[아동간호학실습] vsim 2. Jackson Weber (Complex) 강직-간대성 발작 case A+ 간호과정1개(이론적근거,참고자료,꼼꼼)
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- 2021.09.13
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- 2021.09
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한컴오피스
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소개글
vsim 2. Jackson Weber (Complex) 강직-간대성 발작 case A+ 에 대한 내용입니다.
가장 우선순위가 높은 진단으로 간호과정 작성했습니다.
간호진단 : 약물 복용 불이행과 관련된 돌봄제공자 역할 긴장
목차
1. case내용
2. 간호과정(사정,진단,목표,계획,중재11가지,이론적근거,평가)
본문내용
Jackson Weber (Complex)
Jackson Weber is a 5-year-old male with known generalized tonic-clonic seizures. He was admitted to the emergency department after experiencing four seizures at home during the last 12 hours.
His mother reports that his first three seizures lasted between 3 and 5 minutes, each resolving without intervention. His fourth seizure lasted approximately 7 minutes and resolved after she administered 4 mg of rectal diazepam (Diastat).
Jackson is resting comfortably; he is sleepy but arousable. He is on a cardiac apnea monitor and vital signs are stable. He currently has an intravenous infusion in his left arm with D5 NS + 20 mEq KCl/L infusing at 58 mL/hr. When he arrived in the emergency department, a loading dose of phenobarbital was given and a complete blood count with diff, chem 20, and a phenobarbital level were drawn and sent to lab stat.
참고 자료
아동청소년건강간호학.신광출판사,하영수