Pacific 성인간호학 Volume 2

제7부 혈액계
제42장 혈액계 사정 _3
1. 구조와 기능··························································4
1) 혈장 / 4
2) 혈액세포 / 6
3) 혈액형 / 11
4) 지혈 : 혈액상실 방지 / 11
2. 건강사정······························································14
1) 건강력 / 14
2) 신체검진 / 16
3) 진단검사 / 17
제43장 주요 간호중재 _25
1. 출혈관리······························································26
1) 출혈 / 26
2) 간호 / 26
2. 감염관리······························································27
1) 감염 / 27
2) 간호 / 27
3. 수혈요법······························································27
1) 공혈 과정 / 27
2) 수혈 / 28
3) 자가수혈 / 31
4) 간호 / 31
4. 조혈모세포 이식·················································32
1) 조혈모세포 이식의 종류 / 32
2) 조혈모세포 이식 전 준비 / 33
3) 이식 / 33
4) 면역재구성 / 34
5) 이식 실패/거부반응 / 34
6) 간호 / 34
사례 .수혈 대상자 간호 / 35
제44장 적혈구 장애 대상자 간호 _39
1. 빈 혈···································································40
1) 철분결핍성 빈혈 / 41
2) 악성빈혈 / 44
3) 엽산결핍성 빈혈 / 45
4) 용혈성 빈혈 / 46
5) 재생불량성 빈혈 / 54
6) 순수 적혈구 무형성증 / 56
2. 적혈구증가증······················································57
1) 진성 적혈구증가증 / 57
2) 이차성 적혈구증가증 / 59
사례 .재생불량성 빈혈 대상자 간호 / 60
제45장 백혈구 장애 대상자 간호 _65
1. 호중구감소증······················································66
1) 원인 / 66
2) 임상증상 / 66
3) 진단 / 67
4) 치료 / 67
5) 간호 / 67
2. 백혈병·································································68
1) 원인 / 68
2) 임상증상 / 68
3) 진단 / 69
4) 치료 / 69
5) 백혈병의 종류 / 70
6) 간호 / 78
3. 림프종·································································79
1) 호지킨병 / 80
2) 비호지킨림프종 / 83
4. 다발성골수종······················································86
1) 원인 / 86
2) 임상증상 / 87
3) 진단 / 87
4) 치료 / 88
5) 간호 / 89
6) 합병증 관리 / 90
5. 감염단핵구증······················································91
1) 원인 / 91
2) 임상증상 / 91
3) 진단 / 91
4) 치료 / 92
5) 간호 / 93
6) 합병증 / 93
사례 .다발성골수종 대상자 간호 / 94
제46장 지혈 및 응고 장애 대상자 간호 _97
1. 혈소판감소증······················································98
1) 특발성혈소판감소성자반증 / 98
2) 혈전성혈소판감소성자반증 / 101
3) 헤파린유도 혈소판감소성 혈전증후군 / 102
2. 응고장애···························································104
1) 파종성 혈관내 응고증 / 104
2) 혈우병 / 107
3. 비장기능 장애··················································110
1) 비장기능항진증 / 110
2) 비장(지라)파열 / 110
3) 비장(지라)절제술 / 111
4) 간호 / 111

제8부 신장과 요로계
제47장 신장과 요로계 사정 _117
1. 구조와 기능······················································118
1) 신장 / 118
2) 요로계 / 124
2. 건강사정···························································127
1) 건강력 / 127
2) 신체검진 / 130
3) 진단검사 / 133
제48장 주요 간호중재 _141
1. 이뇨제·······························································142
1) 약물 및 약리작용 / 143
2) 간호 / 144
2. 도뇨간호···························································145
1) 도뇨법 / 145
2) 간호 / 145
사례 .요정체 대상자 간호 / 146
제49장 신부전 대상자 간호 _149
1. 급성 신부전······················································150
1) 원인 및 병태생리 / 150
2) 임상경과 / 151
3) 임상증상 및 징후 / 152
4) 진단 / 153
5) 치료 / 153
6) 간호 / 154
2. 만성 신부전······················································155
1) 원인 및 병태생리 / 155
2) 임상증상 및 징후 / 156
3) 진단 / 158
4) 치료 / 158
5) 간호 / 159
3. 다낭포성 신장질환···········································160
1) 원인 / 160
2) 임상증상 / 160
3) 진단 / 160
4) 치료 / 160
5) 간호 / 160
4. 신대체요법························································161
1) 혈액투석 / 161
2) 복막투석 / 166
3) 지속적 신대체요법 / 170
4) 신장이식 / 170
사례 .CRF 혈액투석대 상자 간호 / 174
사례 .다낭포성 신장질환 대상자 간호 / 177
제50장 감염성 장애 대상자 간호 _181
1. 사구체신염························································183
1) 급성 사구체신염 / 183
2) 급속진행성 사구체신염 / 186
3) 만성 사구체신염 / 186
2. 신증후군···························································187
1) 병태생리 및 임상증상 / 188
2) 진단 / 188
3) 치료 / 189
4) 간호 / 189
5) 합병증 예방 / 190
3. 무증상 소변이상··············································190
1) 임상증상 / 190
2) 치료 / 190
3) 간호 / 190
4. 신우신염···························································190
1) 병태생리 및 임상증상 / 191
2) 진단 / 191
3) 치료 / 191
4) 간호 / 191
5. 신농양·······························································192
1) 원인 및 병태생리 / 192
2) 임상증상 / 192
3) 진단 / 192
4) 치료 / 192
5) 간호 / 193
6. 신주위 농양······················································193
1) 원인 / 193
2) 임상증상 / 193
3) 진단 / 194
4) 치료 / 194
5) 간호 / 194
7. 신장 및 하부요로결핵·····································194
1) 병태생리 및 임상증상 / 194
2) 진단 / 194
3) 치료 / 195
4) 간호 / 195
8. 방광염·······························································195
1) 병태생리 및 임상증상 / 195
2) 진단 / 196
3) 치료 / 196
4) 간호 / 196
9. 요관 및 요도염················································196
1) 병태생리 및 임상증상 / 196
2) 진단 / 197
3) 치료 / 197
4) 간호 / 197
사례 .사구체신염 대상자 간호 / 198
사례 .방광염 대상자 간호 / 201
제51장 폐쇄성 장애 대상자 간호 _205
1. 수신증·······························································206
1) 병태생리 및 임상증상 / 206
2) 진단 / 207
3) 치료 / 207
4) 간호 / 208
2. 요로결석···························································208
1) 결석의 형성요인 및 종류 / 208
2) 임상증상 및 징후 / 210
3) 진단 / 210
4) 치료 / 211
5) 간호 / 212
3. 요로협착···························································213
1) 요관협착 / 213
2) 요도협착 / 214
3) 간호 / 215
사례 .요로결석 대상자 간호 / 216
제52장 배뇨장애 대상자 간호 _219
1. 요정체·······························································220
1) 분류 / 220
2) 병태생리 및 임상증상 / 220
3) 진단 / 220
4) 치료 / 220
5) 간호 / 221
2. 요실금·······························································221
1) 원인 및 병태생리 / 221
2) 요실금의 유형 및 증상 / 222
3) 진단 / 223
4) 치료 / 223
5) 간호 / 224
3. 신경인성 방광··················································225
1) 병태생리 및 임상증상 / 225
2) 진단 / 226
3) 치료 / 226
4) 간호 / 227
5) 합병증 / 227
사례 .요실금 대상자 간호 / 228
제53장 외상성 장애 대상자 간호 _231
1. 신장손상···························································232
1) 원인 및 병태생리 / 232
2) 진단 / 232
3) 치료 / 232
4) 간호 / 232
2. 방광손상···························································233
사례 .신장 외상 대상자 간호 / 234
제54장 신생물 장애 대상자 간호 _237
1. 신장암·······························································238
1) 원인 및 임상증상 / 238
2) 진단 / 238
3) 치료 / 239
2. 방광암·······························································240
1) 방광암의 분류 / 240
2) 원인 및 임상증상 / 240
3) 진단 / 240
4) 치료 / 241
5) 간호 / 242
3. 요로전환술························································242
1) 요로전환술 전 간호 / 242
2) 요로전환술 후 간호 / 242
3) 요로전환술의 합병증 / 245
사례 .방광암 대상자 간호 / 246

제9부 생식기계
제55장 남성 생식기계 사정 _253
1. 구조와 기능······················································254
1) 고환과 음낭 / 255
2) 부고환 / 257
3) 정관과 사정관 / 257
4) 음경과 요도 / 257
5) 부속선과 정액 / 258
2. 건강사정···························································259
1) 건강력 / 259
2) 신체검진 / 260
3) 진단검사 / 261
제56장 남성 생식기계 장애 대상자 간호 _265
1. 전립선 질환······················································266
1) 전립선염 / 266
2) 양성전립선비대증 / 269
3) 전립선암 / 275
2. 음낭 및 고환의 질환·······································280
1) 음낭수종 / 280
2) 부고환염 / 282
3) 고환염 / 283
4) 고환암 / 283
3. 음경질환···························································285
1) 요도하열과 요도상열 / 285
2) 음경암 / 286
4. 성전파 질환······················································288
1) 시대적 개관 / 288
2) 매독 / 289
3) 임질 / 291
4) 비임균성 요도염 / 292
5) 단순포진 / 293
6) 첨형 콘딜로마 / 294
5. 성기능 장애······················································296
1) 지속발기증 / 296
2) 발기부전 / 296
6. 불 임·································································299
1) 원인과 병태생리 / 299
2) 진단검사 / 299
3) 치료 / 300
4) 간호 / 302
사례 .양성전립선비대증 대상자 간호 / 303
제57장 유방장애 대상자 간호 _305
1. 구조와 기능······················································306
2. 건강사정···························································307
1) 건강력 / 307
2) 신체검진 / 308
3) 진단검사 / 310
3. 양성 유방질환··················································314
1) 유방낭종 / 314
2) 섬유선종 / 315
3) 유두종 / 316
4) 섬유낭포성 질환 / 316
5) 여성형 유방 / 317
4. 유방암·······························································318
1) 원인과 병태생리 / 318
2) 임상증상 / 320
3) 예후 / 321
4) 진단검사 / 321
5) 예방 / 321
6) 치료 / 322
7) 간호 / 331
사례 .유방근치절제술 대상자 간호 / 334

제10부 근골격계
제58장 근골격계 사정 _341
1. 구조와 기능······················································342
1) 뼈와 골격 / 343
2) 관절 / 350
3) 근육 / 353
4) 근막 / 359
2. 건강사정···························································359
1) 건강력 / 359
2) 신체검진 / 362
3) 진단검사 / 367
제59장 주요 간호중재 _373
1. 요 통·································································374
1) 요통의 분류 / 374
2) 원인 / 374
3) 진단 / 375
4) 치료 / 375
5) 간호 / 379
2. 부 동·································································379
1) 피부 손상 위험성 / 379
2) 호 흡기계의 기능 변화 / 380
3) 근위축 / 380
4) 뼈의 탈무기질화 / 380
5) 변비 / 380
6) 요정체와 요로결석 / 380
7) 관절경축 / 381
3. 목발, 지팡이 및 보행기 적용························381
1) 목발 / 381
2) 보행기 / 382
3) 지팡이 / 382
4. 석고붕대···························································382
1) 석고붕대의 종류 / 383
2) 석고붕대의 적용 / 384
3) 석고붕대의 제거 / 386
5. 견인장치···························································386
1) 피부견인 / 386
2) 골격견인 / 388
3) 간호 / 390
6. 관절치환술························································391
1) 고관절전치환술 / 391
2) 슬관절전치환술 / 394
7. 절 단·································································396
1) 절단의 적응증 / 396
2) 개방성 및 폐쇄성 절단 / 397
3) 절단 위치 / 397
4) 간호 / 397
5) 절단의 합병증 관리 / 400
6) 의지사용과 재활 / 400
제60장 외상성 장애 대상자 간호 _403
1. 연조직 손상······················································404
1) 타박상 / 404
2) 염좌와 근육염좌 / 404
2. 탈구와 아탈구··················································406
1) 원인 / 406
2) 임상증상 및 진단 / 406
3) 치료 / 406
4) 간호 / 407
3. 골 절·································································407
1) 골절의 종류 / 407
2) 임상증상 / 409
3) 골절의 치유과정 / 409
4) 진단 / 411
5) 치료 / 411
6) 간호 / 414
7) 골절의 합병증 / 414
4. 스포츠 손상······················································419
1) 스포츠 손상이 잘 생기는 대상자 / 419
2) 스포츠 손상의 호발 부위 / 420
3) 임상증상 / 420
4) 진단 / 420
5) 치료 / 420
6) 간호 / 420
사례 .대퇴골절 대상자 간호 / 421
제61장 신체 부위별 손상 대상자 간호 _425
1. 어깨 손상·························································426
1) 상부 관절와순 파열 / 426
2) 상완이두근 건초염 / 426
3) 회전근개 증후군 / 427
4) 오십견 / 429
5) 견관절 탈구 / 430
6) 쇄골골절 / 431
2. 주관절 손상 및 상지골절·······························431
1) 상과염 / 431
2) 상완골 골절 / 432
3) 요. 척골 근위부 골절 / 433
3. 완관절 손상과 요골원위부 골절····················434
1) 요골원위부 골절 / 434
2) 수근관 증후군 / 436
4. 골반 및 대퇴 골절··········································437
1) 골반골절 / 437
2) 고관절 골절 / 438
3) 대퇴골간골절 / 439
5. 슬관절 손상 및 골절·······································440
1) 전방십자인대 손상 / 440
2) 후방십자인대 손상 / 441
3) 무릎 측부인대 손상 / 441
4) 반월판 손상 / 442
5) 무릎 관절연골 손상 / 443
6) 슬관절 골절 / 444
6. 하지 골절 및 족관절 손상·····························444
1) 경골 및 비골 골절 / 444
2) 족관절 연부조직 손상 : 염좌와 근육염좌 / 445
3) 족관절 골절 / 446
4) 아킬레스건 손상 / 447
7. 손과 발의 손상 및 골절·································448
1) 손 / 448
2) 발 / 448
8. 늑골골절···························································450
사례 .대퇴골간부골절 대상자 간호 / 451
제62장 대사성 장애 대상자 간호 _455
1. 골다공증···························································456
1) 병태생리 : 골의 형성과 재형성 / 456
2) 원인 / 457
3) 임상증상 / 457
4) 진단 / 458
5) 치료 / 459
6) 간호 / 462
2. 골연화증···························································464
1) 원인 및 병태생리 / 464
2) 임상증상 / 464
3) 진단 / 464
4) 치료 / 465
5) 간호 / 465
3. 파제트병···························································465
1) 원인 및 병태생리 / 466
2) 임상증상 / 466
3) 진단 / 467
4) 치료 / 467
5) 간호 / 468
4. 통 풍·································································468
1) 원인 및 병태생리 / 468
2) 통풍의 진행과정 / 468
3) 진단 / 470
4) 치료 / 470
5) 간호 / 472
사례 .골다공증 대상자 간호 / 473
제63장 염증 및 결합조직 장애 대상자 간호 _475
1. 골관절염···························································476
1) 원인 / 476
2) 병태생리 / 477
3) 임상증상 / 477
4) 진단 / 479
5) 치료 / 479
6) 간호 / 480
2. 류마티스 관절염··············································481
1) 원인 / 481
2) 병태생리 / 482
3) 임상증상 / 483
4) 진단 / 485
5) 치료 / 487
6) 간호 / 488
3. 강직성 척추염··················································490
1) 원인 및 병태생리 / 490
2) 임상증상 / 490
3) 진단 / 491
4) 치료 / 491
5) 간호 / 491
4. 라이터 증후군··················································492
1) 원인 / 492
2) 임상증상 / 492
3) 진단 / 492
4) 치료 / 492
5) 간호 / 493
5. 전신성 홍반성 루푸스·····································493
6. 골수염·······························································493
1) 급성 골수염 / 493
2) 아급성 골수염 / 495
3) 만성 골수염 / 495
7. 골과 관절의 결핵············································497
1) 병태생리 / 497
2) 임상증상 / 497
3) 진단 / 498
4) 치료 / 498
5) 간호 / 498
사례 .류마티스 관절염 대상자 간호 / 499
제64장 척추장애 대상자 간호 _503
1. 척추측만증························································504
1) 특발성 척추측만증 / 505
2) 선천성 척추측만증 / 507
3) 신경근육성 척추측만증 / 508
4) 신경섬유종에 의한 척추측만증 / 508
2. 척추후만증························································508
1) 선천성 척추후만증 / 508
2) 청소년기 척추후만증 / 508
3) 노인성 척추후만증 / 509
3. 척추전만증························································509
1) 원인 / 509
2) 임상증상 및 진단 / 509
3) 치료 / 509
4) 간호 / 509
5) 예방 / 510
4. 척추관 협착증··················································510
1) 원인 / 510
2) 병태생리 / 510
3) 임상증상 / 511
4) 진단 / 511
5) 치료 / 511
사례 .척추측만증 대상자 간호 / 512
제65장 신생물 장애 대상자 간호 _515
1. 양성 종양·························································516
1) 결절종 / 516
2) 골종양 / 516
3) 연골종양 / 517
4) 비분류 양성 골종양 / 517
2. 악성 종양·························································517
1) 골육종 / 518
2) 연골육종 / 519
3) 유잉육종 / 519
4) 다발성골수종 / 519
5) 섬유육종 / 519
6) 척색종 / 519
7) 전이성 골종양 / 519
3. 진 단·································································520
1) 혈액검사 / 520
2) 방사선 검사 / 520
3) 조직검사 / 520
4. 치 료·································································521
1) 수술 / 521
2) 항암화학요법 / 522
3) 방사선요법 / 523
4) 기타 / 523
5. 간 호·································································523
사례 .척수종양 대상자 간호 / 524

제11부 신경계
제66장 신경계 사정 _531
1. 구조와 기능······················································532
1) 신경계의 분류 / 532
2) 신경원과 신경교 / 533
3) 중추신경계 / 539
4) 척수로 / 552
5) 말초신경계 / 557
2. 건강사정···························································564
1) 현재력 / 564
2) 과거력 / 577
3) 가족력, 사회경제적 상태 / 578
4) 신체검진 / 578
5) 진단검사 / 588
제67장 주요 간호중재 _595
1. 두개내압 상승··················································596
1) 원인 / 596
2) 임상증상 / 599
3) 진단 / 600
4) 치료 / 602
5) 간호 / 605
2. 의식장애···························································606
1) 의식수준 변화의 원인 / 606
2) 임상증상 / 607
3) 진단 / 608
4) 치료 / 608
5) 간호 / 609
3. 두 통·································································611
1) 원인 / 611
2) 임상증상 / 612
3) 진단 / 612
4) 치료 / 612
5) 간호 / 615
4. 언어장애···························································616
1) 뇌졸중 후 언어장애의 평가와 치료 / 616
2) 일상생활에서의 구음 훈련 / 616
제68장 뇌졸중 대상자 간호 _617
1. 원인과 분류······················································618
1) 허혈성 뇌졸중 / 618
2) 출혈성 뇌졸중 / 620
2. 병태생리···························································621
1) 허혈성 뇌졸중 / 621
2) 출혈성 뇌졸중 / 622
3. 증 상·································································622
1) 조기 경고 증상 / 623
2) 운동기능장애 / 623
3) 의사소통장애 / 623
xv
4) 감각 지각의 변화 / 623
5) 정서장애 / 624
6) 인지기능장애 / 624
7) 배설장애 / 624
4. 진 단·································································624
1) 컴퓨터 단층촬영술 / 625
2) 자기공명영상 / 625
3) 뇌혈관조영술 / 625
4) 요추천자 / 625
5) 기타 / 626
5. 치 료·································································626
1) 급성기 치료 / 626
2) 약물요법 / 627
3) 수술 / 627
6. 간 호·································································628
사례 .뇌졸중 대상자 간호 / 631
제69장 외상성 장애 대상자 간호 _633
1. 두부손상···························································634
1) 원인 / 634
2) 진단 / 638
3) 치료 / 638
4) 간호 / 640
2. 척수손상···························································640
1) 원인 / 641
2) 임상증상 / 643
3) 진단 / 645
4) 치료 / 646
5) 간호 / 650
3. 말초신경 손상··················································654
1) 종류 / 654
2) 병태생리 / 654
3) 치료 / 656
4) 간호 / 656
사례 .척수손상 대상자 간호 / 657
제70장 신생물 장애 대상자 간호 _659
1. 뇌종양·······························································660
1) 뇌종양의 종류 / 660
2) 원인 / 662
3) 임상증상 / 662
4) 진단 / 663
5) 치료 / 663
6) 간호 / 665
2. 척수종양···························································666
1) 척수종양의 분류 / 666
2) 임상증상 / 666
3) 진단 / 667
4) 치료 / 667
5) 간호 / 667
사례 .뇌종양 대상자 간호 / 668
제71장 뇌전증 대상자 간호 _671
1. 정의 및 원인····················································672
2. 발작의 분류······················································673
1) 전신발작 / 674
2) 부분발작 / 675
3) 미분류 뇌전증 발작 / 675
3. 증상 및 징후····················································676
1) 전조증상 / 676
2) 자동성증상 / 676
3) 발작 후 혼미 / 676
4) 간질중첩증 / 677
5) 뇌전증 증후군 / 677
4. 진 단·································································678
1) 뇌파검사 / 678
2) 뇌영상 검사 / 678
5. 치 료·································································679
1) 약물요법 / 679
2) 수술요법 / 680
xvi
3) 미주신경 자극법 / 680
4) 케톤 식이요법 / 680
5) 발작시 응급처치 / 680
6) 신체손상 예방 / 681
7) 간호 / 681
사례 .뇌전증 대상자 간호 / 682
제72장 척추장애 대상자 간호 _685
1. 추간판 탈출증··················································686
1) 원인 / 686
2) 임상증상 / 687
3) 진단 / 688
4) 치료 / 689
5) 간호 / 692
2. 좌골신경통························································692
1) 원인 / 693
2) 임상증상 / 693
3) 진단 / 693
4) 치료 / 693
5) 예후 / 694
6) 간호 / 694
제73장 감염성 장애 대상자 간호 _695
1. 뇌 염·································································696
1) 원인 / 696
2) 임상증상 / 696
3) 진단 / 697
4) 치료 / 697
5) 간호 / 698
6) 예후 및 합병증 / 698
2. 뇌수막염···························································698
1) 원인 / 699
2) 임상증상 / 699
3) 진단 / 700
4) 치료 / 701
5) 간호 / 702
3. 뇌농양·······························································702
1) 원인 / 702
2) 임상증상 / 703
3) 진단 / 703
4) 치료 / 703
5) 간호 / 704
6) 예후 및 합병증 / 704
사례 .뇌수막염 대상자 간호 / 705
제74장 퇴행성 장애 대상자 간호 _707
1. 치매와 알츠하이머병·······································708
1) 원인 / 708
2) 병태생리 / 709
3) 임상증상 / 709
4) 진단 / 711
5) 치료 / 712
6) 간호 / 716
2. 파킨슨병···························································717
1) 원인 / 717
2) 임상증상 / 718
3) 진단 / 722
4) 치료 / 723
5) 간호 / 724
3. 헌팅톤 무도병··················································726
1) 원인 / 727
2) 임상증상 / 727
3) 진단 / 728
4) 치료 / 728
5) 간호 / 728
4. 근위축성 측삭경화증·······································729
1) 원인 / 729
2) 임상증상 / 729
3) 진단 / 730
4) 치료 / 730
5) 간호 / 731
5. 다발성 경화증··················································731
1) 원인 / 732
2) 임상증상 / 732
3) 진단 / 733
4) 치료 / 733
5) 간호 / 735
사례 .파킨슨 대상자 간호 / 737
제75장 말초신경 장애 대상자 간호 _739
1. 중증근무력증····················································740
1) 원인 및 병태생리 / 740
2) 임상증상 / 740
3) 진단 / 741
4) 치료 / 742
5) 간호 / 743
2. 길랑－바레 증후군··········································744
1) 원인 / 744
2) 임상증상 / 744
3) 진단 / 745
4) 치료 / 745
5) 간호 / 746
3. 삼차신경병증····················································746
1) 원인 / 747
2) 임상증상 / 747
3) 진단 / 747
4) 치료 / 748
5) 간호 / 748
4. 안면신경마비····················································749
1) 분류 및 임상증상 / 749
2) 진단 / 750
3) 치료 / 750
4) 간호 / 751

제12부 내분비계
제76장 내분비계 사정 _757
1. 구조와 기능······················································758
1) 호르몬의 분류와 구성 / 759
2) 호르몬의 작용과 수용체 / 762
3) 호르몬 분비의 조절 / 762
4) 신경계의 영향과 차이 / 763
5) 면역계와 상호작용 / 764
2. 건강사정···························································764
1) 건강력 / 764
2) 진단검사 / 764
제77장 시상하부와 뇌하수체 장애
대상자 간호 _777
1. 뇌하수체기능저하증·········································779
1) 원인 / 779
2) 임상증상 / 779
3) 진단 / 780
4) 치료 / 780
5) 간호 / 780
2. 뇌하수체선종····················································781
1) 뇌하수체 종양의 종류 / 781
2) 임상증상 / 781
3) 진단 / 782
4) 치료 / 782
3. 유즙분비호르몬 과잉분비································784
1) 원인 / 784
2) 임상증상 / 784
3) 진단 / 784
4) 치료 / 784
5) 간호 / 785
xviii
4. 성장호르몬 장애··············································785
1) 원인 / 785
2) 임상증상 / 785
3) 진단 / 786
4) 치료 / 786
5) 간호 / 786
5. 요붕증·······························································787
1) 원인 / 787
2) 병태생리 및 임상증상 / 787
3) 진단 / 788
4) 치료 / 788
5) 간호 / 788
6. 항이뇨호르몬 부적절 분비증후군···················789
1) 원인 / 789
2) 병태생리 / 789
3) 임상증상 / 789
4) 진단 / 790
5) 치료 / 790
6) 간호 / 790
사례 .요붕증 대상자 간호 / 792
제78장 갑상선 장애 대상자 간호 _795
1. 갑상선호르몬의 합성, 분비 및 기능·············796
1) 합성과 분비 / 796
2) 분비의 조절 / 797
3) 기능 / 798
2. 갑상선기능항진증·············································799
1) 그레이브스병과 갑상선 중독증 / 800
2) 갑상선 중독 위기 / 806
3. 갑상선기능저하증·············································807
1) 분류와 원인 / 807
2) 임상증상 / 810
3) 진단 / 813
4) 치료 / 813
5) 간호 / 814
4. 갑상선염···························································815
1) 급성 갑상선염 / 815
2) 아급성 갑상선염 / 816
3) 만성 갑상선염 / 817
5. 갑상선종과 결절성 갑상선 질환····················818
1) 미만성 단순 갑상선종 / 819
2) 다결절성 갑상선종 / 819
6. 갑상선암···························································820
1) 갑상선암의 종류 / 820
2) 위험 요인 / 821
3) 진단 / 821
4) 치료 / 822
사례 .갑상선기능저하증 대상자 간호 / 826
제79장 부갑상선 장애 대상자 간호 _831
1. 혈청 칼슘 농도의 조절···································832
2. 부갑상선기능항진증·········································833
1) 원인 / 834
2) 병태생리 / 834
3) 임상증상 / 834
4) 진단 / 835
5) 치료 / 835
6) 간호 / 836
3. 부갑상선기능저하증·········································837
1) 원인 / 837
2) 병태생리 / 837
3) 임상증상 / 837
4) 진단 / 838
5) 치료 / 839
6) 간호 / 839
4. 가성 부갑상선기능저하증································840
1) 원인 및 병태생리 / 840
2) 임상증상 / 840
3) 진단 / 840
4) 치료 / 841
5) 간호 / 841
사례 .부갑상선기능항진증 대상자 간호 / 842
제80장 부신장애 대상자 간호 _847
1. 부신피질호르몬················································848
1) 종류와 기능 / 848
2) 쿠싱증후군 / 850
3) 알도스테론증 / 855
4) 부신피질기능저하증 / 857
2. 부신수질호르몬················································863
1) 합성, 분비 및 기능 / 863
2) 갈색세포종 / 864
사례 .쿠싱증후군 대상자 간호 / 867
제81장 당뇨병 대상자 간호 _871
1. 췌장과 혈당조절··············································872
1) 인슐린 / 873
2) 인슐린길항호르몬 / 876
3) 소마토스타틴 / 877
2. 당뇨병의 원인과 분류·····································877
1) 제1형 당뇨병 / 878
2) 제2형 당뇨병 / 879
3) 기타 당뇨병 / 880
3. 증상과 합병증··················································880
1) 급성 합병증 / 881
2) 만성 합병증 / 882
3) 기타 합병증 / 882
4. 진 단·································································883
1) 당뇨병의 진단 기준과 위험요소 / 883
2) 진단검사 / 884
5. 당뇨병 관리······················································884
1) 혈당관리 / 884
2) 혈압관리 / 885
3) 이상지질혈증 관리 / 885
4) 운동관리 / 886
5) 영양관리 / 887
6) 약물관리 / 893
7) 췌장 및 췌도 이식 / 904
6. 합병증 관리······················································906
1) 당뇨병성 케톤산증 / 906
2) 고혈당 고삼투성 증후군 / 909
3) 저혈당 / 912
4) 대혈관 합병증 / 915
5) 미세혈관 합병증 / 916
6) 당뇨병성 족부병변 / 923
7) 당뇨병의 기타 합병증 / 925
7. 임신과 당뇨······················································926
1) 당뇨병 임산부의 관리 / 926
2) 임신성 당뇨병 / 926
3) 임신성 당뇨병의 관리 / 927
8. 노인 당뇨병······················································927
1) 식사요법 / 928
2) 운동요법 / 928
3) 약물요법 / 928
4) 혈압 및 지질 이상 관리 / 929
5) 당뇨 교육 / 929
9. 당뇨병과 수술··················································929
사례 .당뇨병 대상자 간호 / 931
제13부 감각계
제82장 시각장애 대상자 간호 _939
1. 구조와 기능······················································940
1) 안구 / 940
2) 부속기관 / 943
3) 신경과 근육 / 944
2. 건강사정···························································944
1) 건강력 / 945
2) 신체검진 / 947
3. 백내장·······························································957
1) 원인과 병태생리 / 957
2) 분류 / 957
3) 임상증상 / 958
4) 진단검사 / 959
5) 치료 / 959
6) 예방간호 / 961
4. 녹내장·······························································962
1) 원인과 병태생리 / 962
2) 분류 / 962
3) 임상증상 / 963
4) 진단검사 / 963
5) 치료 / 964
6) 간호 / 965
5. 망막박리···························································966
1) 원인과 병태생리 / 966
2) 임상증상 / 966
3) 진단검사 / 967
4) 치료 / 967
5) 간호 / 967
6. 결막염·······························································968
1) 임상증상과 진단검사 / 968
2) 치료 / 968
3) 간호 / 969
7. 포도막염과 교감성 안염·································969
1) 포도막염 / 969
2) 교감성 안염 / 970
8. 안구진탕증························································970
1) 원인 / 970
2) 임상증상 / 971
3) 이석증 / 971
4) 치료 / 971
5) 간호 / 972
9. 안질환의 약물요법···········································972
1) 약물요법 / 972
2) 간호 / 972
사례 .녹내장 수술 대상자 간호 / 976
제83장 청각장애 대상자 간호 _979
1. 구조와 기능······················································980
1) 외이 / 981
2) 중이 / 981
3) 내이 / 982
2. 건강사정···························································985
1) 건강력 / 985
2) 신체검진 / 990
3) 진단검사 / 993
3. 귀의 장애와 간호············································996
1) 귓속 이물질과 귀지 / 996
2) 외이도염 / 996
3) 고막천공 / 997
4) 중이염 / 997
5) 유양돌기염 / 1000
6) 이경화증 / 1000
7) 메니에르병 / 1001
8) 내이독성 / 1004
9) 청력장애 / 1004
10) 귀 관련 시술과 간호 / 1007
사례 .메니에르병 대상자 간호 / 1009
찾아보기································································i－1