성인간호학 EICU(응급중환자실) Case Study - ICH(intracranial hemorrhage) [진단 2개]

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"성인간호학 Case Study - ICH(intracranial hemorrhage) [진단 2개]"에 대한 내용입니다.

목차

Ⅰ.서론
1)연구의 필요성 및 목적················································································1p
2)문헌고찰·········································································································1-4p

Ⅱ.본론
1)대상자 간호사정······································································································5-8p
2)진단검사···················································································································9-11p
3)X-ray 및 진단검사·································································································-12p
3)약물··························································································································12-13p
4)간호과정·················································································································14-17p

Ⅲ.결론
1)느낀점·························································································································18p

Ⅳ.참고문헌·························································································································17p

본문내용

1. 연구의 필요성 및 목적

뇌내출혈(ICH)는 전체 뇌졸중의 약 10-15%를 차지하고 있으며, 발병 후 30일 사망률이 50%에 이르는 치명적인 질환으로 알려져 있다. 우리나라 뇌혈관 질환 발생률은 중년 후반기부터 나이가 들어감에 따라 점차 증가하여 50대 이후 사망 원인의 1위를 차지한다. 우리나라에서 뿐만 아니라 전 세계적으로 허혈성 심장질환, 암 등과 함께 3대 주요 사망 원인 중의 하나이다. 연령적으로는 65세 이상 연령층의 발생이 많으나 요즈음엔 젊은 층의 인구에서 증가추세를 보이고 있다고 한다.
이와 같은 이유때문에 나는 이 질환에 대해 더 깊게 공부함으로서 대상자에 대해 더 이해를 도울 수 있고 대상자의 빠른 회복을 돕기 위해 사례 연구를 해 보려고 하며 또한 집중적인 치료를 받고 있는 대상자가 겪을 수 있는 간호문제 및 어려움을 파악하여 간호진단을 내리고 어떤 중재를 내릴 수 있는지 알아보고자 하였다. 또한 환자의 빠른 회복의 도모와 조기에 적절한 치료로 생명을 구하고, 적절한 추후관리를 통해 합병증을 최소화하고자 ICH를 주제로 선정하였다.

2. 문헌고찰 (ICH)

뇌내출혈

정의
⦁뇌에 둘러싼 3종류의 막(경막, 지주막, 연막) 사이사이에서 일어나는 출혈을 총칭하며 출혈의 해부학적 부위에 따라 뇌에 생긴 뇌내출혈, 뇌막을 기준으로 두개골과 뇌막 사이에 생긴 경막외 출혈, 뇌막 중에서 경막 아래에 생긴 경막하 출혈, 지주막하 공간에 생긴 지주막하 출혈, 뇌실에 생긴 뇌실내 출혈이 있음.
⦁뇌 안의 혈관이 터져 출혈이 일어나는 일. 뇌일혈이라고도 함.
⦁뇌내출혈이란 뇌실질내에 일어나는 출혈을 말하며 뇌출혈에는 뇌동맥류, 뇌동정맥기혈이나 혈관종, 뇌종양, 출혈성 소인, 두부외상 등의 출혈 원인이 확실한 것과, 고혈압을 기반으로 하는 고혈압성 내출혈(hypertensive ICH), 확실한 원인이나 기초 질환이 불분명한 특발성 뇌출혈(spontaneous ICH)등이 있음.

참고 자료

의약품사전
약학정보원
생명과학대사전, 초판 2008., 개정판 2014
A﹢ Nursing Manual, 우현지 외 10인(2013), 우리의학서적
For nurse REVIEW BOOK, 전국 간호대학교수 감수, 의학교육
김금자 외 5명 저간호진단과 중재가이드(NANDA), (현문사)
조경숙, 김희경 외 8명 성인간호학 하 (현문사)