01 총론 _17
1.1 성인의 이해 ················· 1 9
1. 청년기의 특성 _19
2. 성인전기의 특징 _20
3. 성인중기의 특성 _20
4. 노년기의 특성 _22
1.2 수분 ․ 전해질 균형 ······················· 2 2
1. 체액의 분포 및 기능 _22
2. 전해질 _24
3. 체액과 전해질의 내적 조절 _24
4. 체액과 전해질의 이동 _26
5. 수분 불균형 _27
6. 전해질 불균형 _33
1.3 산ᝍ염기 균형 ·························· 3 9
1. 산ᝍ염기 조절 체계 _39
2. 산ᝍ염기 보상작용 _40
3. 정상 ABGA _40
4. 산증 _41
5. 알칼리증 _42
1.4 면역반응과 간호 ······························ 4 3
1. 염증 _43
2. 급성 염증 대상자 간호 _45
3. 용어정리 _45
4. 면역 세포 _46
5. 면역 물질 _47
6. 면역의 종류 _48
7. 후천성 특이면역의 유형 _49
8. 면역 결핍증 _49
9. 후천성 면역결핍 질환 _50
10. 과민반응 _53
11. 자가면역질환 _58
12. 장기이식 _61
1.5 통증 간호 ··························································· 6 3
1. 통증의 이해 _63
2. 통증의 종류 _64
3. 통증 사정 _64
4. 약물에 의한 통증관리 _66
5. 약물 이외의 방법을 이용한 통증 관리 _69
1.6 종양 간호 ················································ 7 1
1. 암의 정의 _71
2. 암발생 원인 _72
3. 암의 역학 _72
4. 신생물의 분류와 단계 _73
5. 암의 증상 _75
6. 암의 진단 _76
7. 암의 치료 _78
8. 암의 예방과 조기발견 _84
1.7 수술 간호 ······················································ 8 5
1. 수술 전 간호 _85
2. 수술 전날 간호 _88
3. 수술 직전 간호 _90
4. 수술 중 간호 _92
5. 마취간호 _95
6. 회복실 간호 _101
7. 수술 후 간호 _102
8. 수술 후 합병증 _103
1.8 Shock 간호 ·················································· 1 0 7
1. 정의 _107
2. 유형 _108
3. 병태생리 _109
4. 쇼크 환자의 일반적 증상 _109
5. 간호중재 _111
6. 전신성 염증반응 증후군과 다발성 장기부전 증후군 _113
1.9 응급 간호 ······················································ 1 1 4
1. 응급환자의 분류 _114
2. 응급관리의 우선순위 _115
3. 현장 응급 처치 _116
4. 심폐소생술 _118
5. 중독 _121
6. 열과 관련된 응급 상황 _122
1.10 노인 간호 ························································· 1 2 4
1. 노인의 건강 사정 _124
2. 노년기 변화 _125
1.11 재활간호 ··················································· 1 3 3
1. 정의 _133
2. 재활간호의 원리 _133
3. 재활간호의 목적 _133
4. 재활 과정 _133
5. 재활 간호 모형 _134
6. 재활간호 수행 _134
1.12 호스피스 간호 ····································· 1 4 4
1. 정의 _144
2. 임종환자의 간호 접근 _146
3. 사별로 인한 슬픔 _147
4. 간호사가 갖추어야 할 특수한 지식과 기술 _148

02 호흡기계 _165
2.1 호흡기계 구조와 기능 ······················································· 1 6 7
1. 상기도 _168
2. 하기도 _169
3. 폐와 흉곽 _170
4. 환기 _171
2.2 호흡기계 기능사정 ···················································· 1 7 4
1. 건강력 _174
2. 신체검진 _175
3. 진단검사 _179
2.3 호흡기 장애 대상자 간호 ··································· 1 8 7
1. 호흡곤란 _187
2. 기도 청결 유지 _188
3. 환기 증진 _192
4. 산소요법 _196
5. 밀봉흉곽배액 _199
2.4 상부기도 질환 ··················································· 2 0 1
1. 감기 _201
2. 비염 _202
3. 부비동염 _203
4. 인두염, 편도염, 후두염 _205
5. 비출혈 _206
6. 비골 골절 _207
7. 비중격 만곡증 _208
8. 비용종 _208
2.5 하부기도 질환 ············································· 2 0 9
1. 급성 기관지염 _209
2. 폐렴 _210
3. 결핵 _212
4. 폐농양 _216
5. 무기폐 _217
2.6 폐쇄성 호흡기 질환······································ 2 1 8
1. 만성 폐쇄성 폐질환 _218
2. 기관지 확장증 _224
3. 천식 _225
4. 낭성 섬유증 _229
5. 진폐증 _230
6. 폐쇄성 폐질환과 억제성 폐질환 비교 _231
2.7 호흡기계 신생물 ··················································· 2 3 1
1. 후두암 _231
2. 폐암 _234
2.8 흉부 수술 ················································· 2 3 8
1. 수술의 종류 _238
2. 수술 전 검사와 준비 _238
3. 수술 후 간호 _239
2.9 흉곽외상 및 흉막질환 ································· 2 4 0
1. 늑골 골절 _240
2. 연가양 흉곽 _241
3. 기흉 _242
4. 혈흉 _243
5. 농흉 _244
6. 습성 흉막염과 건성 흉막염 _245
2.10 폐혈관계 장애 및 호흡부전 ·························· 2 4 7
1. 폐색전 _247
2. 급성 호흡곤란 증후군 _248
3. 호흡부전 _251

03 심혈관계 _269
3.1 심장의 구조와 기능 ·············································· 2 7 1
1. 구조 _271
2. 전도계 _275
3.2 심혈관계 기능 사정 ·············································· 2 7 8
1. 주요 증상 _278
2. 과거력 _280
3. 신체검진 _281
4. 진단적 검사 _283
3.3 부정맥 ···························································· 290
1. 동방결절 장애 _290
2. 심방에서 발생하는 부정맥 _293
3. 방실접합부 부정맥 _297
4. 접합부 전도 장애 _298
5. 심실에서 발생하는 부정맥 _301
6. 심실 전도 장애 _304
7. 간호중재 _305
8. 부정맥의 전기적 중재 _306
9. 인공심박동기 _308
10. 심폐소생술 _310
3.4 허혈성 심장질환 ····················································· 3 1 1
1. 정의 _311
2. 원인 _312
3. 종류 _312
4. 심장질환 예방 _322
3.5 심부전 ···························································· 322
1. 정의 _323
2. 심부전의 보상기전 _323
3. 심부전의 종류 _324
4. 진단 _326
5. 치료 및 중재 _326
6. 합병증 _329
7. 간호중재 _329
3.6 급성 폐부종 ·························································· 3 3 1
1. 원인 _331
2. 병태생리 _331
3. 치료 및 간호중재 _332
3.7 염증성 심장질환 ···················································· 3 3 3
1. 류마티스성 심장질환 _333
2. 감염성 심내막염 _334
3. 심장막염 _336
4. 심근염 _337
5. 심장압전 _338
3.8 심장판막질환 ············································ 3 3 9
1. 승모판막질환 _339
2. 대동맥판막질환 _339
3. 진단 _341
4. 치료 및 간호 _341
5. 외과적 치료 _342
3.9 심근병증 ······················································· 3 4 3
1. 확장 심근병증 _343
2. 비대 심근병증 _343
3. 제한 심근병증 _344
3.10 고혈압 ························································· 3 4 5
1. 정의 _345
2. 분류 _345
3. 일차성 고혈압 _345
4. 치료 및 간호중재 _348
3.11 혈관 질환 ······················································ 3 5 0
1. 맥관계 구조와 기능 _350
2. 동맥질환 _351
3. 정맥질환 _357
4. 림프부종 _362
5. 맥관계 환자 간호중재 _363

04 혈액계 _377
4.1 혈액계의 구조와 기능····································· 3 7 9
1. 혈액 구성 _379
2. 골수, 간, 비장 _383
3. 물리적 특성과 용량 _384
4. 기능 _384
5. 혈액응고과정 _385
6. 항혈소판제 _387
7. 항응고제 _387
8. 섬유소 용해제 _388
4.2 혈액계 기능사정 ············································ 3 8 8
1. 신체검진 _388
2. 진단검사 _390
4.3 혈액계 대상자의 일반적 간호 ················· 3 9 2
1. 수혈 간호 _392
2. 출혈 예방 _394
3. 감염 예방 _395
4. 피로 예방 _396
5. 영양 유지 _396
4.4 적혈구 장애 ······················································ 3 9 6
1. 빈혈 _396
2. 적혈구증가증 _404
4.5 백혈구 장애 ························································· 4 0 5
1. 백혈병 _405
2. 호중구감소증 _407
4.6 조혈 장애 ····················································· 4 0 8
1. 다발성 골수종 _408
2. 림프종 _410
3. 조혈모세포 이식 _411
4.7 혈소판 ․ 출혈 ․ 응고 장애 ····································· 4 1 2
1. 혈소판 장애 _413
2. 혈우병 _414
3. 파종성 혈관내 응고증 _415
4. 저프로트롬빈혈증 _417
❃ INDEX ············································· 4 2 9