Question

HELLP Sydrome 7.STI's 8.Torch 9.Toxic Shock Syndrome 10.Endometrioses 11.Amnion 12.Chroion Define, Risk factor, patho, sign and symptoms; What do we went to prevent? Nursing management; Asess, Do Treatments, medication

Answer 1

9.Toxic Shock Syndrome:

Define:

TTS is a life-threatening complication caused by the toxins of Group A streptococcus bacteria. It was associated with the use of tampons in menstruating women. It affects all age groups in both males and females.

Risk Factors:

• Having cuts or wounds in the skin.
• Uses of sponges or superabsorbent tampons.
• Recent surgery
• Recent history of viral or bacterial infection.
• Menstruating women.

Pathogenesis:

The bacteria enters into the skin and produces enterotoxin. It affects the activity of T-cells by inhibiting the production of immunoglobulin. This leads to an endotoxin shock. Menstrual fluid may increase the chance of these bacterial growths and promote toxigenic shock in women.

Signs and symptoms:

• Sudden fever
• Vomiting
• diarrhea
• Muscle ache
• Seizure
• Confusion
• dizziness

Prevention:

Tss is a life-threatening condition which leads to serious complications if not treated at early. So prevention is better than cure. some of the preventive measures are

• Avoid the use of tampons for a longer duration of time.
• Stop using tampons if any previous infection.
• Follow hygienic measures.
• Prefer for an alternative method of the sanitary napkin.

Nursing Management of Toxic shock syndrome:

Assessment:

• Assess the Vital signs and symptoms of shock.
• Assess the cardiac, respiratory, and renal function.
• Monitor the lab values of LFT, RFT.
• Monitor body temperature.

Interventions:

• Minimize the effect of toxins.
• Administer oxygen
• Monitor the cardiac functions.
• Assess the respiratory function and support with a ventilator.

Treatment:

• Start IV fluids to stabilize the blood pressure.
• Administer antibiotics. Clindamycin is the most preferable.
• Administer Intravenous immunoglobulin.