감염성 원인 | 비감염성 원인 |
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원인을 이해하기 쉽게 이니셜 W로 제시하는 경우가 많은데 교과서, 논문마다 5W's, 6 W's, 7 W'로 다소 다르게 제시하고 있다. (sabiston 20판에서는 6 W's를 제시하고 있다.
DVT, PE, thrombophlebitis, drug, transfusion, UIT, line sepsis, heart valves의 경우는 어떠한 시간에도 발생이 가능하다고 알려져 있으며, 수술 당일에는 Malignant hyperthermia, anaesthetics, aspiration, endocrine factor, 수술 1-2일까지는 atelectasis, streptococcal/clostridial wound infection, 수술 후 3-5일 사이에는 pneumonia, wound complication(anastomotic leak, hematoma, infection) 수술 후 6일 이상의 경우에는 wound infection/abscess, infected hematoma, C. diff colitis, pneumonia가 발생 가능합니다. |
원인 |
| 시간 | 평가 및 조치 |
Wind | Atelectasis | < 48 | Incentive spirometry, pulmonary toilet, early mobilization |
Pneumonia | > 48 | Chest radiograph, sputum culture, antibiotics | |
Water | UTI | > 48 | Removal of catheter, urinalysis, urine culture, antibiotics |
Wound | SSI | > 72 | Screening complete blood cell count with differential and antibi-otics (for a superfi cial SSI) and radiography, OR or interventional radiology drainage, culture, and antibiotics (for a deep or organ/space SSI) |
Walking | DVT | > 72 | Venous Doppler ultrasound, sequential compression devices |
Wonder drugs | Medications | Any | Review medication history and patient history, stop suspected medications, provide supportive care |
Withdrawal | Delirium tremens | > 72 | Review patient history, administer benzodiazepine, consult psychiatry |
“Wonky” glands | Adrenal insufficiency | < 12 | Review patient history and medi-cation history, administer fl uid resuscitation and glucocorticoids |
Thyroid storm | < 48 | Review patient history, administer a beta-blocker, a thionamide, and iodine and consult endrocrinology |
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