[의대 본과 pk 실습] 급성심근경색 환자의 응급치료법 약물치료 및 관리 심부전의 원인 및 유발 인자

소개글

[의대 본과 pk 실습] 급성심근경색 환자의 응급치료법 약물치료 및 관리 심부전의 원인 및 유발 인자에 대한 보고서 자료입니다.

본문내용

in
: Lowers the risk of late mortality and the incidence of reinfarction after STEMI.(Most physicians prescribe aspirin routinely for all patients without contraindications and add warfarin for patients at increased risk of embolism.)
: Several studies suggest that in patients <75 years a low dose of aspirin (7581 mg/d) in combination with warfarin administered to achieve an INR >2.0 is more effective than aspirin alone for preventing recurrent MI and embolic cerebrovascular accident.
- Risk factors for atherosclerosis should be discussed with the patient, and, when possible, favorably modified.
2. 심부전증
(1) 심부전의 원인 및 유발 인자
1) Etiology
- Any condition that leads to an alteration in LV structure or function can predispose a patient to developing HF.
(Both CAD and hypertension interact to augment the risk of HF, as does diabetes mellitus.)
2) Precipitating factors(밑의 표에 나온 항목을 알아두세요!)
제 숙제는 아닌데 선생님께서 자주 물어보셨던 거
* CHF에서 환자를 언제 퇴원시키는가?
Criteria for discharge
- at least 24 h of stable fluid status, blood pressure, and renal function on the oral regimen planned for home.
- be free of dyspnea or symptomatic hypotension while at rest, washing, and walking on the ward
(그리고 퇴원시키기 전에 환자 잘 교육시키고
* Patient education: with a specific focus on salt and fluid status and obtaining daily weights, in addition to medication schedules)
* Reference
Fauci, Braunwald, Kasper, Hauser, Longo, Jameson, Loscalzo, Harrison\'s Principles of Internal Medicine, 17th ed, McGraw-Hill, 2008, Chapter 227, 239

키워드

[의대 본과 pk 실습] 급성심근경색 환자의 응급치료법,   약물치료 및 관리,   심부전의 원인 및 유발 인자