성인간호학 실습 CASE STUDY [ GB cancer, septic shock ], 담낭암 케이스스터디(간호진단2개, 간호과정2개 포함)

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"성인간호학 실습 CASE STUDY [ GB cancer, septic shock ], 담낭암 케이스스터디(간호진단2개, 간호과정2개 포함)"에 대한 내용입니다.

성인간호학 케이스스터디 자료입니다.
전체 실습 올 A+받았고 케이스 자료들 항상 친구들 교수님들께 항상 언급되고 칭찬받았습니다.
구매하시면 후회 없을 겁니다.
담낭암 케이스고 패혈증 진단도 받아서 이와 관련된 자료역시 포함되어 있습니다. 문헌고찰도 사진과 표로 잘 정리되어 있고 케이스스터디 역시 EMR을 그대로 들고 온 것처럼 자세하고 간호 중재 역시 세세하게 표시해두었습니다.
좋은 자료 구매하셔서 과제에 참고하시길 바랍니다.

목차

Ⅰ. 서론
1. 연구의 필요성 ··············································································
2. 연구의 목적 ···············································································

Ⅱ. 문헌고찰
1. 담낭의 구조 및 기능 ······································································
2. 담낭암의 정의와 종류······································································
3. 담낭암의 원인···············································································
4. 담낭암의 일반적 증상······································································
5. 진행단계 ·····················································································
6. 진단검사······················································································
7. 치료방법······················································································
8. 치료의 부작용 ··············································································
9. 재발 및 전이·················································································
10. 치료현황 및 예후··········································································
11. 패혈증 sepsis ·············································································

Ⅲ. 간호사정
1. 일반적사항···················································································
2. 입원 관련 정보··············································································
3. 간호력 (건강상태)···········································································
4. 이용 가능한 지지체계 (개인, 가족, 지역사회자원)·····································
5. 각 기관별 문진··············································································
6. 진단검사······················································································
7. 치료 및 경과·················································································

Ⅳ. 간호과정··········································································

Ⅴ. 결론 ·················································································

Ⅵ. 참고 문헌········································································

본문내용

Ⅱ. 문헌고찰
1. 담낭의 구조 및 기능
담낭은 길이 약 7~10cm 정도 되는 간 아래쪽에 붙어 있는 주머니이다. 간의 아래쪽 경계면에 붙어 있음으로 대부분 RUQ의 갈비뼈 아래에 위치하나 갈비뼈가 끝나는 지점보다 위쪽에 위치하는 경우도 있다.

기저부, 체부, 누두부, 경부, 담낭관으로 구성, 용적은 약 40~70mL 이다. 공복 시에는 증가, 식후에는 담낭 수축 작용으로 감소한다. 간의 두엽의사이 아랫면 오목 부위에 붙어 있으며, 간 표면 접합부와 복막에 덮여 있는 부분으로 나뉘고 때로 복막으로 완전히 덮여 장간막에 매달린 형태의 경우도 있다.
담낭의 주된 기능은 간에서 분비된 쓸개즙을 농축하고 저장하는 일이다. 쓸개즙은 간에서 생성되어 분비되고 담관을 통해 십이지장으로 흘러 배출된다. 쓸개즙에는 소화 효소가 포함되어 있고 지방의 소화를 돕는 역할을 한다. 담낭은 쓸개즙을 6~10배 농축하여 저장하며 식후 30분 이내에 방출되고 그 이후에는 간에서 분비되는 (농축되지 않은) 쓸개즙이 직접 분비된다.

담즙의 주요작용
1. 유독물질을 간의 해독작용으로 배설하기 쉬운 형태로 바꿔 담즙에 섞어 배설 - 간이 해독시킨 약물, 독물과 같은 노폐물과 빌리루빈, 담즙산염, 콜레스테롤, 인지질등을 담즙에 섞어 담도를 통해 십이지장으로 배출
2. 담즙산으로 지방을 유화시켜 지방의 소화, 흡수를 촉진
3. 지용성 비타민 A, D, E, K 등과 미네랄인 철, 칼슘 등의 흡수를 촉진
4. 살균작용 - 소장에서 세균증식을 억제
5. 장을 자극하고 운동을 활발하게 하여 배변을 촉진하는데 도움
6. 알칼리성으로 십이지장 내 소화 효소가 작용할 수 있도록 장내 환경을 약알칼리성으로 중화

참고 자료

성인간호학 Ⅰ 실습지침서 ‘양식’
약학정보원, http://www.health.kr/main.asp
담즙의 중요성, https://m.blog.naver.com/woowoo0119/221558846888
서울아산병원 의학품정보, http://www.amc.seoul.kr/asan/healthinfo/druginfo/drugInfo.do
서울아산병원 질환백과 담낭암, https://m.blog.naver.com/woowoo0119/221558846888
네이버 지식백과 담낭암, https://terms.naver.com/entry.nhn?docId=5646475&cid=60406&categoryId=60406
네이버 의약품사전
네이버 지식백과 패혈증, https://terms.naver.com/entry.nhn?docId=926618&cid=51007&categoryId=51007,https://terms.naver.com/entry.nhn?docId=2119881&cid=51004&categoryId=51004
네이버 지식백과 담낭 및 담관암, https://terms.naver.com/entry.nhn?docId=5646475&cid=60406&categoryId=60406
국가암정보센터 담낭암, https://terms.naver.com/entry.nhn?docId=5646475&cid=60406&categoryId=60406
국가암정보센터 2019 담낭담도암 인포그래픽, https://www.cancer.go.kr/lay1/bbs/S1T662C663/B/11/view.do?article_seq=21141
진단검사와 임상적 의의(EDTA, Serum, Coagulation) 일반혈액검사(complete blood cell count , CBC), 혈액응고검사, 일반화학검사, 간기능검사, direct coomb's test, indirect coombs test, 적혈구 침강속도(ESR, erythrocyte sedimentation rate) 정상수치 모음, https://blog.naver.com/ey2y/220149675657
http://www.kimsonline.co.kr/ 의약정보센터
간호학과 실습 CASE 진단검사 임상적 의의 응급혈액 응급화학 임상적 의의, https://m.blog.naver.com/joom625/220951761787