{"id":10213,"date":"2025-07-16T09:01:15","date_gmt":"2025-07-16T00:01:15","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/16\/10213\/"},"modified":"2025-07-16T09:01:15","modified_gmt":"2025-07-16T00:01:15","slug":"%ec%97%ac%ec%84%b1%ec%8b%a4%ec%8a%b5a-%ec%9e%90%ea%b6%81%ec%99%b8%ec%9e%84%ec%8b%a0-%ec%bc%80%ec%9d%b4%ec%8a%a4-%eb%ac%b8%ed%97%8c%ea%b3%a0%ec%b0%b0-%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-%ea%b0%84","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/16\/10213\/","title":{"rendered":"\uc5ec\uc131\uc2e4\uc2b5A, \uc790\uad81\uc678\uc784\uc2e0 \ucf00\uc774\uc2a4, \ubb38\ud5cc\uace0\ucc30, \uac04\ud638\uc9c4\ub2e8, \uac04\ud638\uacfc\uc815, \ud788\uc2a4\ud1a0\ub9ac"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

A. Clinical Data
\nB. Medical Diagnosis( \ubb38\ud5cc\uace0\ucc30 : \uac04\ub2e8\ud788)
\nC. Abnormal Data List
\nD. Data Clustering & Preliminary Diagnosis
\nE. Nursing Diagnosis
\nF. Nursing Plan\/Intervention\/Evaluation<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

1. \uc0ac\ud68c\uc815\ubcf4
\n\uc9c1\uc5c5 : \ud559\uc0dd
\n\uad50\uc721\uc815\ub3c4: \ub300\ud559 \uc7ac\ud559
\n\uc885\uad50: \ubb34\uad50
\n\uacb0\ud63c \uc5ec\ubd80: \ubbf8\ud63c
\n\uc758\ub8cc\ube44 \uc9c0\ubd88\ub2a5\ub825: \uc788\uc74c
\n\uc0ac\ud68c\ubcf5\uc9c0 \uc11c\ube44\uc2a4 \ud544\uc694\uc5ec\ubd80: \u5426<\/p>\n

2. \uc785\uc6d0\uc815\ubcf4
\n\uc785\uc6d0\uc77c\uc2dc:
\n\uc785\uc6d0\uacbd\ub85c: ER \ud1b5\ud574 \uc218\uc220\uc2e4 \uacbd\uc720(Laparoscopic Lt.salpingectomy)\ud558\uc5ec \uc785\uc6d0
\n\uc785\uc6d0\ubc29\ubc95: stretcher cart
\n\ubcd1\uc5d0 \ub300\ud55c \uc778\uc2dd: \uc788\uc74c
\n\uc8fc\uc99d\uc0c1: Abdomen pain, seizure(duration 30s), syncope
\n\uc785\uc6d0\ub3d9\uae30: C.C \uc788\uc5b4 ER\ud1b5\ud574 OP\ud6c4 adm\ud568.
\n\uacfc\uac70\ub825: none
\n\uc785\uc6d0 \ubc0f \uc218\uc220\uacbd\ud5d8: none
\n\uac00\uc871\ub825: none
\n\ucd5c\uadfc \ud22c\uc57d \uc0c1\ud0dc: none<\/p>\n

3. Allergy: \ud56d\uc0dd\uc81c (-), \uc57d\ubb3c(-), \uc74c\uc2dd(-), \uae30\ud0c0 Allergy (-)<\/p>\n

4. \ud761\uc5f0: none<\/p>\n

5. \uc74c\uc8fc: 2\ud68c\/\ub2ec \uc18c\uc8fc \ud55c \ubcd1<\/p>\n

6. \uc601\uc591\uc0c1\ud0dc
\n\uc2dd\uc695: \ubcf4\ud1b5
\n\uc5f0\ud558\uace4\ub780: none
\n\uc2dd\uc2b5\uad00: \ud3c9\uc18c \ubd88\uaddc\uce59\uc801\uc778 \uc2dd\uc0ac. \uace8\uace0\ub8e8 \uc798 \uba39\uc74c.
\n\uae30\ud638\uc2dd\ud488: \uc721\ub958
\n\uccb4\uc911: 58kg
\n\uc2e0\uc7a5: 157cm
\n\uccb4\uc911\ubcc0\ud654: \uccb4\uc911\ubcc0\ud654 \uc5c6\uc74c.
\n\uc695\ucc3d: clear<\/p>\n

7. \ud53c\ubd80\uc0c1\ud0dc: \ud53c\ubd80\uac00 \uac70\uce60\uace0 \uac74\uc870\ud574\ubcf4\uc774\uace0 \uc785\uc220\uc774 \uc0b4\uc9dd \uac08\ub77c\uc838 \ubcf4\uc784. \uccad\uc0c9\uc99d\uc774\ub098 \uac04\uc9c0\ub7ec\uc6c0 \uc5c6\uc74c.
\n Lt.arm IV line \uc5f0\uacb0\ub418\uc5b4\uc788\uc74c.<\/p>\n

8. \uc2e0\uccb4\uc801\uc0c1\ud0dc
\n\uc704\uc0dd\uc0c1\ud0dc: \ub540\uc774 \ub9ce\uc774 \ub0a8.<\/p>\n

9. \uc218\uba74\uc0c1\ud0dc
\n\uc218\uba74\uc2dc\uac04(\uc2dc\uac04\/\uc77c): 8\uc2dc\uac04\/\uc77c
\n\uc218\uba74\uc7a5\uc560: \uc5c6\uc74c.<\/p>\n

10. \ud638\ud761\uae30\uacc4: \uc218\uc220\uc804 C.C \ubc1c\uc0dd \ud588\uc744\ub550 \uc228\uc744 \uc26c\uae30\uac00 \uc57d\uac04 \ud798\ub4e4\uc5c8\ub294\ub370 \ud604\uc7ac\ub294 \ubb38\uc81c\uc5c6\ub2e4\uace0 \ud568.<\/p>\n

11. \uc21c\ud658\uae30\uacc4
\n\uc591\uc0c1: none
\n\ubd80\uc885: none
\n\uc694\ud754: none<\/p>\n

12. \uc18c\ud654\uae30\uacc4: none<\/p>\n

13. \ubc30\ubcc0
\n\uc591\uc0c1 : \uc815\uc0c1
\n\uc0c9\uae54 : \uac08\uc0c9
\n\ud69f\uc218 : 1\ud68c\/\uc77c<\/p>\n

14. \ube44\ub1e8\uae30\uacc4
\n\uc591\uc0c1: \ud22c\uba85\ud568
\n\uc0c9\uae54(\ud68c \uc815\ub3c4\/\uc77c): yellow(foley insertion \ub418\uc5b4\uc788\uc5b4 \ud69f\uc218 \uc54c\uc218 \uc5c6\uc74c)
\n\uc0dd\uc2dd\uae30\ubb38\uc81c: none
\n\uc6d4\uacbd: none.<\/p>\n

15. \ud65c\ub3d9\uc0c1\ud0dc: \ubcf4\ud589 \uc2dc \ubd80\ucd95\uc744 \ubc1b\uac70\ub098 \ud63c\uc790\uc11c \ub9e4\uc6b0 \ucc9c\ucc9c\ud788 \uc5b4\uae30\uc801 \uac78\uc5b4\ub2e4\ub2d8.
\n\uc2e0\uccb4\uc801\uae30\ud615: none<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 A. Clinical Data B. Medical Diagnosis( \ubb38\ud5cc\uace0\ucc30 : \uac04\ub2e8\ud788) C. Abnormal Data List D. Data Clustering & Preliminary Diagnosis E. Nursing Diagnosis F. Nursing Plan\/Intervention\/Evaluation \ubcf8\ubb38\ub0b4\uc6a9 1. \uc0ac\ud68c\uc815\ubcf4 \uc9c1\uc5c5 : \ud559\uc0dd \uad50\uc721\uc815\ub3c4: \ub300\ud559 \uc7ac\ud559 \uc885\uad50: \ubb34\uad50 \uacb0\ud63c \uc5ec\ubd80: \ubbf8\ud63c \uc758\ub8cc\ube44 \uc9c0\ubd88\ub2a5\ub825: \uc788\uc74c \uc0ac\ud68c\ubcf5\uc9c0 \uc11c\ube44\uc2a4 \ud544\uc694\uc5ec\ubd80: \u5426 2. \uc785\uc6d0\uc815\ubcf4 \uc785\uc6d0\uc77c\uc2dc: \uc785\uc6d0\uacbd\ub85c: ER \ud1b5\ud574 \uc218\uc220\uc2e4 \uacbd\uc720(Laparoscopic […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9301,6300,10295,14498,285],"class_list":["post-10213","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-case-study--","tag-10295","tag-14498","tag-285"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10213","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=10213"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/10213\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=10213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=10213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=10213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}