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Alcohol withdrawal특징금주 후 수 시간 후 부터 초기증상, 1~2일(24~48시간 후)에 peakBenzodiazepine : immediate onsetlorazepam(Ativan), diazepam(Valium)Administer vitamin B₁ (Thiamine)Wernicke’s encephalopathy.ComplicationsVitamin B deficiency → peripheral neuropathies, Wernike’s encephalopathy(Confusion, ataxia, abnormal eye movements, altered mental state)Thiamine deficiency → Korsakoff’s syndrome(X reversible, conf..

Hallucinations 중재Hallucination에 대해 직접적으로 질문✨Do not react to the hallucination → Hallucination이 실제인것 처럼 반응하지 않기Decrease stimuli → 조용한 장소 제공(소리, 과다한 빛, 많은 사람 등 자극은 환자를 더 불안하고 과하게 반응하게 함)Do not negate, deny, dispute or argue the client’s experience✨reality-based topics로 화제 전환concrete activity 로 환자의 관심 유도환자의 말 중에서 실존하는 것(anything real)에만 반응Anxiety와 agitation 관찰 → 증가시 hallucinnation 증상도 악화됨Delusions ..

자살에 대한 암시증상Poor appetite, hopelessness, difficulty in concentrating, loss of interest in activities 등의 증상 악화Make a Will → 유언 확인 혹은 변경, 법적 효력OPossessions Give away 소지품 처분Social engaements canceling 사회 활동 취소Suicide attempt or planning statement 자살을 암시하는 진술 → 가장 명확한 단서Sudden calmness or improvement 우울증 환자에서 갑작스러운 침착함이나 증상의 완화독극물, 총기, 무기 등 요구학교나 직장에서 갑작스러운 기능 악화✨중재Check that visitors(check harmful o..

SSRI(selective serotonin reuptake inhibiytors)작용Inhibit serotonin reuptake(몸에 세로토닌 증가)주의(나타날수 있는 부작용)Dry mouth → most commonBP changeSleep pattern changeNervousnessTremorsMonitor WBC count, liver and renal function.부작용Toxicityabd pain, diarrhea, sweating, fever, tarchycardia, HTN, delirium, muscle spasmSerotonin syndromehyperactivity, restlessness, tachycardia, fever, elevated BP, seizures, musc..

Generalized Anxiety Disorder정의Unrealistic anxiety about everyday worries → mild anxiety(정상)Panic attack → 공황발작(가장 높은 불안반응)PTSDOCD(obsessive-compulsive)Phobia특징Restlessness, muscle tension, dizziness, sleep problems, fatigue, inability to concentrateDepressive Disorder정의Depressed mood or loss of pleasure at least 2wks.Impaired social, occupational, and/or educational functioning특징Irritability or ..

Anatomy and Physiology : Functions or the Integumentary SystemFunctions or the Integumentary SystemProtect tissuesBarrier against bacteria, viruses 1차 방어선Sensory percpetion 감각 수용체Body tempoerature regulationSecretion salts, water, and organic wasteSynthesis(합성) of Vit D ​BurnDescriptionskin damage that results from heat, overexposure to the sun, chemical or electricl contactStagesFirst Degree Bu..

✔ Fetal circulatory systemFrom placenta to Umbilical vein(O2 rich blood)ductus venosus (정맥관) → bypass the liver → right side of heartThe foramen ovale : allows to go from right to left atrium(우심방->좌심장)Then to the left ventricle and out the aorta . As a result the blood with the most O2 gets to the brain.[ key point : 폐가 아닌 태반!! ]아기 필수 순환구조 : foramen ovale / ductus arteriosusFetal HR : 110-160bpm..