NCLEX 요약정리 (+NGN 포함) – 성인간호 cardiovascular (EKG 상세, 이미지 포함)

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Adult Health Cardiovascular
1-6. Heart failure (HF)
– immediately follow up
dyspnea, inspiratory crackles, weight gain, peripheral edema > acute HF exacerbation 로 인한 체액 과부하
treated > diuretics, such as furosemide (ie, “water pill”)
Respiratory findings (ie, SpO2 90%, inspiratory crackles, tachypnea, dyspnea, labored respirations)
> pulmonary edema (Crackles > alveoli 폐포 체액으로 인한 폐부종의 징후)
– planning care > 12-lead ECG, chest x-ray, current weight, Serum electrolyte levels
X orthostatic 기립성 vital signs > 탈수, dizziness or syncope on standing 유발하는 약물 부작용과 관련
– Hyper- or hypokalemia
– Treatment for hyperkalemia
Drives potassium from blood into cells > albuterol nebulizer and IV insulin 일시적 감소
Promotes potassium excretion > loop diuretics (ie, furosemide)
Stabilizes myocardial cell membranes > calcium gluconate antagonizes potassium (칼륨 효과 차단, 심근 과민성 감소)

출처 : 해피캠퍼스