A+ 방실블록차단(Atrioventricular block) 간호과정

소개

순환계 중환자실 CCU에 있을 때 했던 성인케이스입니다 ^^
보시면 많은 도움 되실거에요.

목차

1. 인적사항
1) 개인력
2) 건강력

2. 간호과정 적용
1) 대상자의 간호진단 목록 작성
2) 간호과정 기록지

본문내용

심장초음파검사
(2015.8.6.)
＊s/p) Temporary pacemaker in sertion
1. severe MS r. & AS r, degenerate
2. normal LV systolic funtion (EF=56%) with severe LAE(44mm, LAVI=46m/m2)
3. severe resting pulmonary HTN with moderate TR → Aggravated resting pulmonary HTN (TR vmax=3.2 → 5.0m/sec), MR(grade2 & AR grade 1~2 → 2~3) c/w previous srudy (2013-12-17)

심전도검사
(2015.8.6.)
marked sinus bradycardia with AV dissociation and Junctional bradycardia with occasional premature ventricular complexes with ventricular escape
Left axis deviation
Incomplete right bundle branch block
T wave abnormality, consider anterior ischemia
Abnormal ECG
(2015.8.10.)
sinus rhythm with frequent, and consecutive premature ventricular complxes
left axis deviation
Incomplete right bundle branch block
ST & Marked T wave abnormality, consider anterolateral ischemia
prolonged QT
Abnormal ECG

일반촬영(Group Code)
(2015.8.10.)
[FINDING]
No active pulmonary parenchymal lesions in both lung
[CONCLUSION]
No active pulmonary parenchyma lesion
[RECOMMENDATION]
Clinical correlation

참고자료

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