身體檢查與評估 Introduction (Physical Examination and Assessment; PE; PA) 1-1 (1)(2)(3) (4)(5)

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盐幽柏
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1 CHAPTER 1 1. 緒論 Introduction

2 身體檢查與評估 Introduction (Physical Examination and Assessment; PE; PA) 1-1 (1)(2)(3) (4)(5)

3 CHAPTER 1. 緒論 ( Vital Signs)(Body Temperature; T)(Pulse; P)(Respiration; R)(Blood Pressure; BP) 3

4 (Platelet Count) 150,000~400,000 /mm 3(HbA 1 c) 4~6 %身體檢查與評估 (RBC) 4.4~ /mm 3 3.9~5.2 (Hb) 14~17 g/dl 12~16 (MCHC) 32~36 % (MCH) 27~35 g/dl (Hct) 42~52 % 37~47 (MCV) 80~100 µm 3 (ESR) 0~10 mm/hr 0~20 (WBC) 4,000~11,000 /mm 3 4,000~9,000 (AC sugar) 60~120 mg/dl 80~130 mg/dl (PC sugar) (Albumin; ALB) 3.5~5.5 gm% (AST/SGOT) 5~35 mu/ml (ALT/SGPT) 5~30 mu/ml (ALP) 66~240 U/L (Total Protein; TP) 6.0~8.5 gm% (Globulin; GLO) 2.8~3.3 gm% (A/G) 1.0~2.0 4

5 CHAPTER 1. 緒論 1-2 (D-Bil) 0.1~0.3 mg/dl (Amylase) 43~116 U/dL (T-Bil) 0.0~1.5 mg/dl (I-Bil) 0.2~0.8 mg/dl(total Cholesterol; TC) 130~240 mg/dl (Triglyceride; 48~14212 mg/dl TG) (HDL-C) 35 mg/dl (Urine Acid; UA) 3.0~ ~6.0 (BUN) 7~20 mg/dl (Serum Creatinine; Cr.) 0.7~ ~0.7 mg/dl (LDL-C) 130 mg/dlmg/dl(protein) ~/ (ph) 5.0~8.0 (sp. gr.) 1.01~1.03 (Sugar; Glucose) ~/ (Occult Blood; OB) 1 /HPF(Occult Blood; OB) 5

6 身體檢查與評估 ~

7 CHAPTER 1. 緒論 (Therapeutic Communication) (Open Question) 2. (Facilitation) 3. (Silence) 7

8 身體檢查與評估 4. (Clarification) 5. (Reflection) 6. (Confrontation) 7. (Interpretation) 8. (Focusing) 9. (Summary) ( N o n v e r b a l C o m m u n i c a t i o n ) ( B o d y Language) 1. 8

9 CHAPTER 1. 緒論 (1) 0~45 cm (2) 45~120 cm (3) 120~360 cm (4) 360 cm

10 身體檢查與評估 (Data Base) 2. (Chief Complain) 3. (Present Problem or Illness) 4. (Past Medical History) 5. (Family History) 6. (Personal and Social History) 7. (Review of Systems) 10

11 CHAPTER 1. 緒論 Majory Gordon198211(11 Functional Health Patterns) Gordon (Data Base) 1. (Name) 2. (Age) 3. (Birth Date) 4. (Sex) 5. (Domicile) 6. (Education) 7. (Marital Status) 8. (Occupation) 11

12 身體檢查與評估 9. (Religion) 10. (Referral Source) 11. (Informant) 12. (Date of Interview) 13. (Address Telephone Number) 14. (Key Person) (Chief Complain) (Present Problem or lllness)

13 CHAPTER 1. 緒論 PQRST 1. P(Provocative/Palliative) 2. Q(Quality/Quantity) 3. R(Region/Radiation) 4. S(Severity)0~10 5. T(Timing) (Past Medical History) (Family History) 13

14 身體檢查與評估 (Family Tree) (Personal and Social History) 1. (Average Age)

15 CHAPTER 1. 緒論 (Review of Systems)

16 身體檢查與評估 15. (1) (2) p.420~ (Proximal) (Distal) 16

17 CHAPTER 1. 緒論 2. (Medial) (Lateral) 3. (Ipsilateral) (Contralateral) 4. (Parietal) (Visceral) 5. (Superficial) (Deep) IPPA IPPAInspectionPalpationPercussion Auscultation (Inspection) (Palpation)

18 身體檢查與評估 ~2 cm 4~5 cm (a) (b) (c) 1-2 (a) (b) (c)

19 CHAPTER 1. 緒論 (Percussion) 1. (Striking Hand) 2. (Stationary Hand) (Flatness) 2. (Dullness) 3. ( Tympany) (Hyperresonance) 5. (Resonance) 19

20 身體檢查與評估 (Auscultation) (Diaphragm)(Bell)

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