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18

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foley

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19

58.CVP

59.CVP care

60.

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62.artery line care 63. 64.pace maker 65.coma scale 66.Pupil size 67.Muscle power 68. 69.

70.

1.

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20

AAA Abdominal Aortic Aneurysm AF Atrial Flutter ACS Acute Coronary Syndrome Af Atrial fibrillation AMI Acute Myocardial infarction Angina Arrhythmia APC Atrial premature contraction AR Aortic Regurgitation () AS Aortic Stenosis ASD Atrial Septal Defect A-V Block Atrial-Ventricular Block - AVF Arteriovenous fistula AVR Aortic valve Replacement CAD Coronary Arterial Disease CHD Congenital Heart Disease CHF Congestive Heart failure DCM Dilated Cardiomyopathy DAA Dissecting Aortic Aneurysm DVT Deep Venous Thrombosis DVR Double valve Replacement Embolism HTN Hypertension Hyperlipidemia IE Infective Endocarditis ICMP Ischemic Cardiomyopathy KD Kawasakis Disease HTx Heart Transplantation MFS Marfan syndrome MR Mitral Regurgitation () MS Mitral Stenosis MVP Mitral valve prolapse MVR Mitral valve Replacement PDA Patent Ducstus Arteriosus PSVT Paroxymal Supraventricular Tachycardia PS Pulmonary Stenosis PAOD Peripheral Artery Occlusive Disease PHT Pulmonary Arteria Hypertension RHD Rheumatic Heart Disease SSS Sick Sinus syndrome SBE Subacute Bacterial Endocarditis

21

TGA Toransposition of the Great Arteries TOF Tetralogy of Fallot

TR Tricuspid Regurgitation () TS Tricuspid Stenosis Thrombosis VSD Ventricular Septal Defect VPC Ventricular Premature Contraction Vf Ventricular fibrillation VT Ventricular Tachycardia Varicose Vein () WPW Wolff-Parkinson White Syndrome

AV shunt Artio-Venous Shunt CABG Coronary Arterial Bypass Graft VR Valve Replacement EVH Endoscopic Vessel Harvesting EVLT Endonenous Laser Treatment EVRF Endovenous Radio-frequence I ABP Intra-Aortic Ballon Pumping MIDCABG Minimally Invasive direct MINS Minimally Invasive Invaginated stripping OPCABG Off Pump OTA Open Transluminal angioplasty PTA Percutaneous Transluminal angioplasty SAXCABG Sub-Clavian Axillary SVG Saphenous vein graft SAVER Surgical Anterior Ventricular Endocardial Restoration Thrombectomy

AC dislocation Acromioclavicular dislocation ACL rupture Anterior Cruciate Ligament Tear AS Ankylosiong Spondylitis Acetqbular Fracture Ankle Fracture

22

Arthritis AVN Avascular Necrosis Bone tumor Bursitis CTS Carpal Tunnel Syndrome Calcaneal Fracture Clavicle Fracture Compression Fracture Colles Fracture Condylar Fracture DJD Degenerative Joint Disease

DM foot Elbow Fracture FBS Failure Back Syndrome FNF Femerol Neck Fracture FSF Femerol Shaft Fracture Fibular Fracture Frozen Shoulder Ganglion cyst Gout Hallux Valgus Hemarthrosis HIVD Herniative Intervertebral Disc Humerus Fracture INFH Ischemic Necrosis of Femerol Head Kyphosis () Malleolus Fracture Meniscal Tear Myeloma OA Osteoarthritis Oeteomyelitis OA hip OA Kness Osteoporosis Osteosarcoma Pathological Fracture

23

PCL tear Posterior Cruciate Ligament Tear Patellar Fracture Phalanx Fracture () Pelvic Fracture Radius Fracture RA Rheumatoid Arthritis Rupture of Achilles Tendon Scapular Fracture Scoliosis Spinal Stenosis Spondylitis Spondylolisthesis Sublxation Tibia Fracture Trigger Finger Ulnar Fracture

Disectomy Laminectomy ORIF Open reduction Internal fixation Body fusion Implementation THR Total Hip Replacement TKR Total Knee Replacement Amputation Arthroscopy () Anemia Anterior fusion C spine

LS spine

Aneurysm Asthma AVMarterialvenous malformationcerebral Brain tumor,malignant Brain tumor,benign

Cerebral meninges Pituitary

24

Pineal gl.

Brain concussion Brain contusionlaceration CTScarpal tunnel syndrome CVAcerebralvascular accident Compression fr Cranioplasty Craniotomycraniectomy / Dementia,senile DIdiabetes insipidus Discectomy Dural plasty Dilantin intoxication Dilantin DMdiabetes mellitus EVDexternal ventricular drainage EDHepidural hematoma,spontaneous

Traumatic

Epilepsy Gout HIVDherniated intervertebral disc HIhead injury HPhyperhidrosis palmaris HTNhypertension Hypernatremia () Hydrocephalus Hyponatremia IICPincreased intra craninal pressure Infarction ICHintracranial hemorrhage,spontaneous

Traumatic

IVHintraventricular hemorrhage Myelopathy NPHnormal pressure hydrocephalus Peptic ulcer Pneumonia Radiculopathy,cervical

Thoracic Lumbosacral

Sciatica SAH ,spontaneous SAHSSAH

Traumatic SAHTSAH

25

SDH,spontaneous SDH

Traumatic TSDH

Skull fracture Skull base fracture

Spondylolysis Spondylosis Spondylolisthesis Laminectomy TEStransendoscopic sympathectomy V-P shuntventricule-peritoneal shunt GCSpupil sizeM/P suctiontracheal careChest care, N-G care(feeding)on foleyfoley carefoley trainingPP careon IV IV bag(Lock)CVP wd care 1. Asthma 2. Bronchial asthma 3. Bonchiectasis 4. Chronic bronchiolitis 5. Pneumonia 6. Pleural effusion(PE) 7. Chronic Obstructive Pulmonary Disease(COPD) 8. Tuberculosis(TB) 9. Pneumothorax 10. Hemothorax 11. Lung cancer 12. Respiratory failure 1. Hypertension(HTN) 2. Coronary Artery Disease(CAD) 3. Acute myocardial infarction(AMI) 4. Angina 5. Congestive Heart Failure(CHF) 6. Hypertensive Cardiovascular Disease(HCVD) 7. Infective endocarditis(IE) 8. Hyperlipidemia 9. Atrial fibrillation(Af) 1. Peptic ulcer(Pu)

26

2. Gastric ulcer(Gu) 3. Dudenal ulcer(Du) 4. Upper gastro-intestinal bleeding(UGI Bleeding) 5. Pancreatitis 6. Cholecystitis 7. Gall stone 8. Hepatitis 9. Hepatoma 10. Hepato cellular carcinoma(HCC) 11. Liver cirrhosis(LC) 1. Acute Pylonephritis(APN) 2. Nephropathy 3. Acute Renal Failure(ARF) 4. Chronic Renal Failure(CRF) 5. Chronic Renal insufficiency(CRI) 6. End Stage Renal Disease(ESRD) 7. Uremia 8. Urinary Tract Infection(UTI) Hyperkalemia Hypokalemia Hyponatremia Diabetes Mellitus(DM) Hypoglycemia Hyperglycemia Diabetic ketoacidosis(DKA) Hyperglycemic Hyperosmolar Nonketotic coma

(HHNK) 1. Systemic lupus erythematosus(SLE) 2. () Acquired Immune Deficiency syndrome(AIDS) 3. Gout 4. Cellulitis 5. Arthritis 1. Epilepsy 2. Dementia 3. Subarachnoid hemorrhage(SAH) 4. Parkinsonism 10. Cerebral Vascular Accident(CVA) Fever of unknown(FOU) Sepsis Syphilis

27

1. X- X-ray 2. Bronchoscopy 3. Bronchography 4. Pulmonary Function Test(PFT) 5. Chest Sonography 6. Chest computerized tomography(Chest CT) 7. Chest Tapping Thoracentasis 8. Lung perfusion scan 9. Peak Expiratory Flow Rate(PEFR) 1. Cardiac catheterization 2. Percutaneous Transluminal Coronary Angioplasty(PTCA) 3. Ultrasound cardiogram(UCG) 4. Venography 5. Myocardial perfusion scan (MPS) 6. Transesophageal echocardiography(TEE) 7. On Pacemaker 8. Electrocardiogram, (EKG) 9. () Treadmill exercise test 10. 24 24 Holter 1. Common carotid color Dopplar(CCCD) 2. Electroencephalography(EEG) 3. Electromyogram(EMG) 4. Nerve conduction velocity(NCV) 5. Brain computerized tomography(Brain CT) 6. Magnetic resonance imaging(MRI) 1. Abdomen sonography(Abd sono) 2. () Panendoscopy(PES) 3. Esophageogram 4. Upper gastro-intestinal series(UGI series) 5. Lower gastro-intestinal series(LGI series) 6. Colonfiberscopy 7. Sigmoidoscopy 1. Endoscopic retrograde cholangio-pancreaticography(ERCP) 2. Abdominal computerized tomography (Abd CT) 3. Liver Biopsy 4. Retrograde pyelography 5. Cystoscopy

28

6. Renal Biopsy 7. Creatinine clearance rate(CCr) 8. Vanillymandelic acid(VMA) 9. Bone scan Stool routine(S/R) 1. occult blood(stool OB) () Urine routine PH 4.8-7.5 (S.G) 1.010-1.030 RBC WBC : UTI Bacteria (-) (~): UTI Ketone (-) () Blood routine(B/R or

CBC/DC)

:Erythrocyte count(RBC)

:460-620 /cumm :420-540 /cumm

Hematocrit(Ht)

:42-50% :40-48%

:Anemia

Hemoglobin(Hb)

:13-16gm/dl :12-14gm/dl

:Anemia

Leukocyte count 5000-10000/cumm :UTI, Pneumonia. Neutrophils 60-70% : Esoinophils 1-4% Basophils 0-0.5% Lymphocytes 20-30% Monocytes 2-6% Platelet count 20-40 /cumm (Erythrocyte

Sedimentation rate, ESR) :0~9mmH2O/hrs :0~15 mmH2O/hrs

TBshock CHF(Asthma)

SMA () 1. Sodium 135~145mEq/L 2. Potassium 3.5~5 mEq/L 3. Magnesium 1.8~2.2 mEq/L 4. Chloride 95~105 mEq/L 5. Calcium 8.5~10.5mg/dl 6. BUN 10~20mg/dl 7. Creatinine 0.7~1.4 mg/dl 8. CCr 100~130c.c./min 9. Glucose (AC Sugar)

29

80~120mg/dl (PC Sugar)140mg/dl

10. Albumin 3.5~5gm/dl 11. Cholesterol 150~270mg/dl 12. Triglycerides 10~150mg/dl 13. Amylase 80~150SU/dl : 14. Lipase 0.2~1.5units/ml : 15. Ammonia 9~33ug/dl : ex: 16. Uric acid :3.5~7.9gm/dl

:2.6~6gm/dl :Gout

17. CEA 2ng/ml : ex: 18. HbA1C 3.6~6.2% :DM 19. GOT 5-40 U/ml 20. GPT 5-40 U/ml 21. CRP 0.8ug/dl : 1. BT(Bleeding Time) 1~3 2. CT(Clotting Time) 5~10 3. PT(Prothrombin

time) 10~15

4. APTT (Partial thromboplastin time)

35~45

Theophylline(Aminophylline) 10~20ug/ml Digoxin 2.0~2.7ng/ml Phenytoin(Dilantin) 10-20ug/ml Cardiac enzyme 1. CK 22-269mU/ml AMI 2. CK-MB 0-16mU/ml AMI 3. GOT 5-40 U/ml AMI 4. LDH 90-225mU/ml AMI 5. Troponin I() 2ng/ml AMI 6. INR 1 Arterial Blood Gas,

ABG

1. PH 7.35-7.45 2. PaO2 95-100mmHg 3. PaCO2 35-45mmHg 4. HCO3- 22-26mEq/L 5. SaO2 96-100%

30

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Duvall & Miller1985

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FAMILY

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(2) Aacvocacy

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(6) Sstructure support

SCREEM

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(5) Eeducation resources:

(6) Eenviromental resources:

(7) Mmedical resources:

13

/

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APA (American Psychological Association)

(reference list)(reference citations)

20115835-11 [Tsay, S. F. (2011). The opportunities and challenges of nursing professional development: Celebrating 100 years of nursing in Taiwan. The Journal of Nursing, 58(3), 5-11.]

Chu, W., & Hsu, L. L. (2011). Developing practical knowledge content of emergency nursing professionals. The Journal of Nursing Research, 19(2), 112-118. doi: 10.1097/JNR. 0b013 e31821aa0eb digital object identifier, DOI Briscoe, R. (in press). Egocentric spatial representation in action and perception. Philosophy and Phenomenological Research. Retrieved from http://cogprints.org /5780/ 1/ECSRAP.F07.pdf

1 2 3 2011 [Chen, M. Y., Huang, S. H., Chang, S. H., Jian, X. Y., Ruan, Y. M., Chang, T. H., Wan, G. H. (2011). Public health nursing (2nd ed.). Taipei City, Taiwan, ROC: Ching Culture.]

Ackley, B., Swan, B. A., Ladwig, G. B., & Tucker, S. J. (2008). Evidence-based nursing care guidelines: Medical-surgical interventions. St. Louis, MO: Elsevier. 200838-112 [Lin, Y. S., & Huang, C. W. (2008). Nursing care of newborns. In Y. C. Chen (Ed.), Practical pediatric nursing (5th ed., pp. 38-112). Taipei City, Taiwan, ROC: Farseeing.] Doyle, E. B., & Grey, M. (2010). Diabetes mellitus (type 1 and type 2). In P. J. Allen & J. A. Vessey (Eds.), Primary care of the child with a chronic condition (5th ed., pp. 427-446). St. Louis, MO: Mosby.

American Psychological Association. (2011) 2010[American Psychological Association. (2011). Publishing manual of the American Psychological Association, 6th ed. ( Y. L. Chen & M. C. Wang, Trans.). Taipei City, Taiwan, ROC: Yeh Yeh Book Gallery.

11

(Original work published 2010)] /(American Psychological Association, 2010/2011) 20117 98 http://www.cdc.gov.tw/public/Data/ 111911421871.pdf [Centers for Disease Control, Taiwan, ROC. (2011, July). 2009 annual statistical report: Infectious diseases and surveillance. Retrieved from http://www.cdc.gov .tw/public/ Data/111911421871.pdf] 2011173 http://www.nhi.gov.tw/ Resource/webdata/19406_2_173 .pdf [Bureau of National Health Insurance, Taiwan, ROC. (2011). Executive report of medical fee: No 173. Retrieved from http://www .nhi.gov.tw/Resource/webdata/19406_2_173 .pdf] Wikipedia

(n.d.) 1 /

2

20119

[Chang, Y. J., Chiang, L. Y., & Pan, Y. C. (2011, September). Effectiveness of auricular acupressure on insomnia in nurses. Poster session presented at the 27th Annual Nursing Research Conference of the Taiwan Nurses Association, Taipei City, Taiwan, ROC.] Wu, W. W. (2011, July). Cancer symptom distress and quality of life in adolescent patients with cancer. Paper session presented at the 22nd International Nursing Research Congress of Sigma Theta Tau International, Cancun, Mexico. 20117 DNR [Wang, C. C. (2011, July). The implication of do-not-resuscitate and relevant factors with the terminal patients. Ethics and Law of Nursing. Symposium conducted at the meeting of the Taiwan Nurses Association, Taipei City, Taiwan, ROC.] Muellbauer, J. (2007, September). Housing, credit, and consumer expenditure. In S. C. Ludvigson (Chair), Housing and consumer behavior. Symposium conducted at the meeting of the Federal Reserve Bank of Kansas City, Jackson Hole, WY.

12

2010TWNA-0991002[Huang, L. H. (2010). The effects of improving positive practice environments on nurses in a medical center (Research Grant TWNA-0991002). Taipei City, Taiwan, ROC: Taiwan Nursing Association.] Mazzeo, J., Druesne, B., Raffeld, P. C., Checketts, K. T., & Muhlstein, A. (1991). Comparability of computer and paper-and-pencil scores for two CLEP general examinations (College Board Rep. No. 91-95). Princeton, NJ: Educational Testing Service. 1. 2.3.

4. + (2011)

et al. (et al.)_

13

Acute delirium Acute exacerbation Acute psychotic state

AD Adjustment disorder Affect Agitation Akathisia Alcohol abuse Alcohol dependence Alcohol withdrawal delirium Alcohol withdrawal syndrome Amphetamine abuse Amphetamine dependence Amphetamine induced mood disorder Anxiety

APD Antisocial personality disorder AH Auditory hallucination

Autism Behavior therapy Bipolar disorder

BPD Borderline personality disorder Case management Defence Delirium Delusion/Delusional disorder / Delusion of persecutory/jealous/grandiose/religious/reference

////

Denial Dementia Depressive disorder Drug compliance

ECT Electric convulsive therapy EPS Extrapyramidal syndrome

Escape Fall

14

Flight of ideas GAD Generalized anxiety disorder

Glue abuse Hallucination

HEE High emotional expression Illusion Insight Insomnia Interview Major depression Mania

MDP Manic-depressive psychosis MR Mental retardation

Mood Negative symptom Neurosis

OCD Obsessive-compulsive disorder OBS Organic brain syndrome OMD Organic mental disorder

Panic disorder Personality disorder Positive symptom

PTSD Posttraumatic stress disorder Psychosis Schizophreniaparanoid type Schizo-affective disorder Sedation Self-care Self-laughing Self-talking Sex Side effect Silly laughter Sleepless Social skill Social withdrawal Social worker Somatic complain

15

Substance abuse Substance dependence Suicide Thought blocking Violence

VH Visual hallucination Withdrawal syndrome Wondering out

16

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9

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