Nursing Care of Children online practice 2016A (Please type :))
Homework Answers
ALTERATION IN HEALTH DIAGNOSIS- ACROMEGALY
PATHOPHYSIOLOGY
Increased secretion of growth hormone during adulthood is known as acromegaly. Benign pituitary adenomas leads to Increased secretion of growth hormone releasing hormone from hypothalamus followed by excess secretion of growth hormone and insulin like growth factor 1.Insulin receptors and insulin like growth factor 1 binds leads to stimulation of cell growth and proliferation and inhibits the programmed cell death.These all leads to the symptoms of acromegaly.
HEALTH PROMOTION AND DISEASE PREVENTION
Acromegaly usually develop slowly.People with family history of pituitary adenoma should be monitor at regular interval in order to provide early treatment and prevent complications
ASSESSMENT
Risk factors
- Adrenal tumors
- Maccun Albright syndrome
- Family history of pituitary adenoma
- Lung cancers
- Early menopausal females
- Surgical induced menopause
Expected findings
- Maxilo facial changes-Teeth splaying,prominent eye brows,square face
- Cardiovascular problems-hypertension left ventricular hypertrophy,myopathy
- Enlarged soft tissues,Athralgia
- hyperhydrosis
- visual defects
- increase isk of getting cancer colon
- oligomenorrhea
- decreased libido
- painful arthropathy
- obtructive sleep apnea
- carpal tunnel syndrome
Laboratory tests
- Increased serum insulin like growth factor
- OGTT with baseline growth hormone-If growth hormone not suppressed confirmed case of acromegaly
Diagnostic findings
- Increased growth hormone and prolactin
- Growth hormone assay
- Growth hormone levels after GTT
- Pituitary MRI-Shows visible mass
- Tumor DNA analysis-Shows activating mutation of adenylyl cyclase
PATIENT CENTERED CARE
Medications
- Growth hormone receptor antagonist-pegvisomant,
- Dopamin agonists-Bromocriptine
- Somatostatin analogs-octerotide
Theraputic pocedures
- Transsphenoidal hypophysectomy
- Radiation therapy
Nursing care
Peopeative-
- Provide education about the disease,medication to take and give emotional support
- Prepare for surgery
- Encourage the patient to interact with the family
- Reassure the patient about the physical defomities
Post operative
- Assess the baseline vital signs
- Elevate the head end of bed to reduce breathing difficulty and facilitate fluid drinage
- Keep the skin dry
- Provide frequent mouth care
- Encourage early ambulation
- Advice to avoid coughing and sneezing
- Assist in ROM exercises
Client education
- Instruct the patient to avoid stranious activities for 2 months after surgery
- Demonstration and client education about how to administer medications like octreotide
- Advice to check blood glucose level at regular intervels
- Regular heath check up for cardiac functioning,gall stones
Complications
- Diabetes mellitus
- Sleep apnea
- Neoplastic diseases
- Hypopituitarism
- Psychological impairment
- Hypertension
- CHF
- Valvular diseases
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Nursing Care of Children online practice 2016A (Please type
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CTVELEAININGTEMP A System Disorder STUDENT NAME...
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System Disorder ACTIVE LE ARNING TEMPLATE STUDENT NAME DISORDER/DISEASE PROCESS REMEW MODULE CHAPTER | 13 - Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention SAFETY CONSIDERATIONS ASSESSMENT Risk Factors Expected Findings Laborator? Tests Diagnostic Proce dures Com PATIENT CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures
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ACTIVE EARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISE ASE PROCEs Cardiovascular and H ematoloaic disorder R REMEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Proce dures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care
Please type ACTVELE ARINGTEML ATE System Disorder STUDENT NAME EASE PROCESS stomatitis 16 DISORDER/DIS REMEW MODULE...
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ACTVELE ARINGTEML ATE System Disorder STUDENT NAME EASE PROCESS stomatitis 16 DISORDER/DIS REMEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIME HERAPEUTIC PROCEDUREA11
PLEASE TYPE THANK YOU CTVELEAININGTEMP A System Disorder STUDENT NAME renal disorder DISORDER/DISEASE PROCESS kidney stone...
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CTVELEAININGTEMP A System Disorder STUDENT NAME renal disorder DISORDER/DISEASE PROCESS kidney stone REVMEW MODULE CHAPTER H 14 Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Proce dures PATIENT-CENTERED CARE Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIVE LEARNING TEMPLATESTHERAPEUTIC PROCEDURE A11
ACTIVE LEARNING TEMPLATE System Disorder 13 STUDENT NAME DISORDER/DISEASE PROCESS Gastrointestinal Disorders REVIEW MODULE CHAPTER Alterations...
ACTIVE LEARNING TEMPLATE System Disorder 13 STUDENT NAME DISORDER/DISEASE PROCESS Gastrointestinal Disorders REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care THERAPEUTIC PROCEDURE A11 ACTIVE LEARNING TEMPLATES
ONE TEMPLATE ON CONGESTIVE HEART FAILURE AND ONE ON DIABETES ACTIVE LEARNING TEMPLATE System Disorder STUDENT...
ONE TEMPLATE ON CONGESTIVE
HEART FAILURE AND ONE ON DIABETES
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11 ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health...
Eating Disorders: Bulimia Nervosa (Active Learning Template - System Disorder, RM MH RN 10.0 Chp ...
Eating Disorders: Bulimia Nervosa (Active Learning Template -
System Disorder, RM MH RN 10.0 Chp 19)
(Please answer all the boxes, there are 14 to fill,
thank you!)
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME REVIEW MODULE CHAPTER DISORDER/DISEASE PROCESS Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Alterations in Health (Diagnosis) ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Client Education Medications Therapeutic Procedures Interprofessional Care
ACTIVE LEARNING TEMPLATE...
please fill the spots. ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESSs REVIEW MODULE CHAPTER...
please fill the spots.
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESSs REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention SAFETY CONSIDERATIONS ASSESSMENT Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complications PATIENT-CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS_Cancer REVIEW MODULE CHAPTER Alterations in Health (Diagnosis)...
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS_Cancer REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complic PATIENT-CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS Pharyngitis REVIEW MODULE CHAPTER Alterations in Health...
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS Pharyngitis REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care
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System Disorder ACTIVE LE ARNING TEMPLATE STUDENT NAME DISORDER/DISEASE PROCESS REMEW MODULE CHAPTER | 13 - Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention SAFETY CONSIDERATIONS ASSESSMENT Risk Factors Expected Findings Laborator? Tests Diagnostic Proce dures Com PATIENT CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures
Please type thanks :)
ACTIVE EARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISE ASE PROCEs Cardiovascular and H ematoloaic disorder R REMEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Proce dures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care
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ACTVELE ARINGTEML ATE System Disorder STUDENT NAME EASE PROCESS stomatitis 16 DISORDER/DIS REMEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIME HERAPEUTIC PROCEDUREA11
PLEASE TYPE THANK YOU
CTVELEAININGTEMP A System Disorder STUDENT NAME renal disorder DISORDER/DISEASE PROCESS kidney stone REVMEW MODULE CHAPTER H 14 Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Proce dures PATIENT-CENTERED CARE Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIVE LEARNING TEMPLATESTHERAPEUTIC PROCEDURE A11
ACTIVE LEARNING TEMPLATE System Disorder 13 STUDENT NAME DISORDER/DISEASE PROCESS Gastrointestinal Disorders REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care THERAPEUTIC PROCEDURE A11 ACTIVE LEARNING TEMPLATES
ONE TEMPLATE ON CONGESTIVE
HEART FAILURE AND ONE ON DIABETES
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11 ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health...
Eating Disorders: Bulimia Nervosa (Active Learning Template -
System Disorder, RM MH RN 10.0 Chp 19)
(Please answer all the boxes, there are 14 to fill,
thank you!)
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME REVIEW MODULE CHAPTER DISORDER/DISEASE PROCESS Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Alterations in Health (Diagnosis) ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Client Education Medications Therapeutic Procedures Interprofessional Care
ACTIVE LEARNING TEMPLATE...
please fill the spots.
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESSs REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention SAFETY CONSIDERATIONS ASSESSMENT Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complications PATIENT-CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS_Cancer REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complic PATIENT-CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS Pharyngitis REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care
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