By Springhouse
The Nurse's 3-Minute medical Reference is prepared into 4 sections—Disorders, remedies, Procedures, and Diagnostic Studies—with entries inside of each one part geared up alphabetically. every one Disorders and Procedures access is six columns on a two-page unfold; every one Diagnostic Studies and Treatments access is 3 columns on one web page. details is equipped briefly bulleted points.
Part I covers greater than three hundred acute and protracted illnesses together with the latest stipulations similar to metabolic syndrome. half II covers greater than 50 remedies; half III, greater than seventy five strategies; and half IV, greater than a hundred thirty diagnostic checks. Entries in each one part persist with a constant format.
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Continually reassure the patient, and explain all tests and treatments. ▪ If the patient undergoes skin or scratch testing, monitor for signs of a serious allergic response. Keep emergency resuscitation equipment readily available. a patient must reᳲ ceive a drug toIfwhich he’s allerNURSING ALERT gic, prevent a severe reaction by making sure he receives careful desensitization with gradually increasing doses of the antigen or with advance administration of corticosteroids. Closely monitor the patient during testing and have resuscitation equipment and epinephrine readily available.
Provide oxygen therapy, as necessary. ▪ Assess the family’s dietary habits for ▪ ▪ ▪ ▪ ▪ ▪ iron intake, noting the influence of childhood eating patterns, cultural food preferences, and family income on adequate nutrition. Ask the dietitian to give the patient nonirritating foods. As ordered, administer analgesics for headache and other discomfort. Evaluate the patient’s drug history. Certain drugs, such as pancreatic enzymes and vitamin E, can interfere with iron metabolism and absorption; aspirin, steroids, and other drugs can cause GI bleeding.
Discharge planning ▪ Refer the patient to a local ALS support group. gov Selected references Diseases, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2006. Handbook of Pathophysiology, 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2005. L. “Taking Aim at Amyotrophic Lateral Sclerosis,” Nursing2005 35(11):32hn1-32hn2, November 2005. Stuban, S. “Critical Care Extra: Living, Not Dying with ALS: Confounding the Predictions of Lou Gehrig Disease,” AJN 104(5):72KK-72Q, May 2004. keeping stairs and pathways free from clutter; using nonskid mats in the bathroom and in place of loose throw rugs; keeping stairs well lit; installing handrails in stairwells and the shower, tub, and toilet areas; and removing electrical and telephone cords from traffic areas.