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¼ö¾×¿ä¹ýÀÇ ½ÇÁ¦ (¼Â°ÆÇ) |
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¡Ø±³È¯ ¹× ¹ÝÇ°¾È³» :
- ±³È¯À̳ª ¹ÝÇ°½Ã »óÇ° ¼ö·ÉÈÄ 3ÀÏÀ̳» ±³È¯À̳ª ¹ÝÇ° Àǻ縦 ¾Ë·ÁÁֽðí ÀÏÁÖÀÏÀ̳»¿¡ ÀúÈñÂÊÀ¸·Î »óÇ°ÀÌ ÀÔ°íµÇ¾î¾ßÇÕ´Ï´Ù. ½ÃÀÏÀÌ °æ°úµÇ¸é ¹ÝÇ°ÀÌ ºÒ°¡ÇÕ´Ï´Ù. - º¯½É¿¡ ÀÇÇÑ ±³È¯À̳ª ¹ÝÇ°½Ã, ¹è¼Ûºñ´Â °í°´´Ô²²¼ ºÎ´ãÇϽøç, ¿À¹è¼ÛÀ̳ª »óÇ° ºÒ·®½Ã¿¡´Â ¹«·á ±³È¯ÀÌ °¡´ÉÇÕ´Ï´Ù. - ¹ÝÇ°½Ã¿¡´Â ¹ÝÇ°»óÇ° °Ë¼öÈÄ Ä«µå Ãë¼Ò¸¦ Çص帮°Å³ª ÅëÀå,Àû¸³±ÝµîÀ¸·Î ȯºÒ Á¶Ä¡ ÇØ µå¸³´Ï´Ù. |
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¡Ø¹è¼Û¾È³» :
- Á¦ÁÖµµ¹× µµ¼»ê°£Áö¿ªÀº Åùèºñ°¡ Ãß°¡µÉ¼ö ÀÖ½À´Ï´Ù. |
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¸ðµç »ýü´Â ¹°°ú °ø±âÀÇ ÈûÀ¸·Î »ì¾Æ°£´Ù°í ÇÒ ¼ö ÀÖ´Ù. È£Èí°ú ¼øȯÀº »ý¹°ÀÇ »ýÁ¸¿¡ ÇÊ¿äÇÑ ÀÏÂ÷Àû ±â´ÉÀÌ´Ù. »ýü´Â ¹°°ú °ø±âÀÇ ±ÕÇüÀ¸·Î ÀÏÂ÷Àû »ý¸íÀ» À¯ÁöÇÑ´Ù. µû¶ó¼ ¼öºÐÀÇ °ø±Þ°ú ¹è¼³Àº »ý¸í°ú Á÷°áµÊÀ¸·Î, ¼ö¾×¿ä¹ý°ú È£Èí±â´ÉÀÇ ÀÌÇØ´Â ¸ðµç ÀÇ·áÀÎÀÇ ÇʼöÀû Áö½ÄÀÌ µÇ¾î¾ß ÇÒ °ÍÀÌ´Ù.
°úÇÐÀº ½¯ »çÀÌ ¾øÀÌ ¹ßÀüÇÏ¿©, 20¼¼±â ¸»À» ÀüÈÄÇÏ¿© ¾ÆÀν´Å¸ÀÎÀÇ »ó´ë¼º ¿ø¸®¿Í ¸·½º ÇöûÅ© µî¿¡ ÀÇÇÑ ¾çÀÚ¿ªÇÐ ¹ß´Þ·Î ¸ðµç ¹°ÁúÀº ¿¡³ÊÁö¿¡¼ºÎÅÍ ¿Â´Ù´Â °¡¼³ÀÌ Á¤¼³·Î È®Á¤µÇ¾ú°í, Àΰ£ÀÇ À°Ã¼µµ ´Ù¸¥ ¸ðµç ¹°Áú°ú ²À °°Àº ¿ø¼Ò·Î ¸¸µé¾îÁ³À½À» ÀÌÇØÇÏ°Ô µÇ¾ú´Ù. Àΰ£ÀÇ À°Ã¼´Â ¿ø¼Ò°¡ °áÇÕ µÈ ºÐÀÚÀÇ µ¢¾î¸®·Î µÈ ¿¡³ÊÁöÀÇ ÁýÇÕüÀÌ´Ù. ±×·¯³ª »ç¶÷Àº ¹°°ú »ê¼Ò¿Í °°Àº ¿ø¼Ò·Î ±¸¼ºµÈ ¿¡³ÊÁöÀÇ À¶ÇÕü ÀÌ»óÀÇ ÃÊ¿ùÀû Á¸Àç, Áï È¥°ú ¿µ°ú À°Ã¼°¡ °áÇÕµÈ ÀüÀÎÀû Á¸ÀçÀÌÁö¸¸, ¿ª½Ã H2O¶õ ¹°°ú O2¶õ »ê¼Ò¿Í ¼ö¼Ò ±×¸®°í NaCl, KCl µî 26¿© °³ÀÇ ¿ø¼Ò°¡ ¹¶ÃÄÁø À°Ã¼¿Í ÇÔ²² °øÁ¸ÇÔÀ¸·Î ¹°°ú °ø±âÀÇ °¡Ä¡°¡ ´õ¿í »õ»ï½º·´´Ù.
ƯÈ÷ ÀÇ°úÇп¡ Á¾»çÇÏ´Â ¸ðµç ºÐµéÀº ¹°°ú »ê¼Ò°¡ ¾î¶»°Ô Á¶È·Ó°Ô ¼øȯÇÏ¸ç »ý¸íü¸¦ À¯ÁöÇÏ°í ÀÖ´ÂÁö¸¦ ±ú´Ý°Ô µÉ ¶§, Àΰ£ÀÇ Á¸Àç°¡ ½Å±âÇÔÀ» ´À³¢°Ô µÈ´Ù.
Àΰ£Àº ÀΰÝü¸¦ °¡Áø È¥Àû Á¸Àç¿ä Á¾±³¼ºÀ» °¡Áø ¿µÀû Á¸Àç·Î ¸ö°ú È¥°ú ¿µÀ¸·Î ±¸¼ºµÈ Á¸¾öÇÑ Á¸ÀçÀÌ´Ù. ÀÌ Á¸¾öÇÑ Á¸Àç´Â ¹«ÇüÀÇ Á¸ÀçÀÌ°í ¿ø¼Ò·Î ±¸¼ºµÈ À°Ã¼´Â À¯ÇüÀÇ Á¸ÀçÀÌ´Ù. ÀÌ À¯ÇüÀÇ Á¸Àç´Â ¹«ÇüÀÇ Á¸¾ö¼ºÀ» ´ã°í ÀÖ´Â ±×¸©ÀÌ´Ù. ±×·¯³ª Á¸¾ö¼ºÀ» ´ã°í ÀÖ´Â ±×¸©ÀÌ ¾øÀÌ´Â Àΰ£ÀÌ µÉ ¼ö ¾ø´Ù.
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º» Àú¼´Â ¼¼·ÃµÈ Àü¹® ¼ÀûÀ̶ó±âº¸´Ù, ÀÇÇп¡ ÀÔ¹®ÇÑ ÀÇÇеµ¿¡°Ô À¯ÀÍÇÑ ¼ö¾×ÀÇ ±â´É°ú ±× Á߿伺À» ÀÌÇØÇÒ ¼ö ÀÖµµ·Ï ÇÑ Âü°í¼ÀÌ´Ù.
±Ý¹ø ±³Á¤º»ÀÌ ³ª¿À±â±îÁö ¹ÚÁöÈÆ ±³¼öÀÇ ¼ö°í°¡ ÄÇÀ½¿¡ °¨»ç¸¦ ÀüÇÑ´Ù.
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chapter 01 Ç÷°ü Á¢±Ù ¹× Ä«Å×ÅÍ °ü¸®
Ç÷°ü Ä«Å×ÅÍ »ð°ü½Ã Áغñ »çÇ× (Preparing for vascular cannulation)
Ä«Å×ÅÍ »ðÀÔ ±â±¸ (Catheter insertion device)
Ä«Å×ÅÍ (Catheter)
Ç÷°ü Á¢±Ù °æ·Î (Vascular access routes)
Ä«Å×ÅÍÀÇ °ü¸® (Catheter care)
°ÅÄ¡ ¹× À¯Áö¿¡ µû¸¥ ÇÕº´Áõ (Complications of placement and maintenance)
Ç÷°ü È®º¸ÀÇ ±Ý±â »çÇ× (Contraindications of vascular access)
chapter 02 ü¾×ÀÇ ±¸¼º
ü¾× ±¸È¹ (Body fluid compartment)
ü¾×ÀÇ ÀüÇØÁú Á¶¼º (Electrolyte composition of body fluid)
ü¾× ±¸È¹°£ÀÇ ±³È¯ (Exchange between fluid compartments)
»ïÅõ¾Ð (Osmolality)
¼öºÐ ±ÕÇüÀÇ Á¶Àý (Regulation of water balance)
chapter 03 ½ÅÀåÀÇ ±â´É
½ÅÀåÀÇ ±â´É (Renal function)
½ÅÀåÀÇ Ç÷·ù Á¶Àý ¹× »ç±¸Ã¼ ¿©°ú
(Control of renal blood flow & glomerular filtration)
»ç±¸Ã¼ ¿©°úÀ² ¹× ½ÅÇ÷·ù·®
(Glomerular filtration rate & renal blood flow)
½ÅÀåÀÇ ±â´ÉÀû ±¸Á¶ (Renal functional structure)
¿äÈñ¼®°ú ³óÃà ±âÀü (Urine dilution and concentration mechanism)
¿äÇü¼º ±âÀüÀÇ ¿ä¾à (Summary of urine formation mechanism)
½Å±â´ÉÀÇ ÃøÁ¤ (Measurement of renal function)
chapter 04 ¼ö¾× ¿ä¹ý
¼¼Æ÷¿Ü¾×·®ÀÇ °áÇÌ (Extracellular fluid volume deficit)
¼¼Æ÷¿Ü¾×·®ÀÇ °ú´Ù (Extracellular fluid volume excess)
Á¤Áú¿ë¾× (Crystalloid solution)
±³Áú¿ë¾× (Colloid solution)
Á¤Áú¿ë¾×°ú ±³Áú¿ë¾×ÀÇ ¼±Åà (Choosing between colloids and crystalloids)
chapter 05 ³ªÆ®·ý ±ÕÇü Àå¾Ö
Á¤»ó ³ªÆ®·ý ±ÕÇü (Normal sodium balance)
¼¼Æ÷¿Ü¾×ÀÇ ³ªÆ®·ý ³óµµ °úÀ×
(Sodium concentration excess of extracellular fluid)
¼¼Æ÷¿Ü¾×ÀÇ ³ªÆ®·ý ³óµµ ºÎÁ·
(Sodium concentration deficit of extracellular fluid)
chapter 06 Ä®·ý ±ÕÇü Àå¾Ö
Á¤»ó Ä®·ý ±ÕÇü (Normal potassium balance)
Ä®·ý ºÐÆ÷ÀÇ Á¶Àý (Regulation of potassium distribution)
¼¼Æ÷¿Ü¾×ÀÇ Ä®·ý ³óµµ °ú´Ù
(Potassium concentration excess of extracellular fluid)
¼¼Æ÷¿Ü¾×ÀÇ Ä®·ý ³óµµ ºÎÁ·
(Potassium concentration deficit of extracellular fluid)
chapter 07 Ä®½· ±ÕÇü Àå¾Ö
Á¤»ó Ä®½· ±ÕÇü (Normal calcium balance)
¼¼Æ÷¿Ü¾×ÀÇ Ä®½· °ú´Ù (Calcium excess of extracellular fluid)
¼¼Æ÷¿Ü¾×ÀÇ Ä®½· ºÎÁ· (Calcium deficit of extracellular fluid)
chapter 08 ÀÎ»ê ±ÕÇü Àå¾Ö
Á¤»ó ÀÎ»ê ±ÕÇü (Normal phosphorus balance)
¼¼Æ÷¿Ü¾×ÀÇ ÀÎ»ê °ú´Ù (Phosphorus excess of extracellular fluid)
¼¼Æ÷¿Ü¾×ÀÇ ÀÎ»ê ºÎÁ· (Phosphorus deficit of extracellular fluid)
chapter 09 ¸¶±×³×½· ±ÕÇü Àå¾Ö
Á¤»ó ¸¶±×³×½· ±ÕÇü (Normal magnesium balance)
¼¼Æ÷¿Ü¾×ÀÇ ¸¶±×³×½· °ú´Ù (Magnesium excess of extracellular fluid)
¼¼Æ÷¿Ü¾×ÀÇ ¸¶±×³×½· ºÎÁ· (Magnesium deficit of extracellular fluid)
chapter 10 ÃâÇ÷ ¹× ÁöÇ÷
ü¾× ¹× Ç÷¾×·® (Body fluid & blood volume)
¼ö¼ú ÀüÈÄÀÇ ÀûÀýÇÑ Çì¸ð±Û·ÎºóÄ¡
(Adequate hemoglobin level in perioperative period)
Çã¿ë ÃâÇ÷·® (Allowable blood loss)
ÃâÇ÷ Á¤µµ¿¡ µû¸¥ ÀÓ»ó Áõ»ó (Clinical symptoms according to bleeding)
ÃâÇ÷½Ã °¨½Ã ÀåÄ¡ (Monitoring of hemorrhage)
ÁöÇ÷ ±âÀü (Mechanism of hemostasis)
Ç÷¾× ÀÀ°í Àå¾ÖÀÇ °Ë»ç (Laboratory test for coagulopathy)
chapter 11 ÃâÇ÷ÀÇ Ä¡·á
ÀúÇ÷·®Áõ½ÃÀÇ ºñ¾à¹°Àû Ä¡·á (Nonpharmacotherapy of hypovolemia)
¼ö¾× ¹× ¼öÇ÷ÀÇ Åõ¿© ¼Óµµ¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀÎ
¼ö¾×¿ä¹ý (Fluid therapy)
Çã¿ë Çì¸ð±Û·ÎºóÄ¡ (Allowable hemoglobin level)
Ç÷¾×Çü ¹× ÀûÇÕ¼º °Ë»ç (Blood type & compatibility test)
¼öÇ÷ ¼¼Æ®ÀÇ ¿©°ú±â (Filter of transfusion set)
¼öÇ÷ÀÇ ¸ñÀû ¹× ÀûÀÀÁõ (Purposes and indications of transfusion)
Ç÷¾× Á¦Á¦ÀÇ º¸°ü (Storage of blood)
¼ººÐ ¼öÇ÷ (Component blood transfusion)
ÀüÇ÷ (Whole blood)
ÀûÇ÷±¸ ³óÃà Á¦Á¦ (Packed red cell or red cell concentrates)
Ç÷Àå (Plasma)
Ç÷¼ÒÆÇ (Platelets)
Ư¼ö Ç÷¾× Á¦Á¦ (Special blood products)
´ë·® ¼öÇ÷ (Massive transfusion)
ÀÚ°¡ ¼öÇ÷ (Autotransfusion or autologous transfusion)
¼öÇ÷¿¡ ÀÇÇÑ ÇÕº´Áõ (Complications of blood transfusion)
chapter 12 ¼ö¼ú ¹× ¸¶Ãë½ÃÀÇ ¼ö¾× °ü¸®
¼úÀü ¼ö¾× ºÎÁ··®ÀÇ º¸Ãæ (Fluid replacement for preoperative period)
¼úÁß ¼ö¾×ÀÇ º¸Ãæ (Fluid replacement during intraoperative period)
¼úÁß ¼Ò¾ÆÀÇ ¼ö¾× °ü¸® (Intraoperative fluid management in children)
ôÃß ¹× °æ¸·¿Ü ¸¶Ãë½ÃÀÇ ¼ö¾× Åõ¿©
(Fluid administration during spinal or epidural block)
¼ö¼ú ¹× ¸¶ÃëÁßÀÇ ¼ö¾×¿ä¹ýÀÇ ¿ä¾à
(Summary of fluid therapy during the perioperative period)
chapter 13 »ê-¿°±â Àå¾Ö
»ê - ¿°±â ÈÇÐ ¹ÝÀÀ (Chemical reaction of acid-base)
»ê - ¿°±â Àå¾ÖÀÇ Á¾·ù (Acid-base abnormalities)
»ê - ¿°±â ºÒ±ÕÇüÀÇ º¸»ó ±âÀü
(Compensatory mechanisms of acid-bace imbalance)
µ¿¸ÆÇ÷ °¡½º ºÐ¼®ÀÇ ÆÇÁ¤ (Interpretation of arterial blood gas analysis)
´ë»ç¼º »êÁõ (Metabolic acidosis)
´ë»ç¼º ¾ËÄ®¸®Áõ (Metabolic alkalosis)
È£Èí¼º »êÁõ (Respiratory acidosis)
È£Èí¼º ¾ËÄ®¸®Áõ (Respiratory alkalosis)
chapter 14 ¼¼Æ÷¿Ü¾×ÀÇ À̵¿À¸·Î ÀÎÇÑ ºÒ±ÕÇü
Ç÷ÀåÀÇ °£Áú¾×³» À̵¿ (Plasma-to-interstitial fluid shift)
°£Áú¾×ÀÇ Ç÷Àå³» À̵¿ (Interstitial fluid-to-plasma shift)
chapter 15 ´Ü¹éÁú °áÇÌÀ¸·Î ÀÎÇÑ ºÒ±ÕÇü
´Ü¹éÁú °áÇÌ (Protein deficit)
ã¾Æº¸±â |
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µî·ÏµÈ ¼ÆòÀÌ ¾ø½À´Ï´Ù. |
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