Primary Nursing Diagnosis

Pain (acute) related to pressure from a space-occupying lesion OUTCOMES. Comfort level Pain control behavior Pain Disruptive effects Pain level INTERVENTIONS. Pain management Analgesic administration Positioning Teaching Prescribed activity exercise Teaching Procedure treatment Teaching Prescribed medication U PLANNING AND IMPLEMENTATION Collaborative The treatment of a pituitary tumor is guided by whether it is a carcinoma or an adenoma. Treatment of adenomas is guided by whether or not the...

Gender Ethnicracial And Life Span Considerations

Drug use and abuse are prevalent across the life span from young adolescents to the elderly. Increasing numbers of the elderly are abusing drugs as a way of coping with the stressors of aging. Young teens are vulnerable to experimentation as they attempt to conform to group norms and peer pressure. The typical users of barbiturates, sedatives, and tranquilizers are middle-class, middle-aged women. Cocaine use is often seen in younger adult professionals, entertainers, and business executives....

Mean LOS 63 days Description Medical Endocrine Disorders with CC

Pheochromocytoma is a rare tumor, most often located in the adrenal gland, that arises from catecholamine-producing chromaffin cells. Although pheochromocytoma occurs in only 0.1 to 0.3 of all hypertensive patients, hypertension may be fatal if the pheochromocytoma goes unrecognized. These tumors secrete large quantities of epinephrine and norepinephrine, resulting in persistent or paroxysmal hypertension. Pheochromocytomas are vascular tumors that contain hemorrhagic or cystic areas and are...

Genetic Considerations

Susceptibility to alcohol abuse appears to run in families and is the subject of vigorous ongoing investigations to locate genes that contribute. It is probable that the effects of multiple genes and environment are involved in alcoholism. Twin studies have shown a stronger concordance between identical rather than nonidentical twins (55 or greater concordance for monozygotic twins and 28 for same sex dizygotic twins). Genetic differences in alcohol metabolism may result in higher levels of a...

Discharge And Home Healthcare Guidelines

Patient teaching is individualized, but for most patients it includes information about each of the following. WOUND MANAGEMENT. This includes infection control, basic cleanliness, and wound management. SCAR MANAGEMENT. Functional abilities, including using pressure garments, exercises, and activities of daily living, must be assessed and taught. NUTRITION. Nutritional guidelines are provided that maintain continued healing and respond to the metabolic demands that frequently last for some time...

Causes

The primary cause of hyperphosphatemia is decreased phosphorus excretion because of renal insufficiency or renal failure (acute or chronic). Decreased phosphate excretion also occurs with hypoparathyroidism. Decreased parathyroid activity leads to decreased calcium concentration and increased phosphorus concentration. Increased serum phosphorus absorption may also occur with increased intake of vitamin D or excessive quantities of milk. An increased intake of phosphorus or phosphorus-containing...

Assessment

Most patients with appendicitis report a history of midabdominal pain that initially comes in waves. In addition, early in the disease process, many patients report a discomfort that creates an urge to defecate to obtain relief. As the disease process progresses, patients usually complain of a constant epigastric or periumbilical pain that eventually localizes in the right lower quadrant of the abdomen. Some patients may report a more diffuse lower abdominal pain or referred pain....

Pharmacologic Highlights

IV 25-50 mL, followed by an Infusion of D5W or D10W to maintain a blood glucose of 100 mg dL Supplies a source of carbohydrate that can be immediately converted to glucose Antihypoglycemic promotes hepatic glycogenolysis and gluco-neogenesis, stimulates production of cyclic adenosine monophosphate (cAMP) peak action occurs in 30 min and the effect lasts for 2 hr Treats hypoglycemia if the person cannot maintain oral intake and if IV access is not available note that the drug may cause vomiting...

DRG Category 296 Mean LOS 54 days Description Medical Nutritional and

Miscellaneous Metabolic Disorders, Age > 17 with CC I lypoglycemia occurs when the blood glucose falls below 50 mg dL. Normal blood glucose values range between 70 and 110 mg dL. A series of complex physiological responses is set off when a patient develops a low level of blood glucose. The most dramatic is the sympathetic nervous system (SNS) or adrenergic response, which is primarily the result of epinephrine. Epinephrine stimulates the liver to convert glycogen into glucose to support the...

Primary Postoperative Nursing Diagnosis

Risk for infection related to the surgical incision OUTCOMES. Immune status Knowledge Infection control Risk control Risk detection Tissue integrity Skin Nutritional status INTERVENTIONS. Infection control Infection protection Medication prescribing Surveillance Wound care Nutritional management Fluid electrolyte management U PLANNING AND IMPLEMENTATION Collaborative SURGICAL. An appendectomy (surgical removal of the appendix) is the preferred method of management for acute appendicitis if the...

Physical Examination

Inspect the patient's skin, noting if it feels warm. Note a flushed appearance. Assess the patient's breathing pattern for Kussmaul's respirations, a compensatory mechanism that the body uses to attempt to balance the pH by blowing off carbon dioxide. Check for an increased heart rate caused by stimulation of the sympathetic nervous system. To detect changes in cardiac performance, use a cardiac monitor for patients with a pH less than 7 and a potassium level greater than 5...

Miscellaneous Metabolic Disorders Age 17 with CC

Cystic fibrosis CF is a multisystem genetic disease of the exocrine glands those glands with ducts such as the mucous, salivary, and sweat-producing glands. CF, originally called CF of the pancreas, is also associated with the glands of the respiratory system and the skin, and it has the potential for multiple organ involvement. The lungs are most frequently affected, but the gastrointestinal GI tract including the small intestine and pancreatic and bile ducts and eventually the reproductive...