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¤ýABG ; Arterial Blood Gases(µ¿¸Æ Ç÷¾× °¡½º °Ë»ç). µ¿¸Æ Ç÷¾×¿¡ Æ÷ÇÔµÈ »ê¼ÒÀÇ ºÐ¾ÐÀ» ¾Ë¾Æº¸´Â °Ë»ç. ÈäºÎ¿Ü»ó, õ½Ä, ¸¸¼º Æó»ö¼º Æó ÁúȯÀÏ ¶§ ºó¹øÇÏ°Ô »ç¿ëµÈ´Ù. ¤ýAdenosine(¾Æµ¥³ë½Å) ; ºÎÁ¤¸Æ(½ÉÀåÀÇ ¹Úµ¿ÀÌ °í¸£Áö ¸øÇÑ °Í) Ä¡·áÁ¦. ¤ýAngioplasty(Ç÷°üÇü¼º¼ú) ; ³¡¿¡ dz¼±ÀÌ ´Þ¸° Ä«µ¥Å͸¦ °ü»ó µ¿¸Æ¿¡ Áý¾î³Ö´Â ¿Ü°úÀû ÀýÂ÷. ÇùÂø ¶Ç´Â Æó»öµÈ µ¿¸Æ Ç÷°üÀ» È®Àå½ÃŰ´Â ÇÑ ¹æ¹ýÀ¸·Î, Ä«µ¥Å͸¦ Áý¾î³ÖÀº ÈÄ Ç³¼±À» ºÎÇ®¸®¸é Ç÷°üÀÌ È®ÀåµÅ Ç÷¾×ÀÌ È带 ¼ö ÀÖ°Ô µÈ´Ù.( Ex. Do you want to inject TPA or find a cardiologist for angioplast? ½ÉÀ庴 Àü¹®ÀǸ¦ ºÒ·¯ Ç÷°üÇü¼º¼úÀ» Çϰڳª? ¾Æ´Ï¸é TPA¸¦ Åõ¿©Çϰڳª?) ¤ýAtropine(¾ÆÆ®·ÎÇÉ) ; ½É¹Úµ¿¼ö¸¦ Áõ°¡½ÃŰ´Â ¾àǰ. ( Ex. Heart rate's still low. Give him another milligram of atropine. ½É¹Úµ¿ÀÌ ¾ÆÁ÷µµ ´À·Á¿ä. ¾ÆÆ®·ÎÇÉ 1ȸºÐÀ» ÇÑ ¹ø ´õ Åõ¿©Çϼ¼¿ä.) ¤ýBlood culture(Ç÷¾× ¹è¾ç) ; äÃëÇÑ Ç÷¾×¿¡ ¹ÚÅ׸®¾Æ¸¦ ¹è¾ç½ÃŰ´Â °Í. º¸Åë, ¼Ò¾Æ°ú¿¡¼ °í¿ ȯÀÚ°¡ ÀÖÀ» °æ¿ì, Áúº´ÀÇ ¿øÀÎÀÌ µÇ´Â À¯±âü¸¦ ¹àÇô³»±â À§ÇØ ½ÇÇàÇÑ´Ù. ¤ýBlood gases(Ç÷¾× °¡½º) ; Ç÷¾× ³» »ê¼Ò ºÐ¾Ð, ÀÌ»êÈź¼Ò ºÐ¾Ð, pH(¼ö¼Ò Áö¼ö)¸¦ ÃøÁ¤ÇÏ´Â °Ë»ç.( Ex. Nothing's right with this guy. His blood gases stink. ÀÌ Ä£±¸ ¼ºÇÑ µ¥°¡ Çϳªµµ ¾ø¾î. Ç÷¾× °¡½º °Ë»ç¸¦ Çߴµ¥ °á°ú°¡ ¾ÆÁÖ ÇüÆí¾ø°Ô ³ª¿Ô¾î.) ¤ýCardiac Enzymes(½ÉÀå È¿¼Ò) ; ¼Õ»óµÈ ½ÉÀå ±ÙÀ°¿¡¼ ¹æÃâµÇ´Â È¿¼Ò·Î, ½ÉÀå ¹ßÀÛÀÇ ¹ß»ý ¿©ºÎ¸¦ È®ÀÎÇÏ´Â µ¥ ÁÁÀº ±Ù°Å°¡ µÈ´Ù. ¤ýCath Lab ; Catheterization Laboratory(½ÉµµÀÚ½Ç). ½ÉÀ庴 Àü¹®Àǰ¡ Ç÷°üÇü¼º¼úÀ» ½ÃÇàÇÏ´Â °÷. ¤ýCBC ; Complete Blood Count(ÀÏ¹Ý Ç÷¾× °Ë»ç). ¤ýCC ; Chief Complaint(ÁÖÈ£¼Ò, ÁÖ¼Ò). ȯÀÚ ÀÚ½ÅÀÌ È£¼ÒÇÏ´Â ÁÖµÈ Áõ»ó.( Ex. CC's a lingering cough and a runny nose. (ÁÖÈ£¼Ò, °è¼ÓµÇ´Â ±âħ°ú Ä๰). ¤ýChem 7(ÀÏ¹Ý ÈÇÐ °Ë»ç) ; Ç÷¾× ³» Á¸ÀçÇÏ´Â ±âº»ÀûÀÎ ÀüÇØÁú(³ªÆ®·ý, ¿°È¹°, Ä®·ý, ÀÌ»êÈź¼Ò,BUN(Blood Urea Nitrogen : Ç÷¾× ³» ¿ä¼Ò, Áú¼Ò), Å©·¹¾ÆÆ¼´Ñ, Æ÷µµ´ç)ÀÇ ¾çÀ» ¾Ë¾Æº¸´Â °Ë»ç. Áúº´ Áø´Ü¿¡ À¯¿ë. ¤ýChest ; ÈäºÎ X-ray ÃÔ¿µ. Æó·Å Áø´Ü¿¡ À¯¿ë. ¤ýCHF ; Congestive Heart Failure(¿ïÇ÷¼º ½ÉºÎÀüÁõ). Àü½ÅÀÇ Á¶Á÷À¸·Î ÇâÇÑ Áö¼ÓÀûÀÎ Ç÷¾× ¼øÈ¯ÀÌ ÀåÇØµÇ´Â »óÅÂ. ¤ýCoag panel(Ç÷¾× ÀÀ°í °Ë»ç) ; Ç÷¾×ÀÌ ÀÀ°íµÇ´Â Á¤µµ¸¦ ¾Ë¾Æº¸´Â °Ë»ç. (Ex. Let's get a chem 7, cardiac enzymes, and coag panel. ÀÏ¹Ý ÈÇÐ °Ë»ç, ½ÉÀå È¿¼Ò °Ë»ç, ±×¸®°í Ç÷¾× ÀÀ°í °Ë»ç¸¦ ÇØº¸ÁÒ.) ¤ýCOPD ; Chronic Obstructive Pulmonary Disease(¸¸¼º Æó»ö¼º Æó Áúȯ). ¤ýCrit ; Hematocrit(Ç츶ÅäÅ©¸®Æ®¹ý). Ç÷¾× ³»¿¡ Á¸ÀçÇÏ´Â ÀûÇ÷±¸ÀÇ ¼ö¸¦ ÃøÁ¤ÇÏ´Â °Ë»ç. ÃâÇ÷ ¶Ç´Â ºóÇ÷ ȯÀÚÀÇ °æ¿ì ÀûÇ÷±¸ ¼ö´Â ÇöÀúÇÏ°Ô °¨¼ÒµÈ´Ù. ¤ýDiaphoresis(¹ßÇÑ) ; ½É±Ù °æ»öÁõÀ¸·Î ÀÎÇØ ¶¡À» È긮´Â °Í.( Ex. Classic heart attack symptoms. Sudden onset, crushing substernal chest pain radiating down left arm with diaphoresis. ½ÉÀå ¹ßÀÛÀÇ ÀüÇüÀûÀÎ Áõ»ó - ±ÞÀÛ½º·± °³½Ã, ¹ßÇѰú ÇÔ²² ¿ÞÆÈ·Î ¹æ»çµÇ´Â, ¸¶Ä¡ µ¹·Î Áþ´©¸£´ÂµíÇÑ Èä°ñ ÇÏ ÈäÅë.) ¤ýDopamine(µµÆÄ¹Î) ; ½ÉÀåÀÇ ÆßÇÁ ±â´ÉÀ» ¿øÈ°ÇÏ°Ô ¸¸µå´Â ¾àǰ. ¤ýEMT ; Emergency Medical Technician(ÀÀ±Þ ±¸Á¶»ç) ( Ex. Seventy-nine-year-old male, probable heart attack. EMTs are two minutes away. 79¼¼ ³²ÀÚ, ½ÉÀå ¹ßÀÛÀ¸·Î ÃßÁ¤µÊ, ÀÀ±Þ ±¸Á¶»ç°¡ 2ºÐ Àü¿¡ Ãâ¹ßÇß½À´Ï´Ù.) ¤ýHyperresonant(°ø¸í °úµµ) ; ȯÀÚÀÇ µîÀ» ŸÁøÇÑ ÈÄ È£ÈíÀ½À» µé¾úÀ» ¶§, ÁõÆøµÈ Áøµ¿ÀÌ ³ªÅ¸³ª´Â °Í. ±âÈä(Èä°¿¡ ±âü°¡ ±«´Â °Í)ÀÇ ÀüÇüÀûÀÎ Áõ»ó. ¤ýHypertension ; °íÇ÷¾Ð. ¤ýHypotension ; ÀúÇ÷¾Ð. ¤ýIntubation Tray(»ð°ü Æ®·¹ÀÌ) ; È£Èí °ï¶õ ȯÀÚÀÇ ±âµµ¸¦ È®º¸ÇÒ ¶§ »ç¿ëµÇ´Â ¸ðµç ¹°Ç°. º¸Åë ÇÑ ¼¼Æ®·Î ÁغñµÅ ÀÖÀ¸¸ç ±× ¾È¿¡´Â Èĵΰæ(Èĵθ¦ ¿©´Â ±â±¸), ±â°ü Æ©ºê(ÀÔÀ» °ÅÃÄ ±â°ü±îÁö »ðÀԵǴ Ʃºê), ¾ÚºÎ ¹é(±â°ü¿¡ ¿¬°áÇØ ÀΰøÀûÀ¸·Î È£ÈíÀ» ½ÃÄÑÁÖ´Â ·°ºñ°ø ¸ð¾çÀÇ ±â±¸) µîÀÌ µé¾î ÀÖ´Ù. ¤ýIV push ; 1ȸºÐÀÇ ¾àÀ» Çѹø¿¡ Á¤¸Æ¿¡ ÁÖÀÔ½ÃŰ´Â °Í. IV ½´ÆÃÀ̶ó°íµµ ÇÑ´Ù.( Ex. He's relatively stable. Let's try adenosine, six milligrams IV push. »óŰ¡ ºñ±³Àû ¾ÈÁ¤ÇØ¿ä. ¾Æµ¥³ë½Å 6mgÀ» Á¤¸Æ ÁÖ»ç·Î Çѹø¿¡ Åõ¿©ÇÏÁÒ.) ¤ýLarge-bore IV(´ë·® ÁÖÀÔ) ; »ý¸® ½Ä¿°¼ö³ª Ç÷¾×À» Á¤¸ÆÀ» ÅëÇØ ´Ü½Ã°£ ³»¿¡ »¡¸® ÁÖÀÔ½ÃŰ´Â ¹æ¹ý. ÁÖ»ç ¹Ù´ÃÀº º¸ÅëÀÇ °Íº¸´Ù ±½Àº °ÍÀ» »ç¿ëÇϸç, ¿Ü»ó ȯÀÚó·³ ÃâÇ÷ÀÌ ½ÉÇÑ È¯ÀÚ¿¡°Ô ¸¹ÀÌ Àû¿ëµÈ´Ù. ¤ýLavage ; ¼¼Á¤. À§¼¼Á¤Àº ¾à¹° Áßµ¶½Ã ¾à¹°À» Á¦°ÅÇÏ°í ±×·Î ÀÎÇÑ ºÎÀÛ¿ëÀ» ¸·±â À§ÇØ ½¡À» ÁÖÀÔÇÏ´Â Àü°úÁ¤À», º¹¸· ¼¼Á¤Àº º¹° ³» ÃâÇ÷ÀÌ ÀÇ½ÉµÉ ¶§ ½ÇÇàÇÏ´Â ÀÏ·ÃÀÇ °Ë»ç¸¦ ¸»ÇÑ´Ù. ¤ýLOC ; Level Of Consciousness(ÀÇ½Ä ¼öÁØ). ( Ex. She has an altered LOC from head trauma. µÎºÎ ¿Ü»óÀ¸·Î ÀÎÇØ ±× ¿©ÀÚÀÇ ÀÇ½Ä ¼öÁØÀÌ º¯ÈµÆ½À´Ï´Ù.) ¤ýMI ; Myocardial Infarction(½É±Ù °æ»öÁõ). ¤ýMVA ; Motor Vehicle Accident. ÀÚµ¿Â÷³ª ¿ÀÅä¹ÙÀÌ µî ±³Åë ¼ö´Ü°ú °ü·ÃµÇ¾î ¹ß»ýÇÑ »ç°í. ¤ýNormal saline(»ý¸® ½Ä¿°¼ö) ; ü¾×°ú ¼ººÐÀÌ °°Àº ¼ö¾×. ÁÖ·Î Å»¼ö ȯÀÚ³ª ¼ö¼úÀ» ¾ÕµÎ°í °æ±¸ Åõ¿©°¡ ±ÝÁöµÅ Àִ ȯÀÚ¿¡°Ô Åõ¿©ÇÑ´Ù. ¤ýPlatelets(Ç÷¼ÒÆÇ) ; Ç÷¾× ÀÀ°í¿¡ °ü¿©ÇÏ´Â Ç÷¾×ÀÇ ±¸¼º ¿ä¼Ò. ( Ex. Mrs. Packer's crit is sixteen. Her white count's down to fifteen hundred, platelets are sixty thousand. She needs a transfusion. ÆÑÄ¿ ºÎÀÎÀÇ Ç÷¾× °Ë»ç °á°úÀÔ´Ï´Ù. ÀûÇ÷±¸´Â ¹é6½Ê¸¸, ¹éÇ÷±¸´Â °¨¼ÒµÅ õ5¹éÀ¸·Î ÁÙ¾îµé¾ú°í,Ç÷¼ÒÆÇÀº 6¸¸ÀÔ´Ï´Ù. ¼öÇ÷À» ÇØ¾ß ÇÒ °Í °°½À´Ï´Ù.) ¤ýPneumothorax(±âÈä) ; Èä°¿¡ ±âü°¡ ±«´Â °Í. ¤ýSinus Rhythm ; Á¤»óÀûÀÎ ½É¹Úµ¿. ( Ex. He went into sinus rhythm as the EMTs pulled up. ÀÀ±Þ ±¸Á¶»ç°¡ Â÷¸¦ ¼¼¿ìÀÚ ½É¹Úµ¿Àº Á¤»óÀ¸·Î µ¹¾Æ¿Ô´Ù.) ¤ýST wave(STÆÄ) ; ½ÉÀüµµ¿¡ ³ªÅ¸³ PQRSTÆÄ(½ÉÀåÀÌ 1ȸ ¼öÃàÇÏ´Â µ¿¾È ¹ß»ýÇÏ´Â Àü±âÀû Ȱµ¿À» ±×·¡ÇÁ·Î ³ªÅ¸³½ °Í) ÀÇ ÇÑ ºÎºÐ. ( Ex. His ST wave is way up. Acute MI. We are in trouble. STÆÄ°¡ »ó½ÂµÆ½À´Ï´Ù. ±Þ¼º ½É±Ù °æ»öÁõÀÔ´Ï´Ù. ½±Áö ¾Ê°Ú´Âµ¥¿ä.) ¤ýTension pneumo ; Tension pneumothorax(±äÀ强 ±âÈä). È£Èí½Ã °ø±â°¡ Èä°À¸·Î Èê·¯ µé¾î°¡´Â Çö»óÀ¸·Î, ±äÀ强 ±âÈäÀº ½ÉÀå¿¡ ¾Ð¹ÚÀ» Áֱ⠶§¹®¿¡ ½É°¢ÇÑ ÀÀ±Þ »óȲÀ» ¿¬ÃâÇÒ ¼ö ÀÖ´Ù. ( Ex. No breath sounds, hyperresonant on the left side. He's got a tension pneumo. È£ÈíÀ½µµ ¾È µé¸®°í, ¿ÞÂÊ¿¡ °ø¸í °úµµ°¡ ÀÖ½À´Ï´Ù. ±äÀ强 ±âÈäÀÔ´Ï´Ù.) ¤ýThroat swab(ÀÎÈÄ ¹è¾ç) ; ¿¬¼â»ó±¸±ÕÀÇ Á¸À縦 È®ÀÎÇÏ´Â °Ë»ç. ¤ýTox screen/rubs ; ¾à¹° Áßµ¶½Ã ȯÀÚ°¡ ¾î¶² ¾àÀ» ¸Ô¾ú´ÂÁö¸¦ ¹àÇô³»±â À§ÇØ ÇÏ´Â °Ë»ç. RUBS´Â Random Urine Drug ScreenÀÇ ¾àÀÚ·Î, ȯÀÚÀÇ ¼Òº¯(¼Òº¯À» äÃëÇÏ´Â ½Ã°£Àº Ưº°È÷ Á¤ÇØÁ® ÀÖÁö ¾Ê´Ù)À» äÃëÇØ ±× ¼Ó¿¡ Æ÷ÇԵŠÀÖ´Â ¾àÀÇ ¼ººÐÀ» ºÐ¼®ÇÏ´Â °Ë»ç¸¦ ¸»ÇÑ´Ù. ¤ýTPA ; ¿ëÇ÷Á¦. ½ÉÀå ¹ßÀÛÀÇ ¿øÀÎÀÌ µÇ´Â °ü»ó µ¿¸Æ ³» Ç÷ÀüÀ» ¿ëÇØÇØ ÁØ´Ù. ¤ýV-tach ; ºó¹Ú. ½ÉÀåÀÌ ºñÁ¤»óÀûÀ¸·Î »¡¸® ¶Ù´Â Çö»ó. ( Ex. If this rhythm is v-tach, we need to shock him. ½É¹Úµ¿ÀÌ ³Ê¹« »¡¸® ¶Ù¸é, Ãæ°ÝÀ» ÁֽʽÿÀ.) ¤ýWhite count ; Ç÷¾× ³» ¹éÇ÷±¸ ¼ö¸¦ È®ÀÎÇÏ´Â °Ë»ç. ¹éÇ÷±¸´Â ¸ö ¼Ó¿¡ ħÅõÇÑ ¼¼±ÕÀ» Àâ¾Æ¸Ô´Â Ç÷¼¼Æ÷·Î, ¹éÇ÷±¸¼ö°¡ Áõ°¡µÇ¾ú´Ù´Â °ÍÀº ½Åü¿¡ °¨¿° Áõ»óÀÌ ÀÖÀ½À» ÀǹÌÇÑ´Ù. |
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