Blogs

Evaluation : Inflammatory Brain Disorder
Evaluation : Inflammatory Brain Disorder 150 150 Tony Guo

Evaluation Patient will Demonstrate appropriate cognitive function Be oriented to person, place, and time Maintain body temperature within normal range Report satisfaction with pain control As a nurse, since bacterial meningitis is very contagious and potentially a fatal infection, Universal precautions should ALWAYS be in place – you have the right to implement more conservative…

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Nursing implementation : Inflammatory Brain Disorder
Nursing implementation : Inflammatory Brain Disorder 150 150 Tony Guo

Nursing implementation Health Promotion Vaccinations for pneumonia and influenza Meningococcal vaccines MCV4 (Meningococcal conjugate vaccine), MPSV4 (Meningococcal polysaccharide vaccine), Serogroup B Early, vigorous treatment of respiratory tract and ear infections Prophylactic antibiotics for anyone exposed to bacterial meningitis Bacterial meningitis is a medical emergency. Rapid diagnosis based on history and physical examination is crucial because…

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Diagnostic studies : Inflammatory Brain Disorder
Diagnostic studies : Inflammatory Brain Disorder 150 150 Tony Guo

Diagnostic studies Blood culture CT scan and  MRI Diagnosis verified Lumbar puncture Analysis of CSF (for protein, WBC, and glucose) Specimens of secretions are cultured to identify causative organism Gram-stain to detect bacteria Neutrophils are predominant WBC in CSF X-rays of skull Interprofessional care Bacterial meningitis is a medical emergency Rapid diagnosis crucial Patient  usually…

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Complications : Inflammatory Brain Disorder
Complications : Inflammatory Brain Disorder 150 150 Tony Guo

Complications Increased ICP Major cause of altered mental status Residual neurologic dysfunction Cranial nerves III, IV, VI, VII, or VIII can become dysfunctional Sequelae varies by cranial nerve Optic nerve (CN II) compressed by ↑ ICP Papilledema with possible blindness Ocular movements affected with irritation to nerves III, IV, and VI Ptosis Unequal pupils Diplopia…

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Clinical manifestation : Inflammatory Brain Disorder
Clinical manifestation : Inflammatory Brain Disorder 150 150 Tony Guo

Clinical manifestation Key signs of meningitis Fever Severe headache Nausea, vomiting Nuchal rigidity Coma associated with poor prognosis Occurs in 5% to 10% of cases Other symptoms that may be present Photophobia Decreased LOC Signs of increased Intracranial pressure Seizures occur in 1/3 of all cases Headache worsens Vomiting and irritability may occur

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Inflammatory Brain Disorder
Inflammatory Brain Disorder 150 150 Tony Guo

Inflammatory Brain Disorder Most common inflammatory conditions of the brain and spinal cord Brain abscesses Meningitis Encephalitis 10% to 30% mortality rate Long-term neurologic deficits among survivors Bacterial meningitis Acute inflammation of meningeal tissue surrounding brain and spinal cord Usually occurs in fall, winter, or early spring Often secondary to viral respiratory disease Mandatory reporting…

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Summary of cancer
Summary of cancer 150 150 Tony Guo

Summary of cancer Initiation, the first stage, is a mutation in the cell’s DNA structure following exposure to a chemical, radiation, or viral agent. The mutation may also be inherited. Promotion, the second stage in the development of cancer, is characterized by the reversible proliferation of the altered cells. Progression, the final stage, is characterized…

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Cancer pain : Coping with cancer and treatment
Cancer pain : Coping with cancer and treatment 150 150 Tony Guo

Cancer pain Patient report should always be believed and accepted as primary source for pain assessment data Drug therapy should be used to control pain Inadequate pain assessment is single greatest barrier to effective cancer pain management Management of cancer pain Fear of addiction is unwarranted Numerous drug options for pain management Nonpharmacologic interventions, including…

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Complications of cancer
Complications of cancer 150 150 Tony Guo

Complications of cancer Patients with cancer may develop complications from Continual growth of the cancer into normal tissue Side effects of treatment Nutritional problems Malnutrition Altered taste sensation (dysgeusia) Physiologic basis of altered taste is unknown Wasting syndrome (Cancer cachexia) Upper gastrointestinal and pancreatic cancer patient are at great risk Infections Usual sites of infection…

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