base balance. Imbalances in these electrolytes can be indicative of underlying health issues, such as dehydration, kidney dysfunction, hormonal disorders, or gastrointestinal problems. By analyzing the levels of electrolytes in a patient's blood or urine, healthcare providers can identify potential imbalances and take appropriate action to restore the body's homeostasis. Electrolyte tests are particularly important for patients with chronic conditions, such as heart disease, diabetes, or chronic kidney disease, as well as those who are critically ill or undergoing certain medical treatments. Overall, electrolyte testing is a valuable diagnostic tool that helps healthcare professionals monitor a patient's overall health and make informed decisions about their care.
    • 6. TACE (Transcatheter Arterial Chemoembolization)
      Transcatheter Arterial Chemoembolization (TACE) is a minimally invasive, image-guided procedure used to treat certain types of cancer, particularly liver cancer. TACE involves the selective delivery of chemotherapeutic drugs and embolic agents directly to the tumor site through the blood vessels, effectively cutting off the tumor's blood supply and delivering a high concentration of the anticancer drugs. This targeted approach helps to maximize the effectiveness of the treatment while minimizing the systemic side effects associated with traditional chemotherapy. TACE has been shown to be an effective treatment option for patients with unresectable liver tumors, as it can help to shrink the tumor, improve symptoms, and potentially prolong survival. Additionally, TACE can be used as a bridge to other treatments, such as liver transplantation or surgical resection, by reducing the size and extent of the tumor. Overall, TACE is a valuable tool in the management of liver cancer and other solid tumors, as it offers a less invasive and potentially more effective alternative to traditional cancer treatments.
    • 7. Thoracentesis
      Thoracentesis is a medical procedure in which a small amount of fluid is removed from the space between the lung and the chest wall, known as the pleural space. This procedure is typically performed to diagnose or treat various conditions that can lead to the accumulation of fluid in the pleural space, such as pleural effusions, pneumonia, or cancer. During a thoracentesis, a healthcare provider uses imaging guidance, such as ultrasound, to insert a thin needle or catheter into the pleural space and withdraw the fluid for analysis. This analysis can provide valuable information about the underlying cause of the fluid buildup, which can then guide the appropriate treatment. Thoracentesis is generally a safe and well-tolerated procedure, and it can provide significant relief for patients experiencing symptoms related to the fluid accumulation, such as shortness of breath or chest pain. Overall, thoracentesis is an essential diagnostic and therapeutic tool in the management of various respiratory and thoracic conditions, and it plays a crucial role in improving patient outcomes and quality of life.
    • 8. 복막투석
      Peritoneal dialysis is a type of renal replacement therapy used to treat patients with end-stage renal disease (ESRD). In this procedure, a sterile solution, known as dialysate, is infused into the patient's abdominal cavity through a surgically implanted catheter. The dialysate then absorbs waste products and excess fluid from the patient's bloodstream through the peritoneal membrane, which acts as a natural filter. After a specified dwell time, the used dialysate is drained from the body, and fresh dialysate is infused. Peritoneal dialysis offers several advantages over hemodialysis, including the ability to perform the treatment at home, greater flexibility in scheduling, and a more gradual removal of waste and fluid, which can be gentler on the body. Additionally, peritoneal dialysis may be associated with better preservation of residual kidney function and improved quality of life for some patients. However, it also carries the risk of complications, such as peritonitis, and requires a significant commitment from the patient to perform the treatment correctly and maintain a sterile environment. Overall, peritoneal dialysis is an important treatment option for ESRD patients, providing a more personalized and potentially more comfortable approach to managing their condition.
    • 9. PCR (Polymerase Chain Reaction)
      Polymerase Chain Reaction (PCR) is a revolutionary molecular biology technique that has transformed the field of diagnostics and scientific research. PCR is a powerful tool that allows for the rapid and highly sensitive amplification of specific DNA or RNA sequences, enabling the detection and identification of a wide range of pathogens, genetic disorders, and other biological markers. The ability of PCR to detect even trace amounts of target genetic material has made it an indispensable tool in various applications, such as infectious disease diagnosis, forensic analysis, genetic testing, and environmental monitoring. In the context of healthcare, PCR-based tests have become increasingly important in the early detection and management of infectious diseases, including viral infections like COVID-19, as well as in the diagnosis and monitoring of genetic disorders and cancer. The versatility and accuracy of PCR have also led to its widespread use in research, allowing scientists to study and understand the genetic underpinnings of various biological processes and diseases. As technology continues to advance, the applications of PCR are likely to expand even further, solidifying its position as a crucial diagnostic and research tool in the modern era of biomedicine.
    • 10. 요분석
      Urinalysis is a fundamental diagnostic test that provides valuable information about a person's overall health and the functioning of their urinary system. This comprehensive analysis examines various physical, chemical, and microscopic properties of a urine sample, including factors such as color, clarity, pH, the presence of proteins, glucose, and other substances. Urinalysis can help healthcare providers detect and monitor a wide range of conditions, including urinary tract infections, kidney disorders, diabetes, and even certain types of cancer. By analyzing the composition and characteristics of a patient's urine, healthcare professionals can gain insights into the body's metabolic processes, identify potential imbalances or abnormalities, and make informed decisions about the appropriate course of treatment. Urinalysis is a non-invasive, cost-effective, and widely available diagnostic tool that is routinely performed as part of a comprehensive health assessment. Its importance in the early detection, diagnosis, and management of various medical conditions cannot be overstated, as it continues to play a vital role in maintaining and improving the overall health and well-being of individuals.
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