{"id":9911,"date":"2025-07-13T09:01:20","date_gmt":"2025-07-13T00:01:20","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/13\/9911\/"},"modified":"2025-07-13T09:01:20","modified_gmt":"2025-07-13T00:01:20","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99%ec%8b%a4%ec%8a%b5-a-vsim-marilyn-hughes-%ea%b5%ac%ed%9a%8d%ec%a6%9d%ed%9b%84%ea%b5%b0-%ea%b0%84%ed%98%b8%ea%b3%bc%ec%a0%95case-study-a-%eb%b0%9b","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/07\/13\/9911\/","title":{"rendered":"[\uc131\uc778\uac04\ud638\ud559\uc2e4\uc2b5 A+] vSim Marilyn Hughes \uad6c\ud68d\uc99d\ud6c4\uad70 \uac04\ud638\uacfc\uc815(case study) A+ \ubc1b\uc74c"},"content":{"rendered":"

<\/p>\n

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

1. \uc6b0\uc120\uc21c\uc704\uc120\uc815\uadfc\uac70
\n2. \uac04\ud638\uacfc\uc815
\n3. \ucc38\uace0\ubb38\ud5cc<\/p>\n

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

A. \uc6b0\uc120\uc21c\uc704\uc120\uc815\uadfc\uac70
\n\ud658\uc790\uac00 \ud638\uc18c\ud558\ub294 \uc99d\uc0c1\uc73c\ub85c \ubcf4\uc544 \uc11d\uace0 \ub4dc\ub808\uc2f1\uc758 \uc555\ubc15\uc73c\ub85c \uc778\ud574 \uace8\uc808\uc758 \ud569\ubcd1\uc99d\uc778 \uad6c\ud68d\uc99d\ud6c4\uad70\uc774 \uc758\uc2ec\ub410\ub2e4. \uad6c\ud68d\uc99d\ud6c4\uad70\uc73c\ub85c \ub9d0\ucd08\uc870\uc9c1\uc758 \uad00\ub958\uac00 \uc81c\ub300\ub85c \ub418\uc9c0 \uc54a\uace0 \uc788\uae30 \ub54c\ubb38\uc5d0 \uc774\ub97c \uc6b0\uc120\uc801\uc73c\ub85c \uce58\ub8cc\ud574\uc57c \ud55c\ub2e4. \uc65c\ub0d0\ud558\uba74 \uc989\uac01\uc801\uc73c\ub85c \uce58\ub8cc\ud558\uc9c0 \uc54a\uc73c\uba74 \uad11\ubc94\uc704\ud55c \uc190\uc0c1\uc774\ub098 \uac10\uc5fc\uc774 \ubc1c\uc0dd\ud560 \uc218 \uc788\uace0 \uc2ec\uac01\ud558\uba74 \ud558\uc9c0\uc758 \uc808\ub2e8\uc774 \ud544\uc694\ud560 \uc218 \uc788\uae30 \ub54c\ubb38\uc5d0 1\uc21c\uc704\ub85c \uc120\uc815\ud558\uc600\ub2e4.
\n\ud658\uc790\uac00 \uc9c4\ud1b5\uc81c \ud22c\uc5ec\ud588\uc74c\uc5d0\ub3c4 \uc9c0\uc18d\uc801\uc73c\ub85c \ud1b5\uc99d\uc744 \ud638\uc18c\ud558\uace0 \uc788\uc73c\uba70 \uc774\ub294 \uad6c\ud68d\uc99d\ud6c4\uad70\uc758 \uc99d\uc0c1 \uc911 5P\uc5d0 \ud1b5\uc99d\uc774 \ud3ec\ud568\ub418\uae30 \ub54c\ubb38\uc5d0 1\uc21c\uc704\ub97c \ud574\uacb0\ud574\uc8fc\uba74 2\uc21c\uc704\uc778 \uae09\uc131\ud1b5\uc99d\ub3c4 \uc77c\ubd80 \ud574\uacb0\ub41c\ub2e4\uace0 \uc0dd\uac01\ud558\uc5ec \uae09\uc131\ud1b5\uc99d\uc744 2\uc21c\uc704\ub85c \uc815\ud558\uc600\ub2e4.<\/p>\n

B. \uac04\ud638\uacfc\uc815
\n1) \uc9c4\ub2e8
\nI. \uac04\ud638\uc0ac\uc815
\n\uc8fc\uad00\uc801 \uc790\ub8cc
\n1. \ub300\uc0c1\uc790\ub294 \uc218\uc220 \uc9c1\ud6c4 \ud1b5\uc99d \ud638\uc18c\ud568.
\n2. \ub300\uc0c1\uc790\ub294 \u201c\uc57d\uc744 \uba39\uc5c8\ub294\ub370 \uc65c \uc544\uc9c1\ub3c4 \uc544\ud508\uac70\uc8e0\u201d\ub77c\uace0 \ud638\uc18c\ud568.
\n3. \ub300\uc0c1\uc790\ub294 \u201c\uc67c\ucabd \ubc1c\uac00\ub77d\uc744 \uc6c0\uc9c1\uc77c \uc218 \uc5c6\uc5b4\uc694\u201d\ub77c\uace0 \ud638\uc18c\ud568.
\n4. \ub300\uc0c1\uc790\ub294 \u201c\uc11d\uace0\ubd95\ub300\uac00 \ube61\ube61\ud574\uc694\u201d\ub77c\uace0 \ud638\uc18c\ud568.
\n5. \ub300\uc0c1\uc790\ub294 \u201c\uc67c\ubc1c\uc774 \ubb34\uac10\uac01\ud574\uc694\u201d\ub77c\uace0 \ud638\uc18c\ud568<\/p>\n

\uac1d\uad00\uc801 \uc790\ub8cc
\n1. Hartmann 100ml\/hr IV
\n2. left mid-shaft tibia-fibula fracture
\n3. \ubb34\ub98e \uc544\ub798 \uc11d\uace0 \ub4dc\ub808\uc2f1\uc744 \ud568
\n4. 14\uc2dc 15\ubd84\uc5d0 Tramadol 50mg PO\ud568.
\n5. BP: 130\/82, HR: 88, RR: 16
\n6. \ub300\uc0c1\uc790\uc758 \ud53c\ubd80\ub294 \ucc3d\ubc31\ud558\uba70, \ucc28\uac11\uace0 \ub540\uc774 \ub9ce\uc774 \ub09c\ub2e4.
\n7. \ub300\uc0c1\uc790\ub294 NRS \ucc99\ub3c4\uc5d0\uc11c \u201c7\uc810\u201d\uc774\ub77c\uace0 \ud638\uc18c\ud568.<\/p>\n

II. \uac04\ud638\uc9c4\ub2e8\uc9c4\uc220: \uc11d\uace0 \ub4dc\ub808\uc2f1\uc758 \uc555\ubc15\uc73c\ub85c \uc778\ud55c \uad6c\ud68d\uc99d\ud6c4\uad70\uacfc \uad00\ub828\ub41c \ube44\ud6a8\uacfc\uc801\uc778 \ub9d0\ucd08\uc870\uc9c1 \uad00\ub958
\n\uac04\ud638\uc9c4\ub2e8\uba85
\n\ud55c\uae00: \ube44\ud6a8\uacfc\uc801\uc778 \ub9d0\ucd08\uc870\uc9c1\uad00\ub958 \uc601\uc5b4: Ineffective Peripheral Tissue Perfusion
\n(\uc601\uc5ed: \ud65c\ub3d9\/\ud734\uc2dd \uacfc: \uc2ec\ud608\uad00\/\ud638\ud761\uae30\uacc4 \ubc18\uc751)<\/p>\n

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

\ubaa9\ucc28 1. \uc6b0\uc120\uc21c\uc704\uc120\uc815\uadfc\uac70 2. \uac04\ud638\uacfc\uc815 3. \ucc38\uace0\ubb38\ud5cc \ubcf8\ubb38\ub0b4\uc6a9 A. \uc6b0\uc120\uc21c\uc704\uc120\uc815\uadfc\uac70 \ud658\uc790\uac00 \ud638\uc18c\ud558\ub294 \uc99d\uc0c1\uc73c\ub85c \ubcf4\uc544 \uc11d\uace0 \ub4dc\ub808\uc2f1\uc758 \uc555\ubc15\uc73c\ub85c \uc778\ud574 \uace8\uc808\uc758 \ud569\ubcd1\uc99d\uc778 \uad6c\ud68d\uc99d\ud6c4\uad70\uc774 \uc758\uc2ec\ub410\ub2e4. \uad6c\ud68d\uc99d\ud6c4\uad70\uc73c\ub85c \ub9d0\ucd08\uc870\uc9c1\uc758 \uad00\ub958\uac00 \uc81c\ub300\ub85c \ub418\uc9c0 \uc54a\uace0 \uc788\uae30 \ub54c\ubb38\uc5d0 \uc774\ub97c \uc6b0\uc120\uc801\uc73c\ub85c \uce58\ub8cc\ud574\uc57c \ud55c\ub2e4. \uc65c\ub0d0\ud558\uba74 \uc989\uac01\uc801\uc73c\ub85c \uce58\ub8cc\ud558\uc9c0 \uc54a\uc73c\uba74 \uad11\ubc94\uc704\ud55c \uc190\uc0c1\uc774\ub098 \uac10\uc5fc\uc774 \ubc1c\uc0dd\ud560 \uc218 \uc788\uace0 \uc2ec\uac01\ud558\uba74 \ud558\uc9c0\uc758 \uc808\ub2e8\uc774 \ud544\uc694\ud560 \uc218 \uc788\uae30 \ub54c\ubb38\uc5d0 1\uc21c\uc704\ub85c \uc120\uc815\ud558\uc600\ub2e4. \ud658\uc790\uac00 \uc9c4\ud1b5\uc81c […]<\/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":[9301,13093,15310,3559,15312],"class_list":["post-9911","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-amelia-sung-vsim","tag-marilyn-hughes","tag-3559","tag-15312"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/9911","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=9911"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/9911\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=9911"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=9911"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=9911"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}