MS
Terms
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- what are some signs and symptoms of MS?
- vision, coordination, any slurred speech, impotence, ataxia, double vision. 70% experience nystagmus.
- when doing an assessment ask the patient if he has any signs of heaviness or weakness, numbness, or tingling where?
- extremities
- determine the patients ability to perform daily activities such as?
- fine movement of fingers, when dressing or picking up small objects.
- ask the patient if he experience any burninsensation, or pain decreased temp, intensional tremor during voluntary movement, like?
- foot-dragging, staggering, dizziness, or loss of balance.
- ask if the patient has had decreased motor function after what?
- taking a hot bath(uhtoffs sign)
- half the patients experience loss of?
- sense position, vibration, shape, texture.
- determine the patients place on the continuum of shock?
- denial, or anger and accept the patients curent stage.
- which diagnostic test for MS is revealing?
- CSF elevated protein levels, white blood cells are up, electrophoresis of csf shows increased myelin basic protein and igG bands
- primary nursing diagnosis is?
- impaired physical mobility related to fatigue and weakness.
- patient may need which following services?
- PT for physical therapy, Socialworker money, psychologist for depresssion
- which drugs are udes for choice in MS?
- corticosteroids for edema and swelling during exacerbation.prednisone, solu-medrol
- what other drugs are used for MS?
- immunosuppressive agents, cytoxan, betaseronhelp decreased synptoms and induce remisssions
- librium to reduce mood swings, baclofen or dantrium for muscle spasticityand patients with urinary symptoms may require?
- urecholine, ditropan
- To help patient with visual field he should be asked to?
- patch each eye alternating several times a day will help with balance and visualization
- have patient stay away from hot surfaces and not to get overheated because this will lead to?
- exacerbations
- drugs of choice for MS is?
-
corticosteroids, for edema exacerbations.
prednisone solumedrol - immunosuppressive drugs for?
-
help decreased symptoms and induce remissions
cytoxan, betaseron - librium for
- moodswings
- lioresal or dantrium for
- muscle spascity
- patients wit hurinary symptoms?
- urecholine, or ditropan
- patching each eye several times a day help with?
- balance and vision
- have the patient look out for hot surfaces water and to keep self from overheating because this can lead to?
- exacerbations
- suppossitory may be needed for patients?
- glycerine
- teach patient intermittent self catherization using clean technique for ?
- patients who are capable, but most are incontinent asked them to void every 3 hours