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Grodon

kristine
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Grodon

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    1. Grodon????????????

    2. Grodon????????????

    3. Gordon????????? 1.???????????: ???????????????????? 2.????: ????????? 3.???????: ????????????????????????????

    4. Gordon?????????<?> 4.???????: ???????????????? 5.???????: ????????????? 6.???????: ??????????????

    5. Gordon?????????<?> 7.????????????: ??????????????? 8.??????????: ??????????????????? 9.??????: ???????????????

    6. Gordon?????????<?> 10. ??????????: ??????????????(? ???????,???????, ????????)? 11.???????: ?????????(????)? ?????????????

    7. Gordon??????????? 1.???????????: Health-perception- Health- management pattern 2.????:Elimination pattern 3.???????:Nutritional-metabolic pattern 4.???????:Activity-exercise pattern 5.???????:Sleep-rest pattern 6.???????:Cognitive-perception pattern

    8. Gordon???????????<?> 7.????????????: Self-perception-self-concept pattern 8.??????????: Role-relationship pattern 9.??????: Sexuality-reproductive pattern 10.??????????: Coping-stress-tolerance pattern 11.???????:Value-belief pattern

    9. Gordon??????????????? ????????? ????: (1)????????????????? (2)??????????????? (3)?????????????????? (4)????????????????? (5)??????????????????

    10. Gordon??????????????? ?????????<?> ????<?>: (6)????????????? (7)???????????? (8)??????????? (9)?????????????????????? ?????

    11. Gordon??????????????? ??: (1)????????????????????????????????? (2)????????????????? ????:?????

    12. Gordon??????????????? 2.??— ????: (?)urine:??,?,??,???????,?? ?,??????,????,???? ??,on Foley,?????????, ???? (?)stool:??,??,?,??????(???????)???????,??????,????

    13. Gordon??????????????? 3.???????— kcal???????:?????????? (???????????) *??????:20-30yrs:?:62+(BH-170)×0.6 ?:52+(BH-158)×0.5 35-54yrs:?:62+(BH-166)×0.6 ?:52+(BH-154)×0.5 55yrs??:?:62+(BH-164)×0.6 ?:52+(BH-152)×0.5 *???????=(????/????) ×100% *????90%~110%

    14. Gordon??????????????? ???? ???? ?? ???? ?? 20 20-25 30 ? 20-25 30 35 ? 30 35 40 ?? 35 40 45 ??kcal??:???? ×????????? (2)????????? (3)???????????,???????

    15. Gordon??????????????? ?????????: (1)I/O????,???????? (2)??edema????? (3)??loss????? (4)??,?????? (5)????:??????,??? (6)??????,??,??,????,??? (7)???Deta

    16. ??????—? Na+??— ????????????????????????? ????????????????? Na+??— ???????????????????????????????? K +??— ??????????????????????????????????????????????EKG(T????U????ST???? K+??— ?????,??????EKG??(T????P????ST????

    17. ??????—? Ca++??— ??????????????????????????????????????? Ca++??— ??????????????????????????????????(??????????????????)

    18. Gordon??????????????? 4.?????— ????: <?>?????: (1)??????? (??????????????) (2)??? (?????????????????? ??ADL???)

    19. ADL—Activity of daily living (??????) O:????????????? ?:????????? ?:?????????? ?:?????????,???????? ?:??????,??????,???? ???

    20. Gordon??????????????? (3)????????????? ????: ????????????????????????????????????????????????????????????????????????(Blood gas)?x-ray?? ????: ????????????????????? ??????????????????????? ??????????????????????? ????????Hb?RBC?HCT?EKG??

    21. Gordon??????????????? (4)????????????(??????? ??P?R?????)? (5)????????????? <?>????????????: (1)???????????????????? (2)??????????????????? ????????? (3)??????????????????????

    22. ??????(Manual Muscle Test> O:???,???????? ?:Trace??,???????,??????? ?:Poor??,????? ,????????? ?:Fair??,??????,????? ? ?:Good?,???????? ?:Nomal??,???????

    23. Gordon??????????????? 5.?????— ????: (1)????:?????????(????? ??????????????? ???????????????????????)???????? (2)????:???????????????? ?????????

    24. Gordon??????????????? 6.????— ??(??)??????: (1)??:??????????,???? (2)??:???????????????? ???? (3)??:???????(??????) ???? ????? (4)??:?????????? (5)??:?????????????? ? ????(?????):??????????????????????????????

    25. Gordon??????????????? ????????: (1) ??????????????????? ?????? (2)????? (3)????:?????????????? ????? (4)????:?????????????? ???

    26. Gordon??????????????? (5)??????: 1.???:??? 2.???:??? 3.????:???????,?????????? 4.????:????? 5.????:??????????,?????? 6.????:????? 7.????:????????????????(????2/3)??????

    27. Gordon??????????????? (5)??????: 8.???:?????? 9.????:??(????1/3)???????,????????????????????BP?R? 10.????:?????????????????,??? ???????? 11.????:???????,???????,????? ??? 12.????:??????

    28. Gordon??????????????? 7.?????????— ????:(????) (1)????: ????: ????????????—????????? ???????????????? ????: ????????????—??????????????????????? ?

    29. Gordon??????????????? (2)????: ????: ????,???????????????? ?????????(?????????,? ??? ???????)? ????: ?????????????,??????? ?????????????(??????? ?????????)?

    30. Gordon??????????????? (2)????: ??,??,????: ?????????????????????,???????????,??????????(???????????????????………?)?

    31. Gordon??????????????? ????:(????) (1)???: (2)???: (3)???:

    32. Gordon??????????????? 8.????-- ?????????: (1)???????: *????:??????????? *????:???????? *????:???

    34. Gordon??????????????? (2)???????,?????????????? (3)??????????????????????? (4)??????: *??? *??? *???

    35. Gordon??????????????? ?????????: (1)????: ????: (2)????????????????? (3)??????ADL?????? (?????????)

    36. Gordon??????????????? 9.????— ????: (1)??????:??????????????(???????????) ? (2)??????:???????????,?????????,??????????

    37. Gordon??????????????? 10.????????— ????: -???????????:?????????????? -??????????????????????? -???????????????????????? ????????????

    38. Gordon??????????????? ????????????? --??????????? --???????:??????????????????????????????????????? --???????:?????????????????????

    39. Gordon??????????????? 11.?????— ????????????? ???????????????????? ??????????????? ??????????? ??????? ? ???????????????

    40. ??????? ????????? ??????(???) (Health-perception-Health-management pattern) ???????? ?????????? ?????????????(???) ?????? ??????

    41. ??????? ???????(Nutritional-metabolic pattern) : ???????????;??????????? ??????????????? ??????????;??????;??????? ????????;??????;????;???? ??????? ???? ?????? ??????? ?????????? ??????? ???????; ??????? ?????? ???????

    42. ??????? ???? (Elimination Pattern) ?? ???? ?? ?????? ?????? ??????

    43. ??????? ??????? (Activity Exercise Pattern) ????? ?? ???????? ?????????? ????????:?????

    44. ??????? ???????(Sleep-Rest Pattern) ??????

    45. ??????? ???????(Cognitive?Perceptual Pattern ) ?? ???????(???):?????????? ???????? ?? ?????? ?????? ???? ????????? ????????

    46. ??????? ????????? (Self-Perception?Self-Concept Pattern) ??? ???:??? ?????? ????????? ??????? ?????????

    47. ??????? ?????????<?> (Self-Perception?Self-Concept Pattern) ?? ??? ?? ???? ???

    48. ??????? ???????(Role?Relationship Pattern) ????? ???? ??????? ?????? ??????

    49. ??????? ???????<?>(Role?Relationship Pattern) ?????? ????????(??) ??????

    50. ??????? ???????(Role?Relationship Pattern) ????? ???? ??????? ?????? ??????

    51. ??????? ???????<?>(Role?Relationship Pattern) ?????? ????????(??) ??????

    52. ??????? ???????(Role?Relationship Pattern) ??????????? ???????— ??/???????? ??????? ???????????? ???????????????:? ?????

    53. ??????? ??????(Sexuality?Reproductive Pattern) ????? ??????? ??????? ???????:????? ???????:?????

    54. ??????? ??????<?>(Sexuality?Reproductive Pattern) ??????? ???? ??????:?????

    55. ??????? ???????(Value?Belief Pattern) ???? ????:?????

    56. ??????? ?????????(Coping-Stress-Tolerance Pattern): ???????? ?????? ????? ????????:??? ????????:??? ????????? ??????:?????

    57.

    58. ??? ???,72?,???,????,?????,?????,????????????????????,???????????38.6?,???????????????,???????????:many????:21~30/mm?????:3+???????????,??????10?5???39?,????????,?????10?6???????30~35?/?,SpO2 91%,??109?/?,????,???????,?????,??:120/42mmHg,??????,??????,?????????,???????????????????????FiO2:45%?ACMV??Rate10?/??????28~32?/??????650cc/?,?????????,???,?????????,??X-???????????

    59. (?)??????????? 10/6????:??????????,????????? 10/9????:???????????,?????,????????,?????? 10/9???:????????????????? 10/10???:?????????????,???????????? 10/6????????,????????????????Valium 5mg?????,?????????? 10/6????????,??????????????? 10/7-10/8??????????,?????????

    60. (?)??????????? ??:?????????????,????????,??????????,????????,???????,??????????????,??????????????????????,?????,??????????????

    61. (?)????? ??: 10/3???????,???????? ???? WBC:many?RBC:21~30?OB:3+,????????? 10/6??????????? 10/6~10/20 1000~1900cc/day,??????? 10/7??:?????????,?????????,????????????????? ??:??????????????????,??????????????

    62. (?)????? ??: 10/6???????? 10/7~10/10??????????????,?????5?/?,??????????? 10/8??:????????????????????????? 10/11??? 20ml 2#?????150gm??????? ??:???????????,??????????,???????,??????????

    63. (?) ??????? 10/5:Hb 15.1 gm/dl? 10/6:?????2000?/?,?????????10CC???????? ???????,???? 10/7:??????????,?????,?????????? 10/8??:?????,???????????????????165??? 10/10:???62.8???

    64. (?) ???????<?> 10/13:?????,??? 10/14:Albumin:3.1gm%?Na124.2meq/L? 10/15:???????/?(???5.4?/?)? 10/7~10/20: I/O Postive620~1420cc/Day? 10/18: Na 131.9meq/L? ??:????:62+(165-164)×0.6=62.6kg????(+0.3%)??????,??Albumin??????,????????????(5?/?)???,???????????,????????

    65. (?)??????? 10/6 :?????????30~35?/?,???,SPO2 90~91%,????,?????????,??????????????????,?????????? ????????????????????????????? ?????????????? PH:7.492?PaCO2:30.2?PaO2:67.1?SaO2:94.9%? ??????????????PaO2???118.8???????ACMV ????10?/????? 25-30?/??HR:83-118?/??

    66. (?)???????<?> 10/5 :???????:No growth? 10/6~10/22:???????????? 10/6-10/20 :??:35.9-38.7???? 10/6?10/17:??????????,?????? 10/7:??X-???????? ??:???????????????????????????

    67. (?)??????? 10/7:??????8???????????????????,??????????????? ???ICU??????,????????????????? 10/10:????:??2?,??4?,??3??????????,?????10%??? 10/12:??????????????????? 10/15:?????????????? ??:???????????,?????????,???????????

    68. (?)??????? 10/6:????????????????,?????? 10/8:????,???,??????????,????? 10/9:????:???87?5???,?????????????????????????8????????????????????????????,??????????????????????,???????ICU?????????,??????????? ??:??????,??????????,????????????????????????????,???????????

    69. (?) ??????????? 10/6:????????????,????????,?????????????????27-33?/??Bp:151/78mmhg,???98-108?/?????, ???????????????,??????,???????????????????,?????????????????????? ????????????????:????????? ???????????,?????? 10/17???:?????????????30???????:??????????,?!?????????

    70. (?) ???????????<?> 10/18:???:???????,??????,??????????? 10/19:???:???????,?????????????????,????????????? ??:??????????????????????????,??????????,????????????,???????????

    71. (?)???????? 10/6-10/8:?????????? 10/8:?????????? 10/9:????GCS11?(E4VTM6)????3.0???????????,????????,?????,?????????,??????,??????????,?????????? 10/10:???????????????? ??:????????????????,????????????????????????????????

    72. (?)????? 10/6-10/14:???????????,??????????,???????????????????:???72??????;???????????????????:?????? 10/23:???????:??????,????,???? 10/24:???:???????,?????,?????,???????????????,????????????,?????????????????????????????????????,???????????????????????,???????????,???????,?????????????????????????????

    73. (?)?????? ????????30??,??????????????,?????,????????????????????????????,???????????????

    74. (?)????????? 10/8-10/14:?????????,???????,??????,????,?????????????,????????,??????????,????????;???????????????????;???????? 10/9:??????:??????????????,???????,??????????,????????????????? ????????????????????

    75. (??)??????? ????????????????????????,???????,?????????

    76. ???? ?????????????????????: 1.??/????????????????????(10/6?) 2.?????????/?????????????? ???(10/7?) 3.??????/????????????(10/7?) 4.??????/????????????????? ?????(10/9?) 5.??/????,????????(10/10?) 6.?????/??????????????????? ?????(10/10?)

    77. ??? ???,50?,???????,????,?????????,??,??????,????????????,???????,??????? ?????????,???????????????,???????????,????????????????,??????????????,????????????????????,??????????????????,?????????,???????

    78. ???<?> ???6?11?????????????????????????,????????????,???????,?????????????2?3???,??????????????????,???????????????????;??????????????????????????,????????

    79. (?)Gorden???????????? 1.???????????? ???:??????????,??????????????????????,??????,???????????? ???:???6/11???????????,?????????,??????????,???????????????,?????????????,???????????????,???????

    80. (?)Gorden???????????? 2.???????? ???:????????????,???????,???????????,????????????,??????2500?,??180???74??,????:62+(180-170)×0.6=68?????????? ???:??????????????,????????,??????????????,????????????900kal\day,4\20??????????,???????,??????????1\3,????????6\24??????,?????,?????1000gm-1500gm,??????72??,?????25??????????,???????????????,????????????

    81. (?)Gorden???????????? 3.???? ???:??????????????????,????????,???????????? ???:????????????,?????,????????????,????????????3000-4000?,????????????1-3?H2O,?????1500-2000????????????,??????????,????????????,???????????????????????????????,???????????????

    82. (?)Gorden???????????? 4.???????? ???:????????????????,??????????????????,???????????? ???:???????????,??????????,???????,??????????????????,???????????????????,????????????

    83. (?)Gorden???????????? 5.??????? ???:??????,????????????????????? ???:???????,???????????,?????????????,?????????????????,????????,??????,??????????????????,???????:??????????????????????????????????????,??????????

    84. (?)Gorden???????????? 6.??????? ???:??????????????,???????????????,?????????,????????????,????????? ???:??????????,????????,??????,????????????,????:???????????????,????????????5-6??,??????????,????1-2???

    85. (?)Gorden???????????? 7.???????????? ???:???????????????????????????????,?????????? ???:??????????,?????????????????,??????????????????,????????????,????????,??????????????,??????????

    86. (?)Gorden???????????? 8.???????? ???:?????????????????????,??????????????????? ???:????????????????,???????????????,?????????????????????,???????,??????????????

    87. (?)Gorden???????????? 9.??????? ???:???????,????????????????,????????,?????????,?????????????????? ???:??????????????,??????????????,?????????????

    88. (?)Gorden???????????? 10.????????? ???:????????,??????,???????????,??????,?????? ???:?????????????????,??????????????,????:?????,???????,???????????,??????????? ????????????????????,???????,????????

    89. (?)Gorden???????????? 11.???????? ???:????????,??????,???????,???????,??????????????????????? ???:????????????,??????????????,??????????????????,?????????????

    90. (?)Gorden???????????? ?????? 1.?????????(6/11??) 2.??(6/11??) 3.??(6/12??) 4.?????(6/12??) 5.??????(6/12??)

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