{"id":24538,"date":"2025-12-07T09:00:21","date_gmt":"2025-12-07T00:00:21","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/12\/07\/24538\/"},"modified":"2025-12-07T09:00:21","modified_gmt":"2025-12-07T00:00:21","slug":"%eb%87%8c%ec%a0%84%ec%a6%9depilepsy-%eb%ac%b8%ed%97%8c%ea%b3%a0%ec%b0%b0-%eb%b0%8f-sbar","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/12\/07\/24538\/","title":{"rendered":"\ub1cc\uc804\uc99d(epilepsy) \ubb38\ud5cc\uace0\ucc30 \ubc0f SBAR"},"content":{"rendered":"

<\/p>\n

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

1. \ud658\uc790 \uc0c1\ud0dc \uae30\ub85d
\n-past history
\n-present state
\n-main medication
\n-examination<\/p>\n

2. sbar \uc801\uc6a9(5\uac1c \uc774\uc0c1)<\/p>\n

3. epilepsy \ubb38\ud5cc\uace0\ucc30<\/p>\n

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

1. Past History<\/p>\n

– Iron deficiency anemia\uc640 2008\ub144 4\uc6d4 \ubcf8\uc6d0 Epilepsy \uc9c4\ub2e8\ubc1b\uace0 Epilepsy\ub85c \uc138\ube0c\ub780\uc2a4 \ubcd1\uc6d0 F\/U&po. medi \uc911\uc784
\n– 2010\ub144 seizure\ub85c \ubcf8\uc6d0 \uc785\uc6d0 \uce58\ub8cc\ud568
\n– \ub0b4\uc6d0 \ub2f9\uc77c mild fever \uc788\ub2e4\uac00 fever develop \ub418\uc5b4 \ud574\uc5f4\uc81c \uba39\uc774\uace0 Sat \ub5a8\uc5b4\uc838 ER \ud1b5\ud574 SICU\ub85c \uc785\uc6d0\ud568
\n– \uc8fc\uc99d\uc0c1 dyspnea \ud638\uc18c\ud558\uace0 \uc751\uae09\uc2e4 \ub0b4\uc6d0 \ub2f9\uc2dc SpO2 80% \ud655\uc778\ub418\uc5b4 O2 5L \uc0ac\uc6a9\ud574\ub3c4 90%\uae4c\uc9c0 \ud68c\ubcf5\ud568
\n– \uc758\uc2dd\uc0c1\ud0dc stupor<\/p>\n

2. Present State<\/p>\n

– \uc758\uc2dd\uc0c1\ud0dc: \uc790\uadf9\uc5d0 \ubc18\uc751\ud558\ub098 \uc815\ud655\ud55c obey \uc548\ub428
\n– cath foley, E-tube, jugular, A-line, CVC keep \uc0c1\ud0dc
\n– focal seizure, \uc591\ud314 myoclonus seizure \uad00\ucc30\ub428
\n– E-tube\uc640 Ventilator SIMV FiO2 30% (O2 3L\/min), PEEP5, TV 300ml \uc801\uc6a9 \uc911
\n– seizure\uc2dc\uc5d0 HR 100\ud68c\uc774\uc0c1, RR 40\ud68c \uc774\uc0c1 \uce21\uc815\ub428<\/p>\n

<\uc911 \ub7b5><\/p>\n

Fever
\ns: \uae40oo \uc120\uc0dd\ub2d8, SICU \uae40oo \uac04\ud638\uc0ac\uc785\ub2c8\ub2e4.
\nSICU 10\ubc88\uc5d0 \uc785\uc6d0 \uc911\uc778 oo \uad50\uc218\ub2d8 \ud658\uc790 19\uc138 \uc5ec\uc131 \uae40oo\ub2d8 BT 38.6\u2103 \ud655\uc778\ub418\uc5b4 \uc5f0\ub77d\ub4dc\ub9bd\ub2c8\ub2e4.
\nb: \uae40oo\ub2d8\uc740 15\ub144 \uc804 epilepsy \uc9c4\ub2e8\ubc1b\uc558\uace0 \ud638\ud761\uace4\ub780\uc744 \uc8fc\ud638\uc18c\ub85c er \ud1b5\ud574 sicu\ub85c \uc785\uc6d0\ud558\uc5ec ventilator care \uc911\uc778 \ud658\uc790\ubd84\uc785\ub2c8\ub2e4. \ud658\uc790 \uc758\uc2dd\uc0c1\ud0dc \ub208 \ub728\uace0 \uc788\uc73c\ub098 obey \ub418\uc9c0 \uc54a\uc73c\uba70 \uacc4\uc18d seizure \ud558\uace0 ABP 124\/76 BT 37.5 HR 135\ud68c RR 40\ud68c \uc774\uc0c1 SpO2 81~100% \ud655\uc778\ub418\uc5b4 \ucc98\ubc29\ub41c Ativan 2mg IV\ub85c \ud22c\uc5ec\ud588\uc2b5\ub2c8\ub2e4.
\na: Ativan \ud22c\uc5ec \ud6c4 \ud604\uc7ac \ud658\uc790 sedation \ub418\uc5c8\uc73c\ub098 ABP 94\/58 BT 38.6 HR 101\ud68c RR 17\ud68c SpO2 100%\ub85c fever \uc788\uc2b5\ub2c8\ub2e4.
\nr: BP \ub54c\ubb38\uc5d0 ativan \uc6a9\ub7c9 \ub354 \ub298\ub9ac\uc9c0 \uc54a\uace0, Acetphen 1g\uc744 iv\ub85c \ud22c\uc5ec\ud558\ub294 \uac8c \uc5b4\ub5a8\uae4c\uc694?<\/p>\n

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

\ubaa9\ucc28 1. \ud658\uc790 \uc0c1\ud0dc \uae30\ub85d -past history -present state -main medication -examination 2. sbar \uc801\uc6a9(5\uac1c \uc774\uc0c1) 3. epilepsy \ubb38\ud5cc\uace0\ucc30 \ubcf8\ubb38\ub0b4\uc6a9 1. Past History – Iron deficiency anemia\uc640 2008\ub144 4\uc6d4 \ubcf8\uc6d0 Epilepsy \uc9c4\ub2e8\ubc1b\uace0 Epilepsy\ub85c \uc138\ube0c\ub780\uc2a4 \ubcd1\uc6d0 F\/U&po. medi \uc911\uc784 – 2010\ub144 seizure\ub85c \ubcf8\uc6d0 \uc785\uc6d0 \uce58\ub8cc\ud568 – \ub0b4\uc6d0 \ub2f9\uc77c mild fever \uc788\ub2e4\uac00 fever develop \ub418\uc5b4 \ud574\uc5f4\uc81c \uba39\uc774\uace0 […]<\/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":[17068,16774,710,3559,12984],"class_list":["post-24538","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-anaphylaxis-","tag-epilepsy","tag-sbar","tag-3559","tag-12984"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/24538","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=24538"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/24538\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=24538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=24538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=24538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}