GOLD
GOLD λ“±κΈ‰μ˜ 판맀자 자료

[A+] μ„±μθœκ°„ν˜Έν•™μ‹€μŠ΅ μˆ˜λ‘μ¦ (Hydrocephalus) μΌΏ’μ΄μŠ€μŠ€ν„°λ””

A+ 받은 μˆ˜λ‘μ¦ μΌ€μ΄μŠ€μž…λ‹ˆλ‹€! μ§‘λ‹΄νšŒ λ‹Ήμ‹œ κ΅μˆ˜λ‹˜κ»˜μ„œ μˆ˜μ •ν•  게 μ—†λ‹€λ©° μΉ­μ°¬ν•˜μ‹  μΌ€μ΄μŠ€μž…λ‹ˆλ‹€. κ°„ν˜Έμ§„λ‹¨κ³Ό κ°„ν˜Έκ³Όμ •μ€ 각 3κ°œμ”©μ΄λ©°, κ°„ν˜Έκ³Όμ •λ„ λ»”ν•œ κ°„ν˜Έμ€‘μž¬κ°€ μ•„λ‹Œ, μ΅œλŒ€ν•œ λ‹€μ–‘ν•œ λ…Όλε©κ³Ό 자료λ₯Ό 찾아보며 μž‘μ„±ν•΄μ„œ λ””ν…ŒμΌμ—λ„ μžμ‹  μžˆμŠ΅λ‹ˆλ‹€! μˆ˜λ‘μ¦μœΌλ‘œ μΌ€μ΄μŠ€ μ“°λŠ” λΆ„λ“€κ»˜ λ§Žμ€ 도움이 될 것 κ°™μŠ΅λ‹ˆλ‹€.
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ν•œμιœμ˜€ν”ΌμŠ€
μ΅œμ΄ˆλ“±λ‘μΌ 2025.02.13 μ΅œμ’…μ Ώ’μž‘μΌ 2024.10
36P λ―Έλι©λ³΄κΈ°
[A+] μ„±μθœκ°„ν˜Έν•™μ‹€μŠ΅ μˆ˜λ‘μ¦ (Hydrocephalus) μΌΏ’μ΄μŠ€μŠ€ν„°λ””
  • λ³Έ λ¬Έμ„œλŠ” ν•œκΈ€ν‘œμ€€λ¬Έμ„œ(*.hwpx)둜 μž‘μ„±λ˜μ—ˆμŠ΅λ‹ˆλ‹€. μ΅œμ‹ νŒ¨μΉ˜κ°€ λ˜μ–΄ μžˆλŠ” 2010 이상 λ²„μ „μ΄λ‚˜ ν•œκΈ€λ·°μ–΄μ—μ„œ 확인해 μ£Όμ‹œκΈ° λ°”λžλ‹ˆλ‹€.

    λ―Έλι©λ³΄κΈ°

    μ†Œκ°œ

    A+ 받은 μˆ˜λ‘μ¦ μΌ€μ΄μŠ€μž…λ‹ˆλ‹€!
    μ§‘λ‹΄νšŒ λ‹Ήμ‹œ κ΅μˆ˜λ‹˜κ»˜μ„œ μˆ˜μ •ν•  게 μ—†λ‹€λ©° μΉ­μ°¬ν•˜μ‹  μΌ€μ΄μŠ€μž…λ‹ˆλ‹€.

    κ°„ν˜Έμ§„λ‹¨κ³Ό κ°„ν˜Έκ³Όμ •μ€ 각 3κ°œμ”©μ΄λ©°, κ°„ν˜Έκ³Όμ •λ„ λ»”ν•œ κ°„ν˜Έμ€‘μž¬κ°€ μ•„λ‹Œ, μ΅œλŒ€ν•œ λ‹€μ–‘ν•œ λ…Όλε©κ³Ό 자료λ₯Ό 찾아보며 μž‘μ„±ν•΄μ„œ λ””ν…ŒμΌμ—λ„ μžμ‹  μžˆμŠ΅λ‹ˆλ‹€!
    μˆ˜λ‘μ¦μœΌλ‘œ μΌ€μ΄μŠ€ μ“°λŠ” λΆ„λ“€κ»˜ λ§Žμ€ 도움이 될 것 κ°™μŠ΅λ‹ˆλ‹€.

    λͺ©μ°¨

    1. κ°„ν˜Έλ ₯ (Nursing History)

    2. μ§ˆλ³‘μ— λŒ€ν•œ 기술 (Description of Disease)
    1) μ²­μ‹ κ²½μ΄ˆμ’… (Acoustic Neuroma, Vestibular Schwannoma)
    2) μˆ˜λ‘μ¦ (Hydrocephalus)

    3. λŒ€μƒμžμ˜ κ°„ν˜Έκ³Όμ • (Nursing Process for This Case)
    1) 사정 자료 (Assessment Data)
    2) κ°„ν˜Έκ³Όμ • (Nursing Process)

    4. νˆ¬μ•½ (Medication and Fluid Administration)

    5. 특수치료 (Special Treatment)

    6. μ°Έκ³ λ¬Έν—Œ (References)

    λ³Έλε©λ‚΄μš©

    II. μ§ˆλ³‘μ— λŒ€ν•œ 기술 (Description of Disease)

    병μθœλ‘ (Pathophysiology)
    μ •μ˜: λ‡Œμ²™μˆ˜μ•‘μ˜ 생산, 흑수 κΈ°μ „μ˜ λΆˆκ· ν˜•μ΄λ‚˜ λ‡Œμ²™μˆ˜μ•‘ μˆœν™˜ ν†΅λ‘œμ˜ νμ‡„λ‘œ 인해 λ‡Œμ‹€ λ˜λŠ” λ‘κ°œκ°• 내에 λ‡Œμ²™μˆ˜μ•‘μ΄ κ³Όμž‰ μΆ•μ λœ μƒνƒœλ‘œ, 해뢀학적(λ‡Œμ‹€ ν™•μž₯), κΈ°λŠ₯적(λ‡Œμ•• μƒμŠΉ) 이상을 μ΄ˆλž˜ν•˜λŠ” 병적인 μƒνƒœμ΄λ‹€.


    λ‡Œμ²™μˆ˜μ•‘μ˜ μˆœν™˜ κΈ°μ „
    (1) λ‡Œμ²™μˆ˜μ•‘μ˜ 생성: λ‡Œμ²™μˆ˜μ•‘μ€ 일 평균 500mL 정도가 μƒμ„±λ˜λ©°, λ‘κ°œ λ‚΄ μ••λ ₯κ³Ό 상관없이 μΌμ •ν•œ 양이 μΈ‘λ‡Œμ‹€, 제3 Β· 4 λ‡Œμ‹€μ˜ λ§₯λ½μ΄μ—μ„œ 80~90%κ°€ μƒμ„±λœλ‹€.
    (2) μˆœν™˜: μΈ‘λ‡Œμ‹€ β†’ Foramen of Monro β†’ 제3 λ‡Œμ‹€ β†’ λ‡Œμˆ˜λ„κ΄€(Aqueduct of Sylvius) β†’ 제4 λ‡Œμ‹€ β†’ μΌλΆ€λŠ” Foramen of Magendie, μΌλΆ€λŠ” Foramen of Luschkaλ₯Ό ν†΅ν•˜μ—¬ β†’ μ§€μ£Όλ§‰ν•˜κ°• β†’ μ§€μ£Όλ§‰μœ΅λͺ¨ β†’ μƒμ‹œμƒ μ •λ§₯동 β†’ μ •λ§₯ μ†μœΌλ‘œ ν‘μˆ˜λœλ‹€.
    (3) 흑수 κΈ°μ „: λ‡Œμ²™μˆ˜μ•‘μ˜ μ••λ ₯이 μ •λ§₯λ™μ˜ μ••λ ₯보닀 λ†’μ•„ ꡐ질 μ‚Όνˆ¬μ••μ˜ 차이둜 흑수되며, μƒμ‹œμƒ μ •λ§₯λ™μ˜ μ§€μ£Όλ§‰μœ΅λͺ¨μ—μ„œ ν‘μˆ˜λ˜μ–΄ κ²½μ •λ§₯을 톡해 μƒλŒ€μ •λ§₯으둜 ν‘μˆ˜λœλ‹€.


    원μθœ:
    (1) 비ꡐ톡성 μˆ˜λ‘μ¦(Non-communicating/Obstructive Hydrocephalus)
    : λ‡Œμ‹€μ—μ„œ μ§€μ£Όλ§‰ν•˜κ°•μœΌλ‘œ ν†΅ν•˜λŠ” 길이 λ§‰ν˜€ λ‡Œμ‹€λ§Œ ν™•μž₯된 경우
    β‘  μ„ μ²œμ„±: λ‡Œμˆ˜λ„κ΄€μ˜ 폐쇄, Dandy walker 증후ꡰ(Foramen of Magendie, Luschka의 ν˜•μ„± λΆ€μ „), Arnoid-Chiari malformation, λ‡Œν˜ˆκ΄€ κΈ°ν˜• λ“±
    β‘‘ ν›„μ²œμ„±: ν›„μ²œμ  λ‡Œμˆ˜λ„κ΄€μ˜ ν˜‘μ°©, λ‡Œμ‹€ λ‚΄ 좜혈, λ‡Œμ’…μ–‘(μ†Œλ‡Œκ΅κ°λΆ€, μ†Œλ‡Œ, λ‡Œμ‹€ λ“±μ˜ μ’…μ–‘) λ“± 내적 μ••λ°•, 외적 μ••λ°•, λ‡Œμ²™μˆ˜μ•‘μ˜ κ³Όμž‰ 생산 λ“±

    (2) ꡐ톡성 μˆ˜λ‘μ¦(Communicating Hydrocephalus)
    : λ‡Œμ‹€κ³„λŠ” μ •μƒμ΄λ‚˜ μ§€μ£Όλ§‰ν•˜κ°• λ‚΄ μˆœν™˜μ˜ νμƒ‰μœΌλ‘œ λ‡Œμ‹€κ³Ό μ§€μ£Όλ§‰ν•˜κ°•μ΄ λͺ¨λ‘ ν™•μž₯된 경우
    β‘  λ‡Œμ²™μˆ˜μ•‘μ˜ 흑수 μž₯μ• : μ€‘μΆ”μ‹ κ²½μ˜ 염증성 μž₯μ• , μ§€μ£Όλ§‰μœ΅λͺ¨ μ„¬μœ ν™”, μ •λ§₯동 μ••λ ₯ 증가 λ“±
    β‘‘ λ‡Œμ²™μˆ˜μ•‘μ˜ κ³Όμž‰ 생산: λ§₯락총 μœ λ‘μ’…(Choroid plexus papilloma), vitamin A 과닀증 λ“±
    β‘’ μˆœν™˜κ³„μ˜ 폐색: 주둜 μ²œλ§‰ 열곡 λ˜λŠ” λ‡ŒκΈ°μ €μ‘° λΆ€μœ„, μˆ˜λ„κ΄€(Aqueduct of Sylvius), 제4 λ‡Œμ‹€ 배좜ꡬ의 μ’…μ–‘μœΌλ‘œ μΈν•œ 폐쇄

    참고자료

    Β· λŒ€ν•œλ‡Œμ’…μ–‘ν•™νšŒ. (2018). λ‡Œμ’…μ–‘ν•™. κ΅°μžμΆœνŒμ‚¬
    Β· λŒ€ν•œμ‹ κ²½μ™Έκ³Ό ν•™νšŒ. (2014). μ‹ κ²½μ™Έκ³Όν•™ 4판. λŒ€ν•œμ‹ κ²½μ™Έκ³Ό ν•™νšŒ.
    Β· 약학정보원. (n.d.). 약학정보원. https://www.health.kr/
    Β· μ„œμšΈμ•„μ‚°λ³‘μ› μ™Έκ³Όν•™κ»“μ‹€. (2018). μ„œμšΈμ•„μ‚°λ³‘μ› μ™Έκ³Ό 맀뉴얼. μ„œμšΈμ•„μ‚°λ³‘μ›
    Β· μˆ˜λ‘μ¦ [hydrocephalus]. (n.d.) μ„œμšΈλŒ€ν•™κ»“λ³‘μ›. http://www.snuh.org/health/nMedInfo/nView.do?category=DIS&medid=AA000146
    Β· μšΈμ‚°λŒ€ν•™κ»“ μ˜κ³ΌλŒ€ν•™. (2012). μšΈμ‚°λŒ€ν•™κ»“ μ˜κ³ΌλŒ€ν•™ 신경계 ꡐ재. μšΈμ‚°λŒ€ν•™κ»“ μ˜κ³ΌλŒ€ν•™
    Β· μœ€μ€μž μ™Έ. (2021). μ„±μθœκ°„ν˜Έν•™ I. μˆ˜λ¬Έμ‚¬.
    Β· μœ€μ€μž μ™Έ. (2021). μ„±μθœκ°„ν˜Έν•™ II. μˆ˜λ¬Έμ‚¬.
    Β· μ˜μ•½ν’ˆμ •λ³΄. (n.d.). μ„œμšΈμ•„μ‚°λ³‘μ›. https://www.amc.seoul.kr/asan/healthinfo/druginfo/drugInfo.do
    Β· μ •λ‹΄ νŽΈμ§‘λΆ€. (2013). ν•΄λΆ€ λ³‘νƒœμƒλ¦¬λ‘œ μ΄ν•΄ν•˜λŠ” SIM 톡합내과학 10 : μ‹ κ²½. λ„μ„œμΆœνŒ μ •λ‹΄
    Β· μ •ν–₯λ―Έ μ™Έ. (2022). λΉ„νŒμ  사고λ₯Ό μ μš©ν•œ κ°„ν˜Έκ³Όμ •. μˆ˜λ¬Έμ‚¬.
    Β· μ²­μ‹ κ²½μ΄ˆμ’…. (2021λ…„ 1μ›” 29일). ꡭ가암정보비바카지노 Viva
    Β· https://www.cancer.go.kr/lay1/program/S1T211C223/cancer/view.do?cancer_seq=5093
    Β· μ²­μ‹ κ²½μ΄ˆμ’…(Vestibular schwannoma). (n.d.). μ„œμšΈμ•„μ‚°λ³‘μ›.
    Β· https://www.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=31867
    Β· μ²­μ‹ κ²½μ΄ˆμ’… [Acoustic schwannoma]. (2024λ…„ 8μ›” 19일). μ„ΈλΈŒλž€μŠ€ 건강정보.
    Β· https://sev.severance.healthcare/health/encyclopedia/disease/body_board.do?mode=view&articleNo=123829&title=%EC%B2%AD%EC%8B%A0%EA%B2%BD%EC%B4%88%EC%A2%85+%5BAcoustic+schwannoma%5D
    Β· Achterberg, J. (1998). Imagery in Healing: Shamanism and Modern Medicine. Bantam Books.
    Β· American Dietetic Association. (2007). Nutrition Care Process and Documentation Manual. American Dietetic Association.
    Β· American Pain Society. (2000). Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain. American Pain Society.
    Β· Agency for Healthcare Research and Quality. (2003). Patient Education Materials: A Guide to Effective Development and Use. Agency for Healthcare Research and Quality.
    Β· Astin, J. A. (2000). Mind-body Medicine: State of the Science, Implications for Practice. Journal of the American Medical Association
    Β· Burchum, J. R., & Rosenthal, R. S. (1993). Nausea and Vomiting: Clinical Management. Marcel Dekker.
    Β· Guyton, A. C., & Hall, J. E. (2011). Textbook of Medical Physiology (12th ed.). Saunders Elsevier.
    Β· Hydrocephalus. (n.d.) NIH(National Institute of Neurological Disorders and Stroke). https://www.ninds.nih.gov/health-information/disorders/hydrocephalus
    Β· Hydrocephalus. (2024λ…„ 4μ›” 8일). AANS(American Association of Neurological Surgeons). https://www.aans.org/patients/conditions-treatments/hydrocephalus/
    Β· Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press.
    Β· Joshua Greene. (2023λ…„ 8μ›” 17일). National Library of Medicine. Acoutic Neuroma. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK470177/
    Β· Symptoms Hydrocephalus. (2023λ…„ 2μ›” 6일). NHS. https://www.nhs.uk/conditions/hydrocephalus/symptoms/
  • AIμ™Ώ’ ν† ν”½ 톺아보기

  • μžλ£Œν›„κΈ°

      Ai 리뷰
      μˆ˜λ‘μ¦ ν™˜μžμ˜ κ°„ν˜Έ κ³Όμ •κ³Ό νˆ¬μ•½, 특수 μΉ˜λ£Œμ— λŒ€ν•΄ μ²΄κ³„μ μœΌλ‘œ μ •λ¦¬ν•˜μ˜€μŠ΅λ‹ˆλ‹€.
    • μžμ£Όλ¬»λŠ”μ§ˆλε©μ˜ 닡변을 확인해 μ£Όμ„Έμš”

      ν•΄ν”ΌμΊ νΌμŠ€ FAQ 더롖기

      κΌ­ μ•Œμ•„μ£Όμ„Έμš”

      • 자료의 정보 및 λ‚΄μš©μ˜ 진싀성에 λŒ€ν•˜μ—¬ ν•΄ν”ΌμΊ νΌμŠ€λŠ” λ³΄μ¦ν•˜μ§€ μ•ŠμœΌλ©°, ν•΄λ‹Ή 정보 및 κ²Œμ‹œλ¬Ό μ €μž‘κΆŒκ³Ό 기타 법적 μ±…μž„μ€ 자료 λ“±λ‘μžμ—κ²Œ μžˆμŠ΅λ‹ˆλ‹€.
        자료 및 κ²Œμ‹œλ¬Ό λ‚΄μš©μ˜ λΆˆλ²•μ  이용, 무단 μ „μž¬βˆ™λ°°ν¬λŠ” κΈˆμ§€λ˜μ–΄ μžˆμŠ΅λ‹ˆλ‹€.
        μ €μž‘κΆŒμΉ¨ν•΄, λͺ…μ˜ˆν›Όμ† λ“± λΆ„μŸ μš”μ†Œ 발견 μ‹œ 고객비바카지노 Viva의 μ €μž‘κΆŒμΉ¨ν•΄ μ‹ κ³ λΉ„λ°”μΉ΄μ§€λ…Έ Vivaλ₯Ό μ΄μš©ν•΄ μ£Όμ‹œκΈ° λ°”λžλ‹ˆλ‹€.
      • ν•΄ν”ΌμΊ νΌμŠ€λŠ” κ΅¬λ§€μžμ™Ώ’ 판맀자 λͺ¨λ‘κ°€ λ§Œμ‘±ν•˜λŠ” μ„œλΉ„μŠ€κ°€ λ˜λ„λ‘ λ…Έλ ₯ν•˜κ³  있으며, μ•„λž˜μ˜ 4κ°€μ§€ μžλ£Œν™˜λΆˆ 쑰건을 κΌ­ ν™•μΈν•΄μ£Όμ‹œκΈ° λ°”λžλ‹ˆλ‹€.
        파일였λ₯˜ μ€‘λ³΅μžλ£Œ μ €μž‘κΆŒ μ—†μŒ μ„€λͺ…κ³Ό μ‹€μ œ λ‚΄μš© 뢈일치
        파일의 λ‹€μš΄λ‘œλ“œκ°€ μ œλŒ€λ‘œ λ˜μ§€ μ•Šκ±°λ‚˜ νŒŒμΌν˜•μ‹μ— λ§žλŠ” ν”„λ‘œκ·Έλž¨μœΌλ‘œ 정상 μž‘λ™ν•˜μ§€ μ•ŠλŠ” 경우 λ‹€λ₯Έ μžλ£Œμ™Ώ’ 70% 이상 λ‚΄μš©μ΄ μΌμΉ˜ν•˜λŠ” 경우 (μ€‘λ³΅μž„μ„ 확인할 수 μžˆλŠ” κ·Όκ±° ν•„μš”ν•¨) μΈν„°λ„·μ˜ λ‹€λ₯Έ μ‚¬μ΄νŠΈ, 연ꡬ기관, ν•™κ»“, μ„œμ  λ“±μ˜ 자료λ₯Ό λ„μš©ν•œ 경우 자료의 μ„€λͺ…κ³Ό μ‹€μ œ 자료의 λ‚΄μš©μ΄ μΌμΉ˜ν•˜μ§€ μ•ŠλŠ” 경우

    μ°ΎμœΌμ‹œλ˜ μžλ£Œκ°€ μ•„λ‹Œκ°€μš”?

    μ§€κΈˆ λ³΄λŠ” μžλ£Œμ™Ώ’ μ—°κ΄€λ˜μ–΄ μžˆμ–΄μš”!
    μ™Όμͺ½ ν™”μ‚΄ν‘œ
    였λ₯Έμͺ½ ν™”μ‚΄ν‘œ
    λ¬Έμ„œ μ΄ˆμ•ˆμ„ μƒμ„±ν•΄μ£ΌλŠ” EasyAI
    μ•ˆλ…•ν•˜μ„Έμš”. ν•΄ν”ΌμΊ νΌμŠ€μ˜ λ°©λŒ€ν•œ 자료 μ€‘μ—μ„œ μ„ λ³„ν•˜μ—¬ λ‹Ήμ‹ λ§Œμ˜ μ΄ˆμ•ˆμ„ λ§Œλ“€μ–΄μ£ΌλŠ” EasyAI μž…λ‹ˆλ‹€.
    μ €λŠ” μ•„λž˜μ™Ώ’ 같이 μž‘μ—…μ„ 도왿’λ“œλ¦½λ‹ˆλ‹€.
    - 주제만 μž…λ ₯ν•˜λ©΄ λͺ©μ°¨λΆ€ν„° λ³Έλε©λ‚΄μš©κΉŒμ§€ μžλ™ 생성해 λ“œλ¦½λ‹ˆλ‹€.
    - μž₯문의 μ½˜ν…μΈ λ₯Ό 쉽고 λΉ λ₯΄κ²Œ μž‘μ„±ν•΄ λ“œλ¦½λ‹ˆλ‹€.
    - μŠ€ν† μ–΄μ—μ„œ 무료 μΊμ‹œλ₯Ό κ³„μ •λ³„λ‘œ 1회 λ°œκΈ‰ 받을 수 μžˆμŠ΅λ‹ˆλ‹€. μ§€κΈˆ λ°”λ‘œ μ²΄ν—˜ν•΄ λ³΄μ„Έμš”!
    이런 μ£Όμ œλ“€μ„ μž…λ ₯ν•΄ λ³΄μ„Έμš”.
    - μœ μ•„μ—κ²Œ μ ν•©ν•œ λ¬Έν•™μž‘ν’ˆμ˜ κΈ°μ€€κ³Ό νŠΉμ„±
    - ν•œκ΅­μΈμ˜ κ°€μΉ˜κ΄€ μ€‘μ—μ„œ 정신적 κ°€μΉ˜κ΄€μ„ μ΄λ£¨λŠ” 것듀을 문화적 λ¬Έλ²•μœΌλ‘œ μ •λ¦¬ν•˜κ³ , ν˜„λŒ€ν•œκ΅­μ‚¬νšŒμ—μ„œ μΌμ–΄λ‚˜λŠ” 사건과 사고λ₯Ό λΉ„κ΅ν•˜μ—¬ μžμ‹ μ˜ 의견으둜 κΈ°μˆ ν•˜μ„Έμš”
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