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General Nursing Care After Glaucoma Surgery

November 22, 2015 Category :Nursing Reviewer 0

Pre-Op – Patient must realize that the vision lost cannot be restored but that further loss can usually be prevented.  Administration of miotics is done at this point.

Post-Op

  • Position – flat and quite for 24 hours to prevent porlapse of the iris through the incision

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Rules When Giving Drugs through NGT

November 11, 2014 Category :Nursing Reviewer 0

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WHAT IS SIADH?

October 27, 2014 Category :Nursing Reviewer 0

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What is Bell’s Palsy?

October 27, 2014 Category :Nursing Reviewer 0

Bell’s Palsy (facial paralysis) involves the facial nerve (7th cranial nerve) on one side, producing weakness or paralysis of the facial muscle.

Causes: unknown

Sign & Symptoms: feeling of numbness in the face, distortion of face from paralysis of facial muscle; speech difficulties, inability to eat on affected side; pain behind the ear or in the face.

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What is NEPHROTIC SYNDROME?

October 23, 2014 Category :Nursing Reviewer 0

Nephrotic Syndrome is a clinical disorder characterized by:

  • Marked increase in protein in the urine (proteinuria);
  • Decrease in albumin in the blood (hypoalbuminemia);
  • Edema; and
  • Hyperlipidemia
Causes: Chronic Glomerulonephritis, Diabetes Mellitus, SLE (systemic lupus erythematosus)
Clinical Manifestations:
a. slow onset of fluid retention hat progressees to pitting edema
b. Hematuria, urinary casts
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What is WILM’S TUMOR?

October 23, 2014 Category :Nursing Reviewer 0

WILM’S TUMOR is a tumor involving the kidneys.  Once diagnosed, a sign should be posted at the bedside “No abdominal palpation.”
Sign and Symptoms
  • Abdominal mass
  • Abdominal pain especially in older children
  • Late manifestations
    • weight loss and anemia
    • fever, a sign of tissue necrosis
    • hematuria, means poor prognosis

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What is Tinea Corporis / Tinea Pedis?

September 24, 2014 Category :Nursing Reviewer 0

AKA: “An-an“; athlete’s foot

Causative Agent: Microsporum and Trichophyton (rubrum, mentagrophytes)

Incubation Period: 4-10 days

Period of Commuicability: As long as lesions are present

Mode of Transmission: Direct or indirct contact with skin, contaminated clothing (towels, handkerchief, etc), floors, shower stalls, benches

Signs & Symptoms:

  • Flat, spreading, ring-shaped lesions
  • Reddish periphery, vesicular or pustular
  • Maybe dry and scaly or moist and crusted

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What is Hypnotherapy?

September 22, 2014 Category :Nursing Reviewer 0

Hypnotherapy is an altered state of consciousness whereby clients are helped to use their own mental associations, memories and life potential to achieve therapeutic goals

It is a technique used in helping clients discover the critical experiences in their past that have been responsible for their present distress

Major Concepts

  • The trance state is a naturally occurring phenomenon. It provides an opportunity fo r the therapist and client to make a maximum use of their responses and focus intently on mastering psychological and physical distress.
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Aphasia (Dysphasia)

September 21, 2014 Category :Nursing Reviewer 0

Aphasia (Dysphasia) is a general term used to describe organic disturbances in language resulting from cortical tissue damage rather than from defective innervation of the muscles used in speech or from mental deficiency.

Nursing Care:
a. Rehabilitation should be done 6 to 12 weeks immediately after a stroke which is the “optimum treatment period, ” but additional improvement can take place for 2 or more years after a stroke

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Care of Clients with Alterations in Coordination

September 20, 2014 Category :Nursing Reviewer 0

Radiological Studies

  • Roentgenogram (x-ray film) -It is used to determine injury to or tumor of the bones and soft tissues
  • Bone Scan – A radionuclide such as 99Tc – disphosphonate is administered IV, and scan is done several hours later. This 99Tc disphosphonate is favored bacause scanning can tabke place within 1 to 3 hours after injection. A client may be given pain medication before scanning to make him or her more comfortable. Immediately before the scan, the client should void to eliminate the radioactive material from the kidney and the bladder.

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What is Acute Angle Closure Glaucoma?

September 19, 2014 Category :Nursing Reviewer 0

Cause: the result of an abnormal displacement of iris against the angle fo the anterior chamber. It is a relatively rare disease. Dilation of the pupil is caused by darkness, excitement or a mydriatic drug, which may cuse blockage of the outflow mechanism of the eye with a narrowed peripheral angle of the anterior chamber
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What is Multiple Sceloris?

September 18, 2014 Category :Nursing Reviewer 0

Multiple Sceloris (Disseminated Scelrosis) is degeneration, progressive disease characterized by demyelination of motor nerve fibers within the spinal cord and brain. Death is most often caused by intercurrent infection. Not contagious or inherited, although it appears more often among relatives

Etiology: unknown, autoimmun; viruses
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What is Whiplash Injury?

September 17, 2014 Category :Nursing Reviewer 1

Whiplash is a relatively common injury that occurs to a person’s neck following a sudden acceleration-deceleration force, most commonly from motor vehicle accidents.

Cause: Violent hyperextensio and flexion of the neck usually as a result of rear-end automobile accident. It produces damage to muscles, disks, ligaments and nervous tissue in the region of the cervical spine

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What is Acute Conjuctivitis?

September 15, 2014 Category :Nursing Reviewer 0

Important Information

  • Self-limiting viral infection; disappears in a week’s time even without treatment
  • More common during the summer months

AKA: sore eyes
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Pregabalin Eases Pain from Diabetic Neuropathy

September 13, 2014 Category :Nursing News| Nursing Reviewer 0


A review of previous studies showed that pregabalin (Lyrica), a drug used for epileptic attacks, could safely and effectively relieve pain from diabetic neuropathy. Published in the journal Diabetes Care, the analysis of seven studies on pregabalin, with dosages of 150, 300, and 600 mg and study durations from five to 13 weeks, showed that “pregabalin significantly reduced pain and pain-related sleep interference,” said researchers from the Harvard Medical School in Boston.

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Facts About Ménière’s Disease

September 4, 2014 Category :Nursing Reviewer 0

Ménière‘s Disease is a chronic inner ear disease caused by an increase in endolymphatic pressure

Cause: Unknown
Assessment: Tinnitus, unilateral hearing loss and vertigo are charateristic symptoms

Planning & Implementation:

  • Nursing Management

a. Therapy is symptomatic and supportive
b. Bed rest

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What is Trigeminal Neuralgia?

September 4, 2014 Category :Nursing Reviewer 1

Trigeminal Neuralgia (Tic Douloureaux) is a condition of the 5th cranial nerve by brief, recurring attacks of agonizing pain along the distribution of one or more divisions of the nerve — ophthalmic, maxillary and mandibular

Etiology: unknown

Signs & Symptoms: attacks precipitated by pressure on a trigger point (shaving, talking, washing, and cold wind may precipitate an agonizing attack)
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What are Cerebrovascular Diseases (CVA)?

August 26, 2014 Category :Nursing Reviewer 0

Cerebrovascular Diseases is a disease of blood vessels in the brain. This includes the following:

  • Cerebral Aretriosclerosis – is a chronic degenerative process characterized by the gradual development of athoroma (faty plaque) in the blood vessels

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ANOREXIA NERVOSA (“Relentless pursuit of thinness”)

August 21, 2014 Category :Nursing Reviewer 0

ANOREXIA NERVOSA is a potentially life-threatening disorder characterized by extreme weight loss, intense fear of gaining weight, body image disturbances, strenous exercising and peculiar food-handling patterns. It can result in mortality rates of between 6-21%, 95% are females between 12 and mid-30’s. Usually, the onset of this eating disorder is associated with a stressful life events

Nursing Care

  • Promote improved nutrition
  • Administer tube or IV feedings
  • Weigh the client daily, record 1 and 0, and observe him/her during meals and bathroom activities » Continue Reading

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Disease Affecting the Integumentary System – Herpes Zoster

August 20, 2014 Category :Nursing Reviewer 0

Important Information

  • Caused by the same virus hat causes chickenpox.
  • A dormant type of chickenpox
  • More often attacks adults rather than children

AKA: s hingles, zora; acute posterior ganglionitis

Causative Agent:  same as chickenpox, varicella zoster virus » Continue Reading

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