소개글

vsim 2. Jackson Weber (Complex) 강직-간대성 발작 case A+ 에 대한 내용입니다.
가장 우선순위가 높은 진단으로 간호과정 작성했습니다.
간호진단 : 약물 복용 불이행과 관련된 돌봄제공자 역할 긴장

목차

1. case내용
2. 간호과정(사정,진단,목표,계획,중재11가지,이론적근거,평가)

본문내용

Jackson Weber (Complex)

Jackson Weber is a 5-year-old male with known generalized tonic-clonic seizures. He was admitted to the emergency department after experiencing four seizures at home during the last 12 hours.

His mother reports that his first three seizures lasted between 3 and 5 minutes, each resolving without intervention. His fourth seizure lasted approximately 7 minutes and resolved after she administered 4 mg of rectal diazepam (Diastat).

Jackson is resting comfortably; he is sleepy but arousable. He is on a cardiac apnea monitor and vital signs are stable. He currently has an intravenous infusion in his left arm with D5 NS + 20 mEq KCl/L infusing at 58 mL/hr. When he arrived in the emergency department, a loading dose of phenobarbital was given and a complete blood count with diff, chem 20, and a phenobarbital level were drawn and sent to lab stat.

참고 자료

아동청소년건강간호학.신광출판사,하영수

태그

#아동간호학#아동간호학실습#간호진단#간호과정#발작#간질#vsim