5. suspected stroke: STAT CT scan order of the head, perform a neurologic assessment. + initiate tPA treatment within a 4.5 hour-window from the onset. (3-4.5)

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Thrombolytic therapy: alteplase, tPA "-ase"

--> Dissolve clots

--> 3-4.5hour window

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Anticoagulants

Wafarin, Heparin "Blood thinner" --> Clot prevention

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**Glasgow Coma Scale"

ex1) The nurse greets a client at the starting of the shift and the client greets back. The nurse scores "oriented" for verbal response. (오답) Oriented 하려면 x3 fully oriented. TPP (Time, Person, Place)

ex2) The nurse asks the client what month it is and the clilent replies "bedroom". The nurse puts "imcomprehensible" on verbal resonse score. (x) --> 3점 inappropriate words가 맞다

ex 3) The nurse makes sound and then the client opens the eyes. The nurse scores 3 for eye opening criteria. (정답)

ex4 ) The nurse pinches one hand of the pt and the client tries to retract the hand from the nurse. The nurse scores 5 for the motor response. --> 정답 아님. retract means withdraw 피하려고 했으니 4점.

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Speech (전) Vision (후)

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Parkinson's disease, Carbidopa-levodopa

--> 고단백먹으면 약효방해.

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느낀점:

Endocrine 은 한번더 듣자! Neurological 은 외울것이 많지만 할만한듯...!

엔클렉스 질문을 좀 돌려서 내는거 같다... 의도 파악에 중점. 틀린거 찾아라. 맞는거 찾아라! 잘 파악!!

모르는 약 땜에 스트레스받는거보다 문제속에 답이 있으니 쌤이 말씀하신데로 정신승리하세!!

문제 푸는것에 집중을 더 많이 했지만, 강의도 더 열심히 듣자!

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Tip: lab 수치 or **Glasgow Coma Scale" 등등 --> 시험장에서 종이주면 시험전에 써놓는게 도움이 된다