Pacific 성인간호학 Volume 1

제1부 성인간호의 이해
제1장 성인간호학과 간호역량 _3
1. 성인간호학····························································4
2. 간호역량································································5
1) 대상자 중심간호 제공 / 6
2) 의사소통과 협력 / 6
3) 비판적 사고와 문제해결 / 6
4) 자기주도적 학습 / 7
5) 연구능력과 근거중심 실무 / 7
6) 건강교육 / 7
7) 안전과 질 향상 / 8
8) 정보처리기술의 활용 / 8
3. 건강사정································································8
1) 인간에 대한 이해 / 9
2) 간호과정과 임상판단 / 10
3) 임상판단과 비판적 사고 / 10
4. 임상판단······························································11
제2장 성인의 이해 _15
1. 성장과 발달························································16
2. 성인기의 특성····················································17
1) 성인초기 / 18
2) 성인중기 / 20
3) 성인후기 / 22
제3장 간호과정 _25
1. 간호과정······························································26
1) 간호과정의 정의 / 26
2) 간호과정의 이론적 배경 / 26
3) 간호과정의 필요성 / 26
4) 간호과정의 특성 / 27
5) 간호과정의 장점 / 27
6) 간호과정의 순서 / 27
2. 간호사정······························································27
1) 간호사정의 정의 / 27
2) 간호사정의 목적 / 27
3) 간호사정의 우선순위 / 28
4) 자료의 종류 / 28
5) 자료수집 방법 / 28
3. 간호진단······························································29
1) 간호진단의 정의 / 29
2) 간호진단의 개념 / 29
3) 간호진단의 중요성 / 29
4) NANDA 간호진단의 구성요소 / 30
5) 간호진단의 유형 / 30
6) NANDA 간호진단 분류체계 / 30
7) 간호진단 과정 / 37
4. 간호계획 ····························································37
1) 간호계획의 정의 / 37
2) 간호계획의 목적 / 37
3) 간호계획 과정 / 38
4) 간호결과 분류체계 / 38
5) 목표 진술 시 고려사항 / 41
6) 간호중재분류 / 42
5. 간호수행······························································66
1) 간호수행의 정의 / 66
2) 간호수행의 특성 / 66
3) 간호수행의 유형 / 66
4) 간호수행 과정 / 66
5) 간호수행 기록 / 67
6. 간호평가······························································67
1) 간호평가의 정의 / 67
2) 간호평가의 목적 / 67
3) 간호평가의 종류 / 67
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제4장 노인간호 _69
1. 기능적 건강양상과 포괄적 노인평가···············70
2. 영양과 노화························································70
1) 체구성의 변화 / 71
2) 구강과 위장관 변화 / 72
3) 감각 변화 / 72
3. 약물과 노인························································72
1) 약동학적 변화 / 72
2) 투약 간호 / 74
4. 노화와 수면························································75
1) 수면장애와 건강문제 / 76
2) 수면 위생 / 77
5. 노인의 의사소통·················································77
6. 낙 상···································································77
1) 낙상의 원인 / 78
2) 낙상 예방 간호 / 78
7. 노인학대······························································78
1) 노인학대의 정의 / 78
2) 노인학대 현황 / 79
3) 노인학대 예방을 위한 노력 / 79
8. 임종간호······························································79
1) 죽음의 의미 / 79
2) 임종 과정의 단계 / 81
3) 임종 환자의 이해 / 83
4) 임종 관련 윤리적 쟁점 / 83
5) 임종 환자의 간호 / 85
6) 사별 간호 / 88

제2부 면역/신체손상
제5장 체액과 항상성 _95
1. 항상성·································································96
2. 체액의 구성························································96
3. 체액의 이동························································97
1) 막운반계 / 99
2) 소포운반 / 101
3) 모세혈관의 체액조절 / 102
4. 체액조절의 정상기전·······································103
1) 수분의 섭취와 배설 / 104
2) 폐 / 104
3) 신장 / 104
4) 심장 / 105
제6장 체액의 불균형 _107
1. 체액량의 불균형··············································108
1) 세포외액량 결핍 / 108
2) 세포외액량 과다 / 110
3) 세포내액량 결핍 / 113
4) 세포내액량 과다 / 113
2. 전해질 불균형··················································113
1) 나트륨 불균형 / 113
2) 칼륨 불균형 / 117
3) 칼슘과 인의 불균형 / 122
4) 마그네슘 불균형 / 127
3. 산 . 염기 불균형···············································130
1) 산과 염기의 조절과 완충계 / 130
2) 산. 염기불균형 / 132
3) 혈액가스분석 / 136
사례 .체액과다 대상자 간호 / 138
제7장 화상 대상자 간호 _143
1. 화상의 분류······················································144
1) 화상의 원인 / 144
2) 화상의 범위 / 145
3) 화상의 깊이 / 146
4) 중증 화상 / 147
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2. 화상의 병태생리··············································148
1) 응급기 / 148
2) 급성기 / 149
3. 화상의 관리······················································151
1) 병원 이송 전 응급처치 / 151
2) 응급기관 리 / 152
3) 급성기관 리 / 156
4) 재활기관 리 / 161
사례 .화상(응급기) 대상자 간호 / 164
제8장 면역의 이해 _167
1. 면역계·······························································168
1) 비특이성 면역 / 168
2) 특이성 면역 / 171
2. 면역의 종류······················································176
1) 유전면역 / 176
2) 획득면역 / 176
3. 염 증·································································178
1) 급성 염증 / 178
2) 만성 염증 / 180
3) 화학적 매개물질 / 180
4) 형태학적 양상 / 181
5) 염증의 회복 / 182
6) 창상의 치유 / 183
7) 치료 / 185
8) 간호 / 185
4. 면역반응의 이상··············································186
1) 과민반응 / 186
2) 자가면역질환 / 192
3) 면역결핍 / 194
제9장 면역장애 _197
1. 전신성 홍반성 루푸스·····································198
1) 원인 / 198
2) 임상증상 / 198
3) 진단 / 199
4) 치료 / 200
5) 간호 / 201
6) 합병증 / 201
2. 전신성 경화증··················································201
1) 원인 / 202
2) 임상증상 / 202
3) 진단 / 202
4) 치료 / 202
5) 간호 / 202
6) 합병증 / 202
3. 후천성 면역결핍증···········································202
1) 원인 / 203
2) 전파 경로 / 203
3) 병태생리 / 204
4) 임상증상 / 205
5) 진단 / 209
6) 치료 / 211
7) 간호 / 213
4. 장기이식···························································214
1) 조직 적합성 / 216
2) 이식거부반응 / 217
3) 이식편대숙주질환 / 218
4) 면역억제제 / 219
사례 .아나필락시스 반응 대상자 간호 / 221
제10장 감염간호 _225
1. 감염병·······························································226
1) 감염원과 전파경로 / 227
2) 감염병 / 228
2. 병원감염···························································235
1) 주요 병원감염 / 235
2) 병원감염 발행현황 / 236
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3) 병원감염 관리 / 236
사례 .감염대상자 간호 / 241
제11장 피부장애 대상자 간호 _243`
1. 구조와 기능······················································244
1) 피부의 기능 / 244
2) 피부의 구조 / 245
2. 건강사정···························································250
1) 건강력 / 250
2) 신체검진 / 251
3) 진단검사 / 255
3. 건조증과 소양증··············································256
1) 건조증 / 256
2) 소양증 / 257
4. 감염성 피부질환··············································258
1) 세균 감염 / 258
2) 바이러스 감염 / 262
3) 진균 감염 / 265
4) 기생충 감염 / 268
5. 면역장애···························································270
1) 아토피 / 270
2) 건선 / 272
3) 천포창 / 274
6. 접촉성 피부염··················································277
1) 임상증상 / 277
2) 치료 / 277
3) 간호 / 277
7. 여드름·······························································277
1) 원인 / 278
2) 임상증상 / 278
3) 진단 / 278
4) 치료 / 278
5) 간호 / 280
8. 욕 창·································································280
1) 원인 / 280
2) 욕창의 단계 / 280
3) 욕창 발생의 위험과 영향 / 281
4) 욕창 평가 척도 / 282
5) 치료 / 282
6) 간호 / 284
9. 피부암·······························································285
사례 .아토피 대상자 간호 / 288
제12장 수술간호 _291
1. 수술실의 운영··················································292
1) 출입제한 / 292
2) 수술의 종류 / 293
3) 수술실 간호인력 / 294
4) 수술에 관한 용어 / 298
2. 수술 주기·························································298
3. 수술 전 간호····················································298
1) 건강사정 / 298
2) 수술을 위한 법적 준비 / 302
3) 수술 전 교육 / 303
4) 금식과 장 준비 / 305
5) 피부준비 / 305
6) 수술 직전 준비 / 305
7) 통원 수술의 준비 / 308
4. 수술 중 간호····················································309
1) 수술실로 이송 / 309
2) 수술팀 / 309
3) 수술 준비 / 310
4) 수술 환자의 자세 / 311
5) 마취 / 311
6) 수술 중 합병증 / 317
5. 수술 후 간호····················································319
1) 환자 이송 / 319
2) 마취회복실 간호 / 319
3) 마취회복실 퇴실 / 321
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6. 수술 후 병동간호············································321
1) 호흡기계 / 323
2) 심혈관계 / 323
3) 신장과 요로계 / 324
4) 소화기계 / 324
5) 수술 상처 / 325
6) 통증과 불편감 완화 / 326
7) 심리. 사회적 간호 / 326
8) 퇴원 간호 / 327
사례 .위부분절제술 대상자 간호 / 328
제13장 응급간호 _331
1. 역사적 개관······················································332
1) 응급간호 / 332
2) 중환자간호 / 333
2. 환 경·································································333
3. 역할과 기능······················································333
1) 간호제공자 / 333
2) 교육자 / 334
3) 관리자 / 334
4) 옹호자 / 334
4. 법적 . 윤리적 문제············································334
5. 환자 관리의 핵심 개념···································334
1) 생리적 관리 / 334
2) 심리. 사회적 관리 / 337
3) 간호관리 / 338
6. 응급의료체계····················································338
1) 시작과 발전 / 339
2) 운영 및 구성요소 / 339
3) 응급환자의 사정 / 342
7. 심폐소생술························································346
1) 생존율을 높이기위한 주요 요소:생존사슬 / 347
2) 기본 심폐소생술 / 348
3) 자동제세동기 / 352
4) 전문심장소생술 / 352
8. 중증외상···························································356
1) 중증외상 환자의 초기평가와 응급처치 / 358
2) 창상 / 358
3) 다발성 손상 / 360
9. 약물 남용 및 중독··········································361
1) 초기응급 처치 / 361
2) 병력 확인 / 361
3) 중독물질 제거 / 361
10. 자상과 교상···················································364
1) 벌 자상 / 364
2) 동물에 의한 교상 / 365
11. 열손상과 냉손상············································367
1) 열피로 / 367
2) 열사병 / 368
3) 열경련 / 369
4) 열실신 / 369
5) 저체온증 / 369
6) 동상 / 370
사례 .동상 대상자 간호 / 372

제3부 안위변화
제14장 암 _379
1. 암의 특징·························································380
1) 양성 종양 / 381
2) 악성 종양 / 381
2. 암의 발생·························································382
1) 발단기 / 382
2) 촉진기 / 383
3) 진행기 / 383
3. 전이 방법·························································384
1) 직접 파종성 / 384
2) 림프성 / 384
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3) 혈행성 / 384
4) 의원성 / 384
4. 암의 분류·························································384
1) 종양의 분류 및 명명 / 384
2) 암의 등급과 단계 / 386
5. 암에 대한 면역계의 역할·······························387
6. 증상과 징후······················································388
1) 종양의 압박 징후와 척수압박 / 388
2) 인접조직의 괴사와 종양용해 증후군 / 388
3) 폐색과 상대정맥 증후군 / 388
4) 감염과 패혈증 / 389
5) 빈혈과 파종성 혈관내 응고증 / 389
6) 악액질 / 389
7) 부종양 증후군 / 389
8) 통증 / 390
7. 진 단·································································390
1) 조직검사 / 390
2) 종양표지 인자 / 391
3) 영상 진단검사 / 392
4) 핵의학 검사 / 392
5) 간호 / 393
8. 치 료·································································393
1) 예방 및 조기 발견 / 393
2) 수술요법 / 395
3) 항암화학요법 / 396
4) 방사선요법 / 402
5) 생물학적 요법 / 403
6) 유전자 치료 / 405
7) 조혈모세포 이식 / 405
9. 간 호·································································406
1) 항암화학요법 간호 / 406
2) 방사선요법 간호 / 408
사례 .유방암 대상자 간호 / 412
제15장 통 증 _415
1. 통증에 대한 이해············································416
1) 통증의 정의 / 416
2) 통증 이론 / 416
3) 통증기전 / 419
4) 통증의 종류 / 421
5) 통증반응에 영향을 주는 요인 / 422
2. 통증사정···························································423
1) 통증사정의 내용 / 423
2) 통증의 평가 도구 / 424
3) 신체검진 / 427
3. 통증관리···························································427
1) 약물요법 / 428
2) 비약물요법 / 435
3) 통증의 침습적 관리 / 436
사례 .교통사고 대상자 간호 / 438
제16장 쇼 크 _441
1. 쇼크의 분류······················································442
1) 저혈량성 쇼크 / 442
2) 심인성 쇼크 / 443
3) 혈류분포성 쇼크 / 443
2. 쇼크의 단계······················································445
1) 보상단계 / 445
2) 진행단계 / 446
3) 비가역적 단계 / 447
3. 쇼크의 생리적 영향·········································447
1) 세포의 변화 / 447
2) 호흡기계 변화 / 447
3) 심혈관계 변화 / 447
4) 신경 및 내분비계 변화 / 447
5) 대사기능 변화 / 448
xii
6) 면역기능의 변화 / 448
7) 소화기계 변화 / 448
8) 신장과 요로계 변화 / 448
4. 진 단·································································448
5. 쇼크 관리·························································449
1) 산소화 증진 / 449
2) 적절한 관류유지와 회복 / 449
3) 약물요법 / 451
4) 식이요법 / 451
5) 정서적 지지와 안위 제공 / 451
6) 쇼크의 분류에 따른 관리 / 452
6. 전신 염증반응 증후군과
다발성 장기부전 증후군·································454
1) 임상증상 / 455
2) 치료 / 455
3) 간호 / 455
사례 .쇼크 대상자 간호 / 457
제17장 재활간호 _461
1. 재활의 의미······················································462
1) 철학적 배경 / 462
2) 어원 및 정의 / 463
3) 장애의 의미 / 463
2. 재활의 목표······················································463
3. 재활팀 및 재활기관·········································464
1) 재활팀 / 464
2) 재활기관 / 465
4. 재활과정···························································465
1) 평가 단계 / 465
2) 동기조성 단계 / 466
3) 재활중재 단계 / 466
4) 퇴원계획 단계 / 467
5) 추후관리 단계 / 467
5. 물리치료···························································467
1) 온열요법 / 467
2) 냉요법 / 467
3) 전기치료 / 468
4) 마사지 / 468
6. 재활간호···························································468
사례 .운동장애 대상자 간호 / 481
제18장 호스피스 _483
1. 호스피스 간호··················································484
1) 호스피스의 정의 / 484
2) 호스피스의 역사 / 484
3) 호스피스의 철학 / 485
4) 호스피스 프로그램의 원칙과 표준 / 485
5) 호스피스의 유형 / 485
6) 호스피스 대상자 선정 / 486
7) 호스피스와 전통적 치료 / 486
8) 호스피스 팀 / 486
9) 우리나라의 호스피스 역사 / 486
2. 인간의 죽음과 생명윤리·································487
1) 임종과 죽음 / 487
2) 임종간호의 윤리적 쟁점 / 488
3. 호스피스 대상자 관리·····································492
1) 신체적 증상관리 / 493
2) 호스피스 대상자의 심리적 문제 관리 / 495
3) 임종간호 / 497
4. 사별가족 관리··················································498
사례 .호스피스 대상자 간호 / 501

제4부 소화기계
제19장 소화기계 사정 _509
1. 구조와 기능······················································510
1) 소화관 / 510
xiii
2) 간, 담도계, 췌장 / 520
2. 건강사정···························································525
1) 건강력 / 525
2) 신체검진 / 529
3) 진단검사 / 533
제20장 주요 간호중재 _543
1. 경관영양···························································544
1) 비위관과 비장관 / 544
2) 위루관 / 548
2. 총비경구영양····················································550
1) 영양액 / 550
2) 투여방법 / 551
3) 비경구영양의 중단 / 551
4) 간호 / 552
3. 장 루·································································553
1) 장루의 분류 / 553
2) 장루의 세척과 관리 / 554
3) 간호 / 555
4. 연하곤란···························································556
1) 병태생리 / 556
2) 치료 / 557
3) 간호 / 557
5. 오심과 구토······················································557
6. 변비와 설사······················································558
1) 변비 / 558
2) 설사 / 559
제21장 구강장애 대상자 간호 _561
1. 측두하악관절 장애···········································562
1) 원인 / 562
2) 임상증상 / 562
3) 진단 / 562
4) 치료 / 563
5) 간호 / 563
6) 경과 및 합병증 / 564
2. 타액선염과 구강건조증···································564
1) 타액선염 / 564
2) 구강건조증 / 564
3. 구강종양···························································565
1) 양성종양 / 565
2) 전암성 종양 / 565
3) 악성종양 / 565
제22장 식도장애 대상자 간호 _569
1. 위식도 역류 질환············································570
1) 병태생리 / 570
2) 임상증상 / 571
3) 진단 / 571
4) 치료 / 571
5) 간호 / 572
2. 식도이완불능증················································573
1) 병태생리 / 573
2) 임상증상 / 573
3) 진단 / 573
4) 치료 / 574
5) 간호 / 574
3. 식도열공탈장····················································575
1) 병태생리 / 575
2) 임상증상 / 575
3) 진단 / 575
4) 치료 / 576
5) 간호 / 576
4. 식도게실···························································576
1) 병태생리 / 576
2) 임상증상 / 576
3) 진단 / 576
4) 치료 / 577
5) 간호 / 577
5. 식도암·······························································577
1) 병태생리 / 577
2) 임상증상 / 577
3) 진단 / 577
4) 치료 / 577
5) 간호 / 578
사례 .위식도 역류 질환 대상자 간호 / 580
제23장 위장관 장애 대상자 간호 _583
1. 위 염·································································584
1) 병태생리 / 584
2) 임상증상 / 584
3) 진단 / 585
4) 치료 / 585
5) 간호 / 585
2. 소화성 궤양······················································585
1) 병태생리 / 585
2) 임상증상 / 587
3) 진단 / 587
4) 치료 / 588
5) 간호 / 591
6) 합병증 / 591
3. 위 암·································································592
1) 병태생리 / 593
2) 임상증상 / 594
3) 진단 / 595
4) 치료 / 596
5) 간호 / 598
6) 위절제술의 합병증 / 599
4. 장폐색·······························································600
1) 병태생리 및 임상증상 / 601
2) 진단 / 602
3) 치료 / 602
4) 간호 / 602
5. 염증성 장질환··················································602
1) 충수염 / 602
2) 복막염 / 604
3) 만성 염증성 장질환 / 606
6. 과민성 대장증후군···········································612
1) 병태생리 / 612
2) 임상증상 / 612
3) 진단 / 612
4) 치료 / 613
5) 간호 / 613
7. 게실질환···························································613
1) 병태생리 / 613
2) 임상증상 / 614
3) 진단 / 614
4) 치료 / 614
5) 간호 / 614
8. 탈 장·································································615
1) 병태생리 및 임상증상 / 615
2) 치료 / 615
3) 간호 / 615
9. 대장암·······························································616
1) 병태생리 / 616
2) 임상증상 / 616
3) 진단 / 617
4) 치료 / 617
5) 간호 / 618
10. 직장항문 질환················································619
1) 치핵 / 619
2) 항문 치열 / 621
3) 항문 치루 / 621
4) 직장항문 농양 / 621
5) 모소낭 / 622
사례 .크론병 대상자 간호 / 623
제24장 간장애 대상자 간호 _625
1. 바이러스성 간염··············································626
1) 병태생리 / 626
2) 임상증상 / 628
3) 진단 / 628
4) 예방 / 630
5) 치료 / 631
6) 간호 / 632
2. 알코올성 간염 및 비알코올성 지방간염·······633
1) 병태생리 / 633
2) 임상증상 / 634
3) 진단 / 634
4) 치료 / 634
5) 간호 / 634
3. 전격성 간염······················································635
1) 병태생리 / 635
2) 치료 / 635
3) 간호 / 635
4. 독성 및 약물 유발성 간염·····························635
5. 자가면역성 간염··············································635
1) 병태생리 / 635
2) 치료 / 635
3) 간호 / 636
6. 간경변증···························································636
1) 병태생리 / 636
2) 임상증상 / 637
3) 진단 / 638
4) 치료 / 639
5) 간호 / 639
6) 합병증 / 640
7. 간농양·······························································648
1) 병태생리 / 649
2) 임상증상 / 649
3) 진단 / 649
4) 치료 / 649
5) 간호 / 649
8. 간의 신생물 장애············································649
1) 간 선종 / 649
2) 간암 / 650
9. 간 이식·····························································653
사례 .간경화증 대상자 간호 / 655
제25장 담도와 췌장 장애 대 상자 간호 _657
1. 담도 결석과 염증············································658
1) 병태생리 / 658
2) 임상증상 / 660
3) 진단 / 660
4) 치료 / 661
5) 간호 / 663
2. 담낭염·······························································663
1) 급성 담낭염 / 663
2) 만성 담낭염 / 664
3) 간호 / 664
3. 담도계 암·························································664
1) 병태생리 / 664
2) 임상증상 / 665
3) 진단 / 665
4) 치료 / 665
4. 췌장염·······························································665
1) 급성 췌장염 / 665
2) 만성 췌장염 / 668
5. 췌장암·······························································671
1) 병태생리 / 671
2) 임상증상 / 671
3) 진단 / 671
4) 치료 / 672
5) 간호 / 673
사례 .급성 췌장염대 상자 간호 / 674

제5부 호흡기계
제26장 호흡기계 사정 _681
1. 구조와 기능······················································682
1) 기도 / 682
2) 폐(허파) / 689
3) 늑막과 흉강 / 689
4) 호흡과 호흡조절 / 690
5) 환기와 관류 / 693
6) 방어기전 / 697
2. 건강사정···························································698
1) 건강력 / 698
2) 신체검진 / 701
3) 진단검사 / 704
제27장 주요 간호중재 _715
1. 호흡곤란과 호흡운동·······································716
1) 복식호흡 / 716
2) 저항성 호흡 / 717
3) 심호흡 후 잠깐 동안 참는 호흡 / 717
4) 입술 오므리고 내쉬는 호흡 / 717
2. 기도유지 및 환기증진·····································717
1) 효율적인 기침과 객담배출 / 717
2) 기도 습화요법 / 718
3) 흉부물리요법 / 722
4) 흡인 / 726
5) 인공기도 / 727
6) 강화폐활량계 / 734
3. 기계환기···························································734
1) 적용기준과 목표 / 735
2) 기계환기의 종류 / 735
3) 환기양식과 설정기준 / 737
4) 간호 / 740
5) 기계환기 이탈 / 741
6) 기계환기의 합병증 / 744
4. 산소요법···························································746
1) 저산소증의 종류 / 746
2) 산소요법의 적용기간 / 747
3) 산소공급 절차 / 747
4) 산소전달체계 / 748
5) 산소요법의 합병증 / 751
6) 가정에서의 산소요법 / 752
5. 흉부배액체계····················································752
1) 흉관 삽입 / 752
2) 흉부배액체계의 원리 / 753
3) 흉부배액 관리 / 753
4) 간호 / 755
6. 흉부 수술·························································756
1) 폐절제술 / 756
2) 폐이식 수술 / 760
제28장 감염성 장애 대 상자 간호 _763
1. 감기와 인플루엔자···········································764
1) 감기 / 764
2) 인플루엔자 / 765
2. 비염과 부비동염··············································767
1) 비염 / 767
2) 급성 부비동염 / 768
3) 만성 부비동염 / 770
3. 편도염·······························································771
1) 원인 및 병태생리 / 772
2) 임상증상 / 772
3) 진단 / 772
4) 치료 / 772
5) 간호 / 773
4. 인두염과 후두염··············································774
1) 급성 인두염 / 774
2) 만성 인두염 / 775
3) 후두염 / 775
5. 급성 기관지염··················································776
1) 원인 및 병태생리 / 776
2) 임상증상 / 776
3) 치료 / 776
4) 간호 / 776
6. 기관지 확장증··················································777
1) 원인 / 777
2) 병태생리 / 777
3) 임상증상 / 778
4) 진단검사 / 778
5) 치료 / 778
6) 간호 / 779
7. 폐렴과 폐농양··················································779
1) 폐렴 / 779
2) 괴사성 폐렴과 폐농양 / 785
8. 결 핵·································································786
1) 원인 및 병태생리 / 787
2) 임상증상 / 789
3) 진단 / 790
4) 치료 / 791
5) 간호 / 794
사례 .폐렴 대상자 간호 / 796
제29장 폐쇄성 장애 대상자 간호 _799
1. 수면무호흡증····················································800
1) 원인 및 병태생리 / 800
2) 임상증상 / 800
2. 비중격 만곡증, 비골골절, 비출혈··················802
1) 비중격 만곡증 / 802
2) 비골골절 / 803
3) 비출혈 / 803
3. 후두폐색과 후두암···········································805
1) 후두폐색 / 805
2) 후두암 / 806
4. 폐 암·································································812
1) 암의 종류 / 813
2) 원인 및 위험 요인 / 813
3) 임상증상 / 814
4) 진단 / 814
5) 치료 / 816
6) 간호 / 817
5. 천 식·································································818
1) 원인 / 818
2) 병태생리 / 819
3) 임상증상 / 821
4) 진단 / 821
5) 치료 / 822
6) 간호 / 827
6. 만성 폐쇄성 폐질환·········································827
1) COPD 특성 / 828
2) 원인 / 829
3) 병태생리 / 830
4) 진단 및 임상증상 / 831
5) 치료 / 833
6) COPD의 호흡 재활 / 837
7) 간호 / 838
사례 .COPD 대상자 간호 / 840
제30장 억제성 장애 대 상자 간호 _843
1. 무기폐·······························································844
1) 원인 및 병태생리 / 844
2) 임상증상 / 844
3) 진단 / 844
4) 치료 / 845
5) 간호 / 845
2. 늑막손상과 질환··············································845
1) 늑막염과 늑막삼출 / 845
2) 농흉 / 847
3) 기흉 / 848
4) 혈흉 / 851
3. 늑골골절과 연가양 흉곽·································851
1) 늑골골절 / 851
2) 연가양 흉곽 / 852
4. 폐좌상과 기관기관지 손상······························853
1) 폐좌상 / 853
2) 기관기관지 손상 / 854
5. 낭성 섬유증······················································854
1) 원인 및 병태생리 / 854
2) 임상증상 / 855
3) 진단 / 855
4) 치료 / 856
5) 간호 / 856
사례 .기흉 대상자 간호 / 857
제31장 간질성 장애 대상자 간호 _859
1. 특발성 폐섬유증··············································860
1) 원인 및 병태생리 / 860
2) 임상증상 / 860
3) 진단 / 860
4) 치료 / 860
5) 간호 / 861
2. 유육종증···························································861
1) 원인 및 병태생리 / 861
2) 임상증상 / 861
3) 진단 / 861
4) 치료 / 861
5) 간호 / 861
3. 직업성 폐질환··················································862
1) 진폐증 / 862
2) 직업성 천식 / 863
제32장 폐혈관 장애 대 상자 간호 _865
1. 폐색전증···························································866
1) 원인 및 병태생리 / 866
2) 임상증상 / 866
3) 진단 / 867
4) 치료 / 867
5) 간호 / 868
2. 폐고혈압···························································869
1) 원인 및 병태생리 / 869
2) 임상증상 / 869
3) 진단 / 870
4) 치료 / 870
5) 간호 / 871
3. 폐성심·······························································871
1) 병태생리 / 871
2) 임상증상 / 871
3) 치료 / 872
4) 간호 / 872
사례 .폐색전증 대상자 간호 / 873
제33장 호흡부전과 급성 성인호흡
곤란증후군 대상자 간호 _875
1. 호흡부전···························································876
1) 원인 및 병태생리 / 876
2) 임상증상 / 876
3) 진단 / 877
4) 치료 / 877
5) 간호 / 877
2. 급성 호흡곤란증후군·······································877
1) 원인 / 877
2) 병태생리 및 임상증상 / 878
3) 임상경과 / 879
4) 진단 / 879
5) 치료 / 879
6) 간호 / 881
사례 .ARDS 대상자 간호 / 883

제6부 심혈관계
제34장 심혈관계 사정 _889
1. 구조와 기능······················································890
1) 심장 / 890
2) 혈관 / 902
2. 건강사정···························································904
1) 건강력 / 904
2) 신체검진 / 909
3) 진단검사 / 915
제35장 주요 간호중재 _935
1. 주입요법···························································936
1) 간호사의 역할 / 936
2) 혈관의 해부생리 / 937
3) 주입방법 / 940
4) 주입요법 / 943
5) 간호 / 943
2. 치료적 정맥절개술···········································944
3. 인공심박조율기················································944
1) 삽입할 심박조율기선 택 / 945
2) 인공심박조율기의 작용 / 946
3) 간호 / 946
4) 인공심박조율기 삽입 후 합병증 / 947
제36장 심부전 대상자 간호 _949
1. 원인 및 분류····················································950
2. 병태생리···························································951
3. 임상증상···························································952
1) 좌심부전 / 954
2) 우심부전 / 955
4. 진단검사···························································955
1) 임상검사 / 955
2) 심전도 / 955
3) 흉부 X-선 검사 / 955
4) 심초음파 검사 / 956
5) 기타 검사 / 956
5. 치 료·································································956
1) 약물요법 / 957
2) 식이요법 / 959
3) 심장 재동기화와 삽입형 제세동기시술 / 959
4) 심장이식 / 960
6. 간 호·································································966
사례 .울혈성 심부전 대상자 간호 / 968
제37장 허혈성 장애 대 상자 간호 _971
1. 원인 및 병태생리············································972
1) 지질 이상 / 973
2) 고혈압과 당뇨병 / 975
3) 흡연 / 975
4) 운동 부족 및 비만 / 975
5) 가족력과 유전적 소인 / 975
6) 연령과 성별 / 976
7) 스트레스 / 976
2. 관상동맥질환의 분류·······································976
1) 협심증 / 976
2) 급성 관상동맥 증후군 / 978
3. 진 단·································································980
1) 신체검진 / 980
2) 심전도 / 980
3) 혈액검사 및 심근 효소 / 981
4) 소변검사 / 981
5) 심장 영상검사 / 981
6) 운동부하 검사 / 982
7) 관상동맥조영술 / 982
4. 치 료·································································982
1) 약물요법 / 982
2) 관상동맥중재술 / 984
5. 간 호·································································988
6. 급성 심근경색··················································988
1) 초기치료 / 988
2) 재관류요법 / 989
3) 심혈관집중치료실 치료 / 990
4) 심혈관집중치료실 간호 / 990
5) 합병증 예방 / 991
7. 심장재활···························································992
1) 심장재활 프로그램의 내용 / 992
2) 심장재활팀 / 993
3) 심장재활 과정 / 993
4) 심장재활의 효과 / 993
사례 .급성 심근경색증 대상자 간호 / 995
제38장 부정맥 대상자 간호 _997
1. 심전도의 평가··················································999
1) 심박동수 평가 / 999
2) 빈맥성 리듬 평가 / 999
3) 서맥성 리듬 평가 / 999
2. 부정맥의 종류와 특징 ·····································999
1) 자극형성장애 / 1000
2) 자극전도장애 / 1011
3. 부정맥의 관리················································1013
1) 심전도와 전기생리학 검사 / 1013
2) 부정맥 치료 / 1014
사례 .부정맥 대상자 간호 / 1021
제39장 염증성 장애 대상자 간호 _1023
1. 류마티스성 심장질환·····································1024
1) 원인 및 병태생리 / 1024
2) 임상증상 / 1025
3) 진단검사 / 1027
4) 치료 / 1027
5) 간호 / 1027
2. 감염성 심내막염············································1028
1) 원인 및 병태생리 / 1028
2) 임상증상 / 1029
3) 진단검사 / 1029
4) 치료 / 1029
5) 간호 / 1030
3. 판막질환·························································1031
1) 승모판막 협착 / 1031
2) 승모판막 폐쇄부전 / 1033
3) 승모판막 탈출증 / 1035
4) 대동맥판막 협착증 / 1036
5) 대동맥판막 역류 / 1037
6) 삼첨판막 협착 / 1039
7) 삼첨판막 역류증 / 1040
8) 폐동맥판막 질환 / 1040
9) 치료 / 1040
4. 심근증과 심근염············································1043
1) 심근증 / 1043
2) 심근염 / 1046
5. 심막질환·························································1047
1) 원인 및 병태생리 / 1048
2) 임상증상 / 1048
3) 진단 / 1050
4) 치료 / 1051
5) 간호 / 1051
사례 .폐동맥협착증 대상자 간호 / 1052
제40장 고혈압 대상자 간호 _1055
1. 원 인······························································1056
1) 본태성 고혈압 / 1056
2) 속발성 고혈압 / 1057
2. 병태생리·························································1058
1) 혈액량 / 1059
2) 자율신경계 / 1059
3) 레닌－안지오텐신－알도스테론계 / 1059
4) 혈관 조절기전 / 1059
3. 고혈압의 영향················································1060
1) 심장 / 1060
2) 뇌 / 1061
3) 신장 / 1061
4) 말초혈관 / 1061
5) 망막 손상 / 1061
4. 임상증상·························································1061
5. 진 단······························································1061
1) 신기능 검사 / 1062
2) 안저검사 / 1062
3) 부신수질 검사 / 1062
4) 부신피질 검사 / 1062
6. 치 료······························································1062
1) 약물요법 / 1062
2) 식이요법 / 1064
7. 간 호······························································1064
8. 저항성 고혈압················································1068
1) 원인 / 1068
2) 임상증상 및 관리 / 1069
9. 고혈압성 위기················································1069
1) 종류 / 1069
2) 임상증상 / 1069
3) 치료 / 1069
4) 간호 / 1069
10. 노인의 고혈압·············································1070
사례 .고혈압 대상자 간호 / 1071
제41장 혈관 및 림프 장애 대 상자 간호 _1073
1. 동맥질환·························································1074
1) 동맥류 / 1074
2) 대동맥 박리 / 1078
3) 대동맥 폐색증 / 1080
4) 말초동맥질환 / 1081
5) 폐색성 혈전혈관염 / 1083
6) 레이노 현상 / 1084
2. 흉곽 출구압박 증후군···································1085
1) 병태생리 및 임상증상 / 1085
2) 진단 / 1086
3) 치료 / 1086
4) 간호 / 1086
3. 정맥질환·························································1086
1) 정맥혈전증 / 1086
2) 만성 정맥부전 / 1090
3) 정맥류 / 1091
4) 하지 궤양 / 1093
4. 림프질환과 간호············································1095
1) 림프관염과 림프절염 / 1095
2) 림프부종 / 1096
찾아보기································································i－1