Prevention
Diabetic Neuropathy
Multiple Sclerosis
Amputations
Normal Body Changes of Aging
100
Counselling on healthy lifestyles: dietary counselling, exercising regularly, & not smoking for people at risk of colorectal cancer, etc.
What is primary prevention?
100
The most common type of diabetic neuropathy.
What is peripheral?
100
Chronic demyelinating disease producing ________ on the myelin sheath of neurons in the CNS.
What is plaques?
100
Post op nursing care: perfusion assessment, evaluate for bleeding and healing, assess pain level, compression dressing assessment, promotion of body image, and elevate for ________
What is the first 24 hours only?
100
Hearing deficits are common with aging and can result in _______ isolation.
What is social?
200
Follow-up exams to identify recurrence or metastatic disease: physical examination, liver enzyme tests, chest x-rays, etc.
What is tertiary prevention?
200
Damage to _______ related to uncontrolled long-term high ________ levels and decreased insulin.
What is nerves and blood glucose?
200
Exact cause unknown- several theories including _________ _______ __________.
What is autoimmune viral infection?
200
The nurse should promote exercise post amputation such as ROM to prevent __________ ___________, particularly of the hip and knee.
What is flexion contractures?
200
Decrease in body _______ and increase in body _____.
What is water and fat?
300
daily, low-dose aspirins and/or diet and exercise programs to prevent further heart attacks or strokes
What is secondary prevention?
300
Symptoms of diabetic neuropathy (list 4).
What is burning/stabbing pain, numbness, tingling, inability to recognize pain, decreased ADL ability due to decreased strength and dexterity, etc.
300
Clinical manifestations of MS (each patient affected differently-list 3).
What is fatigue, visual disturbances, spasticity, muscle weakness, ataxia, sensory changes, pain, paresthesia, bladder/bowel dysfunction, sexual dysfunction, dysarthria, dysphasia, mood changes, & cognitive impairment?
300
A frequent complication of amputation within the first 6 months; unrelieved with opiods.
What is phantom limb pain?
300
Lean muscle mass diminishes and loss of bone mineral density.
What is sarcopenia?
400
Immunization against infectious diseases.
What is primary prevention?
400
Patients are at risk for _________ often due to poorly healing ________.
What is infection and wounds/ulcers?
400
Used specifically for remitting-relapsing MS, works by stopping the body from damaging myelin; daily SQ injection.
What is Glatiramer (Copaxone) [immunomodulator]
400
Slows bone loss, antinociceptive effect, given for fractures and phantom limb pain, also used with Paget's disease. (Bonus for route)
What is Calcitonin (IV infusion)?
400
Major side effect of cardiac drugs that put older people (65+) at risk for falls due to about a 50% decrease in their hepatic blood flow.
What is orthostatic hypotension?
500
cardiac or stroke rehabilitation programs, chronic disease management programs (e.g. for diabetes, arthritis, depression, etc.), and support groups.
What is tertiary prevention?
500
Name three medications and their class used to treat the symptoms of diabetic neuropathy.
What is Neurontin (anticonvulsant), Elavil (antidepressant), Capsaicin (topical-analegsic), Lidocaine injections (local anesthetic)
500
Three medications used to treat the symptoms of MS.
What is Baclofen (spasms), Ditropan (bladder), and Clonazepam (anxiety, tremor)
500
Place patient _______ position every 3-4 hours for 20-30 minutes to stretch out hips in order to prevent __________.
What is prone and hip flexion contractures?
500
Hgb _______, platelet _______, lymphocyte _________, & granulocyte _______.
What is decreased x3 and increased?
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