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성인간호학실습 응급실 체크리스트(응급실 기구용어, 설명 등등에 관해서)

"성인간호학실습 응급실 체크리스트(응급실 기구용어, 설명 등등에 관해서)"에 대한 내용입니다.
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한컴오피스
최초등록일 2023.05.06 최종저작일 2022.01
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성인간호학실습 응급실 체크리스트(응급실 기구용어, 설명 등등에 관해서)
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    본문내용

    ICP monitor
    1. 정의
    두개골 내에 있는 뇌, 뇌혈에 의해 가해지는 압력을 기록하는 장치로서 두개골내의 용량은 종양, 외상, 부종, 출혈, 뇌혈관 확장 등에 의해 증가될 수 있다.
    2. 목적
    - 조기에 두개내압 상승을 확인
    - 비정상의 정도를 수치로 나타냄
    - 두개내압 상승에 대한 적절한 치료
    - 뇌척수액 채취와 배액에 용이
    - 치료의 효과를 평가하기 위함

    intubation set: 기관삽관
    1. 적응증
    - 전신 마취시, 폐질환(폐렴, 폐부종 등)치료, 저산소증, 저환기 등의 상황일 경우
    - apnea, 기관지 내 흡인이 필요한 경우
    2. 정의
    기관 속에 튜브를 입으로 또는 코로 삽입하는 것을 말한다. 기관 삽관을 하기 위해서는 후두나 기관으로부터의 반사를 방지해야 하는데 이를 위해 그 부의 표면마취를 하거나 전신마취를 할 필요가 있다.

    endotracheal tube: 기관내관
    1. 정의
    코나 입을 통한 기관 내 삽관법은 기도를 개방시키고 유지하기 위해 사용한다. 구강 통로는 삽관이 비교적 쉽기 떄문에 주로 응급시에 사용한다.
    2. 주의사항
    - 관이 너무 크면 기도와 점막 내충을 손상시키고, 너무 작으면 적절한 환기를 시킬 수 있다.
    - 장기간 삽관이 예상될 때는 비강 통로 쪽이 좋고, 의식이 있는 대상자는 이 기간삽관을 더 잘 견디고 쉽게 고정할 수 있다.
    3. 기관 내관의 제거
    - 관을 제거하기 전에 대상자를 적절히 환기시키고 산소를 공급하고 흡인을 시행한다.
    - 커프 공기를 빼고 흡인을 한번 더 하고 관을 제거한 후 산소를 공급한다.
    - 관을 제거할 때는 다시 삽입해야 할 경우를 대비하여 의사가 대기하고 있어야 하고, intubation tray를 준비해주어야 한다.
    - 관을 제거할 때 합병증에는 후두 부종과 후두경련 등이 있으므로 호흡곤란, 보조 근육의 사용, 협착 등이 있는지 관찰한다.
    - 합병증이 발생하면 비경구적으로 코르티코스테로이드를 투여하고 삽관을 실시한다.

    참고자료

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  • AI와 토픽 톺아보기

    • 1. ICP monitor
      An ICP (Intracranial Pressure) monitor is a critical medical device used to measure the pressure inside the skull, which is essential for managing patients with traumatic brain injuries, strokes, or other neurological conditions. This device allows healthcare providers to closely monitor changes in intracranial pressure and make timely interventions to prevent further brain damage. The accurate and continuous measurement of ICP is crucial for guiding treatment decisions, such as adjusting medication, performing surgical procedures, or implementing other therapies to reduce elevated intracranial pressure. The use of an ICP monitor is a standard of care in the management of patients with severe head injuries or neurological emergencies, as it provides valuable information to clinicians and helps improve patient outcomes.
    • 2. Intubation set
      An intubation set is a critical medical equipment used to facilitate the placement of an endotracheal tube into a patient's airway, allowing for mechanical ventilation and the delivery of oxygen. This set typically includes a laryngoscope, endotracheal tubes of various sizes, stylets, and other accessories necessary for the intubation procedure. Proper use of an intubation set requires specialized training and expertise, as improper intubation can lead to serious complications, such as airway trauma, hypoxia, or even cardiac arrest. The availability and readiness of an intubation set is essential in emergency situations, such as during cardiopulmonary resuscitation, when a patient's airway needs to be secured quickly to maintain adequate oxygenation and ventilation. The intubation set is a vital component of emergency and critical care medicine, enabling healthcare providers to effectively manage a patient's airway and support their respiratory function.
    • 3. Endotracheal tube
      An endotracheal tube is a critical medical device used to establish and maintain a patient's airway during various medical procedures, such as general anesthesia, mechanical ventilation, or emergency resuscitation. This tube is inserted through the mouth or nose and into the trachea, allowing for the delivery of oxygen, anesthetic gases, or other respiratory support. The proper selection, placement, and management of the endotracheal tube are crucial to ensure the patient's safety and prevent complications, such as airway obstruction, lung injury, or infection. Endotracheal tubes come in different sizes and materials to accommodate patients of various ages and anatomical characteristics. The use of this device requires specialized training and expertise, as improper intubation or tube management can lead to serious adverse events. The endotracheal tube is an essential component of modern critical care and anesthesia, enabling healthcare providers to effectively manage a patient's airway and support their respiratory function.
    • 4. Laryngoscope
      A laryngoscope is a critical medical device used to visualize the larynx and vocal cords during the intubation process, which involves the insertion of an endotracheal tube into a patient's airway. This instrument consists of a handle and a blade, which is inserted into the patient's mouth to lift the tongue and epiglottis, allowing the healthcare provider to clearly see the vocal cords and guide the endotracheal tube into the trachea. The proper use of a laryngoscope requires specialized training and expertise, as improper technique can lead to complications, such as airway trauma, bleeding, or even failed intubation. The availability and readiness of a well-functioning laryngoscope are essential in emergency situations, where rapid airway management is crucial to maintain adequate oxygenation and ventilation. The laryngoscope is a vital component of critical care and anesthesia, enabling healthcare providers to effectively secure a patient's airway and provide life-saving respiratory support.
    • 5. Defibrillator
      A defibrillator is a critical medical device used to deliver an electric shock to the heart in order to restore a normal heart rhythm in individuals experiencing sudden cardiac arrest. This device is essential in emergency situations where the heart has stopped pumping effectively, and immediate intervention is required to save the patient's life. Defibrillators can be manual, semi-automatic, or fully automatic, and they are designed to be used by both healthcare professionals and trained bystanders. The timely and appropriate use of a defibrillator can significantly improve the chances of survival for individuals experiencing sudden cardiac arrest, as it can terminate life-threatening arrhythmias and allow the heart to resume a normal, coordinated pumping action. The availability and accessibility of defibrillators in public places, such as airports, shopping malls, and sports venues, have been instrumental in increasing the chances of survival for individuals experiencing sudden cardiac events. The defibrillator is a critical component of emergency medical care, enabling healthcare providers and trained individuals to quickly intervene and potentially save lives.
    • 6. Suction
      Suction is a critical medical device used to remove fluids, secretions, or foreign objects from a patient's airway or other body cavities. This device is essential in various medical settings, such as emergency care, surgery, and intensive care units, where it is used to clear the airway, facilitate intubation, or remove excess fluid from the lungs or other body cavities. Proper suction technique and equipment are crucial to prevent complications, such as tissue damage, infection, or respiratory distress. Suction devices come in different sizes and configurations, ranging from portable handheld units to larger, wall-mounted systems, and they are designed to provide the appropriate level of suction power and control for the specific medical procedure. The availability and readiness of suction equipment are critical in emergency situations, where the prompt removal of airway obstructions or fluid accumulation can mean the difference between life and death. The suction device is a vital component of modern medical care, enabling healthcare providers to effectively manage a patient's airway and other bodily functions.
    • 7. Infusion pump
      An infusion pump is a critical medical device used to deliver fluids, medications, and other therapeutic substances to patients in a controlled and precise manner. These pumps are essential in various healthcare settings, including hospitals, clinics, and home care, where they are used to administer intravenous (IV) fluids, parenteral nutrition, chemotherapy, and other medications. Infusion pumps are designed to provide accurate and consistent delivery of these substances, ensuring that the patient receives the correct dose at the appropriate rate. This level of precision and control is crucial in preventing medication errors, reducing the risk of adverse events, and optimizing patient outcomes. Infusion pumps come in different sizes and configurations, ranging from small, portable units to larger, stationary models, and they are equipped with safety features, such as alarms and flow sensors, to monitor and detect any issues during the infusion process. The availability and proper use of infusion pumps are essential in modern healthcare, enabling healthcare providers to deliver essential therapies and support patient care effectively.
    • 8. Syringe pump
      A syringe pump is a critical medical device used to deliver precise and controlled amounts of fluids, medications, or other substances to patients through a syringe. These pumps are commonly used in various healthcare settings, including hospitals, intensive care units, and emergency departments, where they play a crucial role in the administration of intravenous (IV) therapies, pain management, and other medical interventions. Syringe pumps are designed to provide accurate and consistent delivery of the desired substance, ensuring that the patient receives the correct dose at the appropriate rate. This level of precision is essential in preventing medication errors, reducing the risk of adverse events, and optimizing patient outcomes. Syringe pumps come in different sizes and configurations, and they are equipped with safety features, such as alarms and flow sensors, to monitor and detect any issues during the infusion process. The availability and proper use of syringe pumps are critical in modern healthcare, enabling healthcare providers to deliver essential therapies and support patient care effectively.
    • 9. Chest drainage set
      A chest drainage set is a critical medical device used to remove air, blood, or other fluids from the pleural space around the lungs, which can accumulate due to various medical conditions, such as pneumothorax, hemothorax, or pleural effusion. This set typically includes a drainage tube, a collection container, and a one-way valve that allows the fluid or air to be drained while preventing backflow. The proper use of a chest drainage set is essential in the management of patients with thoracic injuries or respiratory complications, as it helps to restore normal lung function, prevent further lung collapse, and reduce the risk of complications. Chest drainage sets are commonly used in emergency departments, intensive care units, and surgical settings, where they play a crucial role in the stabilization and treatment of patients with chest-related medical issues. The availability and proper use of a chest drainage set are critical in ensuring the effective management of these conditions and improving patient outcomes.
    • 10. Oxygen therapy
      Oxygen therapy is a critical medical intervention used to provide supplemental oxygen to patients who are experiencing respiratory distress or have impaired oxygen levels in their blood. This therapy can be delivered through a variety of devices, such as nasal cannulas, face masks, or mechanical ventilators, depending on the patient's specific needs and the severity of their condition. Oxygen therapy is essential in the management of various medical conditions, including pneumonia, chronic obstructive pulmonary disease (COPD), heart failure, and acute respiratory distress syndrome (ARDS). Providing the appropriate amount of supplemental oxygen can help to improve oxygen saturation, reduce respiratory distress, and prevent further complications. The availability and proper use of oxygen therapy equipment, such as oxygen tanks, regulators, and delivery devices, are crucial in emergency situations and in the ongoing care of patients with respiratory or cardiovascular issues. Oxygen therapy is a fundamental component of modern medical care, enabling healthcare providers to effectively support and improve the respiratory function of their patients.
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