뇌졸중(STROKE) – 응급실 사례보고서

목차

Ⅰ. 서론 ························································································································· 3

Ⅱ. 본론 ·································································································································· 3-14
1. 환자의 간호정보 ······························································································· 3
2. 문헌고찰(질병, 해부생리) ············································································· 4-5
3. [ER routine – stroke] ······················································································· 6
4. 사례보고서 ············································································································· 6-14

Ⅲ. 참고 문헌 ···························································································································· 15

본문내용

Ⅰ. 서론
흔히 ‘중풍’으로 알려져 있는 뇌졸중은 암, 심장 질환과 함께 3대 사망원인의 하나이며, 국내 사망률 1위를 차지하는 무서운 질병이다. 뇌졸중은 크게 두 가지이며, 하나는 뇌출혈, 다른 하나는 뇌경색이다. 뇌출혈은 뇌로 들어가는 동맥이 동맥경화로 딱딱해진 상태에서 고혈압 등으로 터진 경우이고, 뇌경색은 동맥경화가 진행돼 아예 혈관이 막힌 경우이다. 과거에는 뇌출혈이 더 많았지만 요즘 비만, 당뇨 등 성인 만성 질환이 있는 노년 인구가 늘어나면서 약 30%가 뇌출혈이고, 나머지 70%가 뇌경색으로 진단되었다.
따라서 이번 실습을 통해 ‘뇌경색(cerebral infarction)’에 대한 증상과 치료를 공부하고 질병에 맞는 간호를 어떻게 적용해야하는지 알아보고자 한다.

Ⅱ. 본론
1. 환자의 간호정보

▣ 인적사항
성명 : 신OO
성 / 나이 : 70/ 여
생년월일 : 19430000
진료과 : ER
주소 : 0000000000000
전화 : 010-3000-0000
직업 : 무직(가사)
▣ 주호소(입실 시 활력징후 포함)
주호소
⦁Dysarthria (구음장애)
⦁Dizziness(현기증)
활력징후
혈압 : 164/83mmHg
맥박 : 74 회/min
호흡 : 20회
체온 : 36.9
SpO2 : 99%

▣ 과거력, 입원력, 수술력
과거력
⦁00년 : HTN Dx local f/u po med
⦁13년 4월 : acute cholecystitis 본원 GS adm
⦁14년 8월 : fatty liver Dx 본원 FM
⦁20년 9월 : thyroid nodule Dx 본원 IME regular f/u
⦁22년 covid-19 infection 으로 자택치료
입원력

출처 : 해피캠퍼스