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Showing posts with the label Medical surgical nursing

Acne Vulgaris Nursing Care Plan & Management

 Acne Vulgaris Nursing Care Plan & Management Definition Acne vulgaris is an inflammatory disease of the sebaceous follicles. Risk Factors Highest incidence at puberty Genetics Hormonal factors Bacterial infection Pathophysiology Acne eruptions are initiated by increased sebum production activated by androgenic hormones. Sebum is secreted into dilated hair follicles containing normal skin bacteria. The bacteria secrete the enzyme lipase, which reacts with sebum to produce free fatty acids to trigger inflammation. At the same time, keratin produced by the hair follicles combines with sebum to form plugs in dilated follicles. Assessment/Clinical Manifestations/Signs and Symptoms Closed comedones (i.e. whiteheads) Open comedones (i.e. blackheads) Papules, pustules, nodules, cysts Primarily appear on the face, shoulders, and upper back Medical Management The goals of management are to reduce bacterial colonies, decrease sebaceous gland activity, prevent the follicles from becoming ...

Acute Respiratory Distress Syndrome Nursing Care Plan & ManagemENT

  Acute Respiratory Distress Syndrome Nursing Care Plan & Managem ENT Description Acute respiratory distress syndrome is a form of acute respiratory failure that occurs as a complication of some other condition, is caused by a diffuse lung injury, and leads to extravascular lung fluid. The major site of injury is the alveolar capillary membrane. The interstitial edema causes compression and obliteration of the terminal airways and leads to reduced lung volume and compliance. The ABG’s identify respiratory acidosis and hypoxemia that does not respond to an increase percentage of oxygen. The chest X-ray film shows interstitial edema. Some of the causes includes sepsis, fluid overload, shock, trauma, neurological injuries, burns, disseminated intravascular coagulation, drug ingestion and inhalation of toxic substances. Causes & Risk Factors ARDS can be caused by any major swelling (inflammation) or injury to the lung. Some common causes include: Breathing vomit into the lungs ...

Abdominal Aortic Aneurysm Nursing Care Plan and Management

  Abdominal Aortic Aneurysm Nursing Care Plan and Management Description An aortic aneurysm is an abnormal dilation of the arterial wall caused by localized weakness and stretching in the medial layer or wall of an artery. The aneurysm can be located anywhere along the abdominal aorta. The goal of treatment is to limit the progression of the disease by modifying risk factors , controlling the BP to prevent strain on the aneurysm, recognizing symptoms early, and preventing rupture. Assessment Prominent, pulsating mass in abdomen, at or above the umbilicus Systolic bruit over the aorta Tenderness on deep palpation Abdominal or lower back pain Diagnostic Evaluation Chest radiograph, angiogram, transesophageal echocardiography, and magnetic resonance imaging(MRI). Duplex ultrasonography or computed tomography (CT) Primary Nursing Diagnosis Risk for fluid volume deficit related to hemorrhage Other Diagnoses that may occur in Nursing Care Plans For Abdominal Aortic Aneurysm Acute pain re...

Angina Pectoris Management and Nursing Care Plan

 Angina Pectoris Management and Nursing Care Plan Description   Angina is chest pain resulting from myocardial ischemia caused by inadequate myocardial blood and oxygen supply. Angina is caused by an imbalance between oxygen supply and demand. Causes include obstruction of coronary blood flow because of atherosclerosis, coronary artery spasm, and conditions increasing myocardial oxygen consumption. The goal of treatment is to provide relief of an acute attack, correct the imbalance between myocardial oxygen supply and demand, and prevent the progression of the disease ad further attacks to reduce the risk of MI. Patterns of angina 1 .  Stable angina Stable angina also called  exertional angina. Stable angina occurs with activities that involve exertion or emotional stress and is relieved with rest or nitroglycerin. Stable angina usually has a stable pattern of onset, duration, severity, and relieving factors. 2.  Unstable angina Unstable angina also is called...