VERIFIED ANSWERS
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Definition
- chronic disease characterized by demyelination and axonal nerve
damage
- immune mediated
- more women than men, typically age of onset is 25-35
- four types: relapsing remitting (this card), primary progressive,
secondary progressive, and progressive-relapsing
Risk Factors:
- EBV
- genetics
CMs:
- depends on the location of lesions
- symptoms develop and lasts weeks to months, then the
patient returns to baseline.
- fatigue/weakness
, - spasticity lower extremities
- bowel, bladder, sexual dysfunction
- pain, paresthesias
- double vision, nystagmus
- emotional lability
Diagnosis:
- gold standard is the presence of plaques seen on MRI
- lumbar puncture
Medical Treatment:
- no cure, just delay progression
- acute relapse: methylprednisolone IV followed by oral tapered
prednisone
- to reduce relapses: interferons
Nursing Diagnoses:
- impaired home maintenance management
- ineffective coping
- impaired physical mobility
- risk for injury RT sensory and visual impairment
Nursing Interventions:
- promoting physical monbility
- preventing injury
- enhancing bladder and bowel control, preventing UTIs
- enhancing communication and managing swallowing difficulties
- maintain independence in ADLs as long as possible
- prevent complications
of immobility
, Patient Education:
- med info
- when to contact HCP
- environmental modifications, adaptive techniques
- strategies to manage symptoms
- optimize nutrition
- managing bowel and bladder function: self-cath for neurogenic
bladder
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Multiple Sclerosis (spinal cord Type II Hypersensitivity reactions:
disorder) Cytotoxic
Parkinson's Type I Hypersensitivity Reaction:
disease (brain disorder)
Anaphylaxis
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Definition
- graft versus host
- immune system realizes that the graft is "not self" and tries to destroy
it, so patient must be on immunosuppressants
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, Chapters to review Disaster Management Tags
thrombocytopenia Transplant Rejection
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Definition
- 16, 17, 18 is new material with 19 qs from here
- 29: 3 qs
- 39 and 41: 4 qs
- 54: 3 qs
- 63: 3 qs
- there are other chapters but only have 1 or 2 Qs per section
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HIV Risk Factors thrombocytopenia
Nonviral Hepatitis Chapters to review
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