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What should you assess in SCI & Why? patient's breathing pattern and the strength of the
cough are assessed, and the lungs are auscultated,
because paralysis of the diaphragm
Why may reduced excursion of the in addition to abdominal and respiratory muscles,
chest result? diminishes coughing and makes clearing of bronchial
and pharyngeal secretions difficult
What is the patient closely monitored any changes in motor or sensory function and for
for in SCI symptoms of progressive neurologic damage.
Why is the patient assessed for spinal a complete loss of all reflex, motor, sensory, and
shock? autonomic activity below the level of the lesion that
causes bladder paralysis and distention.
Why is the abdomen palpated in SCI for signs of urinary retention and overdistention of
the bladder
Why do we monitor temperature in because the patient may have periods of
SCI? & What is it due to? hyperthermia as a result of altered temperature
control, which is due to the inability to perspire
related to autonomic disruption
Cardiac arrythmia PVCS? are abnormal heartbeats that originate from the
ventricles rather than the normal pacemaker of the
heart, the sinoatrial (SA) node
S/S Of pvcs? palpitations, a pounding sensation in the chest, or a
fluttering feeling in the chest
, What happens if PVCS are frequent? if they are frequent and symptomatic, treatment may
include medications such as beta blockers, calcium
channel blockers, or antiarrhythmic drugs. In some
cases, procedures such as catheter ablation may be
considered
HIV CD4 count- pathology? An HIV CD4 count is a laboratory test that measures
Importance of the cells? the number of CD4 T-cells in a patient's blood.These
cells play a crucial role in the immune system and are
targeted by the HIV virus
What info does the HIV count provides information about the status of a patient's
provide? What does it monitor? immune system and helps to guide treatment
decisions. It is used to monitor the progression of the
disease and the effectiveness of antiretroviral
therapy
What does a low CD4 count indicate? A low CD4 count indicates that a patient's immune
system is severely compromised, making them more
vulnerable to opportunistic infections and other
complications associated with HIV.
What are the common sources of pesticides, medications, carbon monoxide, and lead
poisoning in the home?
poisoning s/s nausea, vomiting, abdominal pain, confusion,
seizures, and respiratory distress
What should you do in a poisoning call the Poison Control Center or emergency
situation? services immediately. Do not induce vomiting unless
instructed to do so by a medical professional
AIDS- dementia HIV-associated neurocognitive disorder (HAND), is a
neurological disorder that affects individuals with
advanced HIV infection.
Aids demention s/s cognitive impairment, memory loss, difficulty with
speech and motor skills, and behavioral changes