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bounding : 결합

telemetry unit : telemetry 원격 측정

auscultate : 청진하다

simultaneously : 동시에

symmetry : 대칭, 균형

Erb's point : 에르브점.

흉쇄유 돌근의 바깥쪽에서 쇄골상 2~3cm의 점으로 전기자극으로 제4내지 6경신경에 의해 지배되는 상단 가까운 부위의 여러 근이 수축한다. 이 점을 Erb점이라고 한다. Erb마비(상부완 신경총마비)로 장애를 받는 것은 이들 여러 근이다.

supraventricular : 심실위, 특히 심방 또는 방실결절에 위치한

intervene : 개입하다

inferior vena cava filter : 하대정맥 필터

presence : ( 특정한 곳에 ) 있음, 존재(함), 참석

prosthetic valve : 인공판막

meticulous : 꼼꼼한, 세심한

incision care : 돌봄, 보살핌, 조심, 주의, 상관하다, 관심을 가지다

anticipate : 예상하다

erythema : 홍진, 홍반

purulent : 화농성

congestion : 혼잡

underwent : undergo의 과거, 진행하다, 수행하다ed

mediastinal : 세로칸, 종격

dependent : 의존[의지]하는, 의존적인

groin : 서혜부, 사타구니

trickle : (액체가 가늘게)흐르다

leaks : ( 액체기체가) 새게 하다, 새는 곳

saturated : 흠뻑 젖은 (=soaked ), 포화된

parameter : (일정하게 정확한 ) 한도

nitrogen : 질소

transient ,, TIA : 일시적인, 순간적인

manifestation : (어떤 것이 존재하거나 일어나고 있음을 보여주는 ) 징후

calf pain : 종아리 통증

consistent : 한결같은, 일관된, ~와 일치하는

ache : ( 계속 무지근히 ) 아프다, ( ~하고 싶어) 못 견디다

admit ( admitting ) : (무엇이 사실임을 마지못해) 인정[시인]하다 (=confess), 

(범행·잘못 등을) 자백하다[인정하다] (=confess to), 들어가게 하다, 입장을 허락하다

anesthesia : 마취

arteriogram :  동맥조영

contrast : 차이, 대조, 대비, 대조적인 사람[것]

gangrene : 괴저, 살이 썩어들어가는 것

anticipate : 예상하다, 예측하다, 기대하다, 고대하다

insufficiency : 불충분, 부적임, ( 심장 등의 ) 기능부전.,, cardiac insufficiency 심부전(증)

diminished : 감소된, 권위가 떨어진, 줄어들다, 약해지다

evaluate : 평가하다

 

Pericardial effusion is a buildup of fluid in the pericardium.  Tamponade, a serious complication of pericardial effusion, develops as the effusion increases in volume and results in compression of the heart.  The heart struggles to contract effectively against the fluid, and cardiac output can decrease drastically.  This life-threatening complication requires an emergency pericardiocentesis (a needle inserted into the pericardial sac to remove fluid).

Signs and symptoms of cardiac tamponade include:

• Hypotension with narrowed pulse pressure (Option 1)
• Muffled or distant heart tones (Option 4)
• Jugular venous distension (Option 5)
• Pulsus paradoxus
• Dyspnea, tachypnea
• Tachycardia

* Synchronized cardioversion is a procedure used to convert tachyarrhythmias (eg, supraventricular tachycardia, ventricular tachycardia) with a pulse to stable cardiac rhythms via transcutaneous electrical shock.  The shock in cardioversion is timed by the defibrillator ("sync" feature enabled) to be delivered only during the R wave of the QRS complex, when the ventricles depolarize.

Accidentally delivering shocks during the T wave, when heart ventricles are repolarizing, causes R-on-T phenomenon, which frequently results in lethal arrhythmias (eg, ventricular fibrillation).  The nurse must ensure that the defibrillator's "sync" feature is enabled when preparing to perform synchronized cardioversion.  Disabling or failing to enable the "sync" feature may result in a potentially lethal, asynchronous(동시에 존재하지 않는) shock being delivered to the client

An inferior vena cava filter is a device that is inserted percutaneously, usually via the femoral vein.  The filter traps blood clots from lower extremity vessels (eg, embolus from deep venous thrombosis) and prevents them from migrating to the lungs and causing a pulmonary embolism (PE).  It is prescribed when clients have recurrent emboli or anticoagulation is contraindicated.
시술 후 chest or back discomfort 는 not expected 양상,, -> Symptoms of PE (eg, chest pain, shortness of breath) and vascular injury (bleeding causing back pain) are not expected findings after the procedure and should be reported immediately.

* Clients with a history of congenital heart disease and those with prosthetic valves are at risk for developing infective endocarditis, an infection of the endothelial lining of the heart, with oral surgery and certain procedures (eg, dental work).  These clients should receive prophylactic antibiotic therapy prior to any such procedure or surgery.

* -Polystyrene sodium sulfate : 고칼륨혈증 시 투약관장 사용

 

Transgender women clients are often prescribed antiandrogen medications (eg, spironolactone) to reduce androgen levels (eg, testosterone) and estrogen therapies to induce feminizing traits (eg, breast enlargement, reduction in body hair, decrease in testicular size and erectile function).

Estrogen places clients at an increased risk for developing blood clots, due to hypercoagulability, and therefore adverse thrombotic events (eg, stroke, myocardial infarction, venous thromboembolism).