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Nurses Creed

Lord, let me begin today with your blessing To provide care for those who need me. Give me the patience to listen, Intuition to see beyond the visible, Knowledge to practice the art of nursing, And the attitude to deliver care with humility. Help me to see every patient clearly Unbiased, and with individual respect. Help me to face fear and anxiety With kind words and a gentle touch. Help me to see the joy and wonder each new day brings And let your healing light shine through my hands. This I pray in Jesus name. Amen!

Saturday, October 22, 2011

Spinal Cord Injury


Common to highly educated person
Common in July
Cause: vehicular accident, violence, sports related injuries  eg diving

Areflexia- absence of reflexes after injury

Friday, October 21, 2011

stroke


-sudden neuro deficit
Diagnosis: Right CVA – left hemapheresis
                   Left CVA – Right hemapheresis

40% - thrombotic
30% -embolic
          Lacunar
           Hemorrhagic – devastating
*prone to depression
*prevent depression – family support
2 common cause in depression
1.       Acquired
2.       Side effects of drugs

Stages of Recovery:
1.       Flaccidity
2.       Spasticity begin
3.       Spasticity continues
4.       Peak spasticity 
5.       Spasticity declines
6.       Spasticity disappear – normal recovery
Risk Factors:
Lifestyle, obesity, diabetes mellitus, increase serum cholesterol, age, black people
Management:
1.       Drug – anti – coagulant (heparin)
2.       Carotid endarterectomy – surgical removal of plaques ; side effects – alzheimer’s disease
Bacillar artery affected = death
Pontine artery affected = doll’s eye phenomenon (oculo cephalic reflex)
Complication: immobility, contractures, sexual dysfunction
**prevent footdrop contractures – wear high tennis shoes

Wednesday, October 19, 2011

multiple sclerosis


Multiple Sclerosis
-myelin sheath- conducts impulses from brain to another
3 theories : 1. Demyelination, 2. Auto immune, 3. Virus
Manifestations:
1.       Blurring of vision (unilateral blindness)
2.       Weakness/ fatigue
3.       Spasticity
4.       Scanning speech
5.       Bowel/bladder incontinence
6.       Sexual dysfunction – due to decrease vaginal lubricant
7.       Euphoria(mood swings)
Drugs of choice: Baclofen
Mgt: live life actively

Monday, October 17, 2011

myasthenia gravis


Myasthenia Gravis
-decrease in acethylcholine
1st manifestation: ptosis (drooping eyes)
Fatal complication: myasthenia crisis (dyspnea, dysphagia, difficulty talking)
Test: edrophonium chloride through IV
Crisis should subside – 3-5minutes/ 5-10minutes
Nsg. Mgt: live life actively

Friday, October 14, 2011

Tay- Sach's Disease


Tay – sachs Disease
-common in jewish family
-decrease hexosaminidase A( brain function; intelligence)
-Neuro deterioration
-lead to coma = death
-onset 3-6months
Manifestations: weakness, fever, cherry red macula (lead to blindness)

Wednesday, October 12, 2011

Mumps


Mumps
-paramyxo virus; common during winter and spring
-uni or bilateral
-downward, forward formation of swelling
Fatal complications: orchitis

Monday, October 10, 2011

scarlet fever


Scarlet fever
-strawberry tongue
-group A beta hemolytic strep
Manifestation: fever, pharyngitis, fatigue

Sunday, October 9, 2011

Kawasaki disease


Kawasaki disease – from korea
Strawberry tongue; 5 days = white tongue

Friday, October 7, 2011

baby shaken syndrome


Baby shaken syndrome
-child abuse
-retinal hemorrhage

Wednesday, October 5, 2011

Reye's Syndrome


Reye’s Syndrome
-accumulation of fats in liver; aspirin toxicity
-below 10 years old
-use Tylenol instead (widely used analgesic)
2 posture associated with neuro disorder
1.       Decorticate- cortex (basal ganglia)
2.       Decerebrate – pons (rate, depth of respiration)
Manifestations: lethargic, tinnitus, neuro disorder

Monday, October 3, 2011

Tumor


Tumor
-space occupying lesions
2 types of tumor in brain: 1. Glioblastoma – adult
                                                    2. medullablastoma – children
Mgt: Surgery
a.       Craniotomy – opening of skull
b.      Craniectomy – part of skull removed
Nsg priority: SAFETY (wear helmet)
Drug: steroid ( decrease edema), NSAIDS
Note: prolonged use of steroids causes osteoporosis; if asthmatic weight gain

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provides resources, information, and articles intended for educational purposes only. Nurseslabs does not claim full ownership of the pictures, videos, and/or articles posted on this site. All other trademarks are the property of their respective owners. The contents of this web site are for informational purposes only and does not render medical advice or professional services. The information provided through this Web site should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, you should consult your health care provider.

Read more at Nurseslabs.com http://nurseslabs.com/disclaimer/#_
provides resources, information, and articles intended for educational purposes only. Nurseslabs does not claim full ownership of the pictures, videos, and/or articles posted on this site. All other trademarks are the property of their respective owners. The contents of this web site are for informational purposes only and does not render medical advice or professional services. The information provided through this Web site should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, you should consult your health care provider.

Read more at Nurseslabs.com http://nurseslabs.com/disclaimer/#_