-refer to social services/case managers to prevent role strain, as alzheimer's
permanent and only gets worse
-educate family about illness, care, meds, adaptation of home environment
-provide info about seizure care (can happen later in disease)
Alzheimer's client education -remove scatter rugs/clutter, install safety locks
-provide good lighting
-shower chair
-have patient wear med. ID bracelet
-place mattress on floor
-assess cognitive status, memory, judgement, personality
-bowel/bladder schedule
-encourage client/fam to join in support group
-SAFETY (remove obstacles, frequent monitoring)
-frequent walks w client to reduce wandering
Alzheimer's disease patient care -sleep schedule
-verbal/nonverbal communication
-check skin weekly for brkdown
-cognitive stimulation (activities, structure, calendar, consistency)
-memory training (reminisce abt past with them, rehearsing memory facts)
-promote self-care ALAP
, -most meds target behavioral/emotional issues
-Donepezil (prevents breakdown of acetylcholine) which increases nerve
impulses @ site
-Memantine: blocks nerve cell damage * reduces deterioration
-Cholinesterase inhibitors slow degeneration
Alzheimer's medications -Ginkgo biloba can increase memory/blood circulation but shouldn't be take
with these meds
-observe for frequent stools/upset stomach
-monitor for dizziness/headache
-use caution when giving this med. to clients with asthma/COPD
-monitor for fatigue/pallor/dizziness/ SOB
-schedule rest periods in btwn activities
Anemia d/t chemotherapy - nursing -administer erythropoietic meds (darbepoetin alfa, epoetin alfa) and antiane
actions meds (feroous sulfate)
-monitor H/H to determine response to meds
-be prepared to admin blood
, drugs
-Dihydrotestosterone (DHT)-lowering meds (finasteride) - to decrease prod
testosterone in prostate/reduce size
-this can take up to 6 mo. to work, impotence/libido decrease = adverse effe
report breast enlargement to HCP
BPH drugs/patient education -PREGNANT WOMEN AVOID CONTACT WITH THIS DRUG
-alpha-blocking agents: tamsulosin
--causes relaxation of bladder outlet/prostate gland
-decreases pressure on urethra, allowing for stronger urine flow
--tachycardia, syncope, postural hypotension can occur, change positions sl
-cimetidine use can increase hypotensive effect
labs
-WBC's elevated, hematuria, bacteria in UTI
-RBC's may be decreased d/t hematuria
-BUN/Creatinine elevated indicating kidney damage
BPH lab tests/diagnostics
diagnostics
-DRE
-Transrectal ultrasound with needle aspiration biopsy to rule out cancer
-EPCA blood test instead of biopsy to rule out prostate cancer
, -benign prostatic hyperplasia
-enlargening of prostate that causes urinary dysfunction
risk factors
-increased age, smoking, chronic alcohol use, sedentary lifestyle, western di
BPH & s/s DM, heart disease
s/s
-urinary frequency, dribbling, nocturia, weak stream, hematuria, incomplete
bladder emptying, urgency, urgency, incontinence, UTI's due to urinary issue
kidney damage if urine backflows to ureters and kidneys
-antiepileptic drug also used for neuropathic pain, schizophrenia, Bipolar
-normal therapeutic range: 4-12 mcg/mL
-levels > 15 mcg/mL considered toxic
Carbamazepine definition and s/s of
s/s in order of severity
toxicity
-disorientation/ataxia
-aggression/hallucinations
-seizures/comas
indications: assesses bloodflow to/within brain, identifies aneurysms, defines
tumor vascularity, can be used to inject medications
intraprocedure
cerebral angiography
-catheter placed into artery (groin/neck), dye injected, x-rays taken
-catheter removed once pics are finished, closure device/pressure held over
artery to control bleeding by forming a thrombus and sealing the artery off.
permanent and only gets worse
-educate family about illness, care, meds, adaptation of home environment
-provide info about seizure care (can happen later in disease)
Alzheimer's client education -remove scatter rugs/clutter, install safety locks
-provide good lighting
-shower chair
-have patient wear med. ID bracelet
-place mattress on floor
-assess cognitive status, memory, judgement, personality
-bowel/bladder schedule
-encourage client/fam to join in support group
-SAFETY (remove obstacles, frequent monitoring)
-frequent walks w client to reduce wandering
Alzheimer's disease patient care -sleep schedule
-verbal/nonverbal communication
-check skin weekly for brkdown
-cognitive stimulation (activities, structure, calendar, consistency)
-memory training (reminisce abt past with them, rehearsing memory facts)
-promote self-care ALAP
, -most meds target behavioral/emotional issues
-Donepezil (prevents breakdown of acetylcholine) which increases nerve
impulses @ site
-Memantine: blocks nerve cell damage * reduces deterioration
-Cholinesterase inhibitors slow degeneration
Alzheimer's medications -Ginkgo biloba can increase memory/blood circulation but shouldn't be take
with these meds
-observe for frequent stools/upset stomach
-monitor for dizziness/headache
-use caution when giving this med. to clients with asthma/COPD
-monitor for fatigue/pallor/dizziness/ SOB
-schedule rest periods in btwn activities
Anemia d/t chemotherapy - nursing -administer erythropoietic meds (darbepoetin alfa, epoetin alfa) and antiane
actions meds (feroous sulfate)
-monitor H/H to determine response to meds
-be prepared to admin blood
, drugs
-Dihydrotestosterone (DHT)-lowering meds (finasteride) - to decrease prod
testosterone in prostate/reduce size
-this can take up to 6 mo. to work, impotence/libido decrease = adverse effe
report breast enlargement to HCP
BPH drugs/patient education -PREGNANT WOMEN AVOID CONTACT WITH THIS DRUG
-alpha-blocking agents: tamsulosin
--causes relaxation of bladder outlet/prostate gland
-decreases pressure on urethra, allowing for stronger urine flow
--tachycardia, syncope, postural hypotension can occur, change positions sl
-cimetidine use can increase hypotensive effect
labs
-WBC's elevated, hematuria, bacteria in UTI
-RBC's may be decreased d/t hematuria
-BUN/Creatinine elevated indicating kidney damage
BPH lab tests/diagnostics
diagnostics
-DRE
-Transrectal ultrasound with needle aspiration biopsy to rule out cancer
-EPCA blood test instead of biopsy to rule out prostate cancer
, -benign prostatic hyperplasia
-enlargening of prostate that causes urinary dysfunction
risk factors
-increased age, smoking, chronic alcohol use, sedentary lifestyle, western di
BPH & s/s DM, heart disease
s/s
-urinary frequency, dribbling, nocturia, weak stream, hematuria, incomplete
bladder emptying, urgency, urgency, incontinence, UTI's due to urinary issue
kidney damage if urine backflows to ureters and kidneys
-antiepileptic drug also used for neuropathic pain, schizophrenia, Bipolar
-normal therapeutic range: 4-12 mcg/mL
-levels > 15 mcg/mL considered toxic
Carbamazepine definition and s/s of
s/s in order of severity
toxicity
-disorientation/ataxia
-aggression/hallucinations
-seizures/comas
indications: assesses bloodflow to/within brain, identifies aneurysms, defines
tumor vascularity, can be used to inject medications
intraprocedure
cerebral angiography
-catheter placed into artery (groin/neck), dye injected, x-rays taken
-catheter removed once pics are finished, closure device/pressure held over
artery to control bleeding by forming a thrombus and sealing the artery off.
