Nurse's 5-Minute medical seek advice: Diseases covers greater than four hundred diseases—from Alzheimer's ailment to West Nile encephalitis—in a layout that's excellent for fast reference. ailments and issues are prepared alphabetically, and every disease/disorder is gifted on a two-page unfold with constant headings, together with pathophysiology, motives, hazard elements, issues, overview, remedy, nursing diagnoses, key results, nursing interventions, tracking, sufferer educating, discharge making plans, and more.
Recurring icons spotlight harmful issues, info that's serious to make sure sufferer defense, and age-related matters alongside the lifespan continuum. hundreds and hundreds of illustrations, pictures, charts, and tables supplement the text.
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Extra info for Nurse's 5-minute clinical consult. Diseases
If the patient receives glucocorticoids alone, observe for orthostatic hypotension or electrolyte abnormalities. Imaging Monitoring • • Chest X-ray shows a small heart. Computed tomography scan of the abdomen show adrenal calcification (if the cause is infectious). V. fluids Patient teaching Diet • General Be sure to cover: Small, frequent, high-protein meals • • Activity • lifelong steroid therapy requirement symptoms of steroid overdose (swelling, weight gain) and steroid underdose (lethargy, weakness) • Periods of rest possible need for dosage to be increased during times of stress or illness (when the patient has a cold, for example) • Medications • Lifelong profuse sweating in hot weather corticosteroid replacement, usually with cortisone or • Oral fludrocortisone Hydrocortisone Nursing considerations Nursing diagnoses • • • • • • • • • how to give a hydrocortisone injection and to keep an emergency kit containing hydrocortisone in a prepared syringe available for use in times of stress • stress management techniques.
Avoid restraints, unless necessary for protection. Use a nonthreatening approach. Monitoring • • • • • Mental status Vital signs Safety measures Nutritional and hydration status Intake and output Patient teaching General Be sure to cover: • • • • • the disorder, diagnosis, and treatment alcohol abstinence plan for relapse prevention drug administration, dosage, and possible adverse effects effects of disorder on significant others. • • • • Refer the patient to a rehabilitation program. Refer the patient to social services.
Perform self-care activities related to bathing and hygiene Handbook of Pathophysiology, 2nd ed.