{"id":21414,"date":"2025-11-05T09:01:27","date_gmt":"2025-11-05T00:01:27","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/05\/21414\/"},"modified":"2025-11-05T09:01:27","modified_gmt":"2025-11-05T00:01:27","slug":"%ec%9d%91%ea%b8%89%ec%8b%a4-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94-a-%eb%8c%80%eb%8f%99%eb%a7%a5%eb%b0%95%eb%a6%ac-%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-%ea%b3%bc%ec%a0%95-3%ea%b0%9c","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/11\/05\/21414\/","title":{"rendered":"\uc751\uae09\uc2e4 \ucf00\uc774\uc2a4\uc2a4\ud130\ub514 A+ \ub300\ub3d9\ub9e5\ubc15\ub9ac (\uac04\ud638\uc9c4\ub2e8 \uacfc\uc815 3\uac1c)"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/03\/07\/data29519787-0001.jpg\"><img decoding=\"async\" src=\"https:\/\/image4.happycampus.com\/Production\/thumb212\/2024\/03\/07\/data29519787-0002.jpg\"><\/p>\n<p><strong>\ubaa9\ucc28<\/strong><\/p>\n<p>1. Etiology<br \/>\n(1) \ub300\ub3d9\ub9e5 \ubc15\ub9ac<\/p>\n<p>2. Assessments<br \/>\n(1) \uc2e0\uccb4\uac80\uc9c4<br \/>\n(2) \ud1b5\uc99d\ud3c9\uac00<br \/>\n(3) \ub0b4\uc6d0 \uc2dc Assessment<\/p>\n<p>3. Diagnostic studies<br \/>\n(1) Echocardiography (\uc2ec\ucd08\uc74c\ud30c \uac80\uc0ac)<br \/>\n(2) ABGA(\ub3d9\ub9e5\ud608\uac00\uc2a4\ubd84\uc11d\uac80\uc0ac)<br \/>\n(3) \uc77c\ubc18 \ud608\uc561\uac80\uc0ac(CBC)<br \/>\n(4) \uc77c\ubc18\ud654\ud559\uac80\uc0ac<br \/>\n(5) Antithrombin(\ud56d\ud2b8\ub86c\ube48)<\/p>\n<p>4. Treatment (Intervention)<br \/>\n(1) \uc0c1\ud589 \ub300\ub3d9\ub9e5 \ubc0f \ubc18\uad81 \uad50\uccb4(Ascending aorta and hemiarch replacement)<br \/>\n(2) \ub300\ub3d9\ub9e5 \ud310\ub9c9 \uce58\ud658\uc220(aortic valve replacement) <\/p>\n<p>5. Medication<\/p>\n<p>6. Nursing Diagnoses<br \/>\n1) \uc6b0\uc120\uc21c\uc704 <\/p>\n<p>7. \ucc38\uace0\ubb38\ud5cc<\/p>\n<p>8. \uac04\ud638\uacfc\uc815<\/p>\n<p><strong>\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n<p>\ubcd1\ud0dc\uc0dd\ub9ac<br \/>\n\ub300\ub3d9\ub9e5 \ubc15\ub9ac\ub294 \ub300\ub3d9\ub9e5 \ubcbd\uc758 \ub0b4\ub9c9\uc774 \ucc22\uc5b4\uc838 \ud608\uc561\uc774 \uc911\ub9c9\uc73c\ub85c \ub4e4\uc5b4\uac00 \ub0b4\ub9c9\uacfc \uc678\ub9c9\uc774 \ubd84\ub9ac\ub418\ub294 \uac83\uc774\ub2e4. \ub300\ub3d9\ub9e5\uc740 \uc6b0\ub9ac \ubab8\uc5d0\uc11c \uac00\uc7a5 \ud070 \ub3d9\ub9e5\uc73c\ub85c, \uc678\ub9c9-\uc911\ub9c9-\ub0b4\ub9c9\uc73c\ub85c \uad6c\ubd84\ub41c\ub2e4. \ub300\ub3d9\ub9e5 \ub0b4\ub9c9\uc5d0 \ubbf8\uc138\ud55c \ud30c\uc5f4\uc774 \ubc1c\uc0dd\ud558\uba74 \ub192\uc740 \ub300\ub3d9\ub9e5 \uc555\ub825\uc73c\ub85c \uc778\ud574 \ub300\ub3d9\ub9e5\uc758 \uc911\ub9c9\uc774 \uc7a5\ucd95\uc73c\ub85c(\uae38\uc774 \ubc29\ud5a5\uc73c\ub85c) \ucc22\uc5b4\uc9c0\uba74\uc11c \ud608\uc561\uc774 \ucc22\uc5b4\uc9c4 \ubd80\ubd84\uc73c\ub85c \ub4e4\uc5b4\uac00 \ub300\ub3d9\ub9e5\uc774 \uc9c4\uc131 \ub0b4\uac15(true lumen, \uc6d0\ub798 \ud53c\uac00 \ud750\ub974\ub358 \uacf5\uac04)\uacfc \uac00\uc131 \ub0b4\uac15(false lumen, \ubc15\ub9ac\ub85c \uc778\ud574 \ubd84\ub9ac\ub418\uc5b4 \uc0c8\ub85c\uc774 \uc0dd\uae34 \uacf5\uac04)\uc73c\ub85c \ubd84\ub9ac\ub41c\ub2e4. <\/p>\n<p>\uad00\ub828\uc694\uc778 \ubc0f \uc6d0\uc778<br \/>\n&#8211; \ub300\ub3d9\ub9e5 \ubc15\ub9ac\uc758 \uac00\uc7a5 \ud754\ud55c \uc6d0\uc778\uc740 \uc624\ub798 \uc9c0\uc18d\ub41c \uace0\ud608\uc555\uc73c\ub85c \uc778\ud55c \ub3d9\ub9e5\ubcbd\uc758 \uc1e0\uc57d<br \/>\n=> \ub300\ub3d9\ub9e5 \ubc15\ub9ac \ud658\uc790\uc758 2\/3\uac00 \uace0\ud608\uc555 \uc553\uace0 \uc788\uc74c.<br \/>\n&#8211; \ub300\ub3d9\ub9e5 \ubc15\ub9ac\uc758 \ub35c \ud754\ud55c \uc6d0\uc778\uc740 \ub3d9\ub9e5\uacbd\ud654, \ubd80\uc0c1, \ub178\ud654, \uc2ec\uc7a5\uacfc \ud608\uad00\uc758 \ucd9c\uc0dd \uacb0\ud568(\ub300\ub3d9\ub9e5 \ucd95\ucc29(\ud611\ucc29), \ub3d9\ub9e5\uad00 \uac1c\uc874(\ub300\ub3d9\ub9e5\uacfc \ud3d0\ub3d9\ub9e5 \uc0ac\uc774\uc758 \ud1b5\ub85c), \ub300\ub3d9\ub9e5\ud310 \uacb0\ud568)<\/p>\n<p>\uc885\ub958<br \/>\nDebakey A-1 : ascending, arch and descending => \uc218\uc220<br \/>\n(\ub0b4\ub9c9 \ud30c\uc5f4\uc774 \uc0c1\ud589 \ub300\ub3d9\ub9e5\uc5d0\uc11c \ubc1c\uc0dd\ud588\uc73c\ub098 \ub300\ub3d9\ub9e5\uad81\uacfc \ud558\ud589 \ub300\ub3d9\ub9e5\ub3c4 \uce68\ubc94)<br \/>\nDebakey A-2 : ascending => \uc218\uc220<br \/>\nDebakey B-3 : descending => \uc6b0\uc120 \uc57d\ubb3c \uce58\ub8cc <\/p>\n<p>\uc99d\uc0c1<br \/>\n&#8211; \ud1b5\uc99d(\ucc22\uc5b4\uc9c0\ub294 \ub4ef\ud55c \ub610\ub294 \uc7a1\uc544 \ucc22\ub294 \ub4ef\ud558\ub2e4\uace0 \ubb18\uc0ac\ub418\ub294 \uae09\uc131 \uadf9\uc2ec\ud55c \ud1b5\uc99d)\uc744 \uacbd\ud5d8\ud55c\ub2e4.<br \/>\n&#8211; \uc800\ud608\uc555, \uc1fc\ud06c -> kidney blood \uac10\uc18c -> acute renal failure<br \/>\n&#8211; brain blood supply \u2193: \uc2e4\uc2e0, \ub1cc\uc0ac<\/p>\n<p>\uc9c4\ub2e8\uac80\uc0ac<br \/>\nCT \ud608\uad00\uc870\uc601\uc220, \uc790\uae30\uacf5\uba85 \ud608\uad00\uc870\uc601\uc220, \ub610\ub294 \uacbd\uc2dd\ub3c4 \uc2ec\uc7a5\ucd08\uc74c\ud30c\uac80\uc0ac \ub4f1\uc758 \uc601\uc0c1\uac80\uc0ac<br \/>\n=> \ub300\uc0c1\uc790\ub294 \uad11\uba85 \uc751\uae09\uc2e4\uc5d0\uc11c CT \uac80\uc0ac \uc2dc\ud589 <\/p>\n<p>Concept mapping <\/p>\n<p>\ud64dOO, 53\/M, 2023. 10. 4. <\/p>\n<p>Medical Diagnosis : Aortic dissection(\ub300\ub3d9\ub9e5 \ubc15\ub9ac)<\/p>\n<p>\ucd9c\ucc98 : <a href=\"https:\/\/www.happycampus.com\/report-doc\/29519787\/\" target=\"_blank\">\ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ubaa9\ucc28 1. Etiology (1) \ub300\ub3d9\ub9e5 \ubc15\ub9ac 2. Assessments (1) \uc2e0\uccb4\uac80\uc9c4 (2) \ud1b5\uc99d\ud3c9\uac00 (3) \ub0b4\uc6d0 \uc2dc Assessment 3. Diagnostic studies (1) Echocardiography (\uc2ec\ucd08\uc74c\ud30c \uac80\uc0ac) (2) ABGA(\ub3d9\ub9e5\ud608\uac00\uc2a4\ubd84\uc11d\uac80\uc0ac) (3) \uc77c\ubc18 \ud608\uc561\uac80\uc0ac(CBC) (4) \uc77c\ubc18\ud654\ud559\uac80\uc0ac (5) Antithrombin(\ud56d\ud2b8\ub86c\ube48) 4. Treatment (Intervention) (1) \uc0c1\ud589 \ub300\ub3d9\ub9e5 \ubc0f \ubc18\uad81 \uad50\uccb4(Ascending aorta and hemiarch replacement) (2) \ub300\ub3d9\ub9e5 \ud310\ub9c9 \uce58\ud658\uc220(aortic valve replacement) 5. Medication 6. Nursing [&hellip;]<\/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":[26306,4177,9333,26304],"class_list":["post-21414","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-a----","tag-4177","tag---3","tag-26304"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/21414","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=21414"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/21414\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=21414"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=21414"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=21414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}