National Multiple Sclerosis Case Study

ANESTHESIA CONSIDERATIONS IN EPILEPSY SURGERY INTRODUCTION: Surgery for epilepsy requires a multidisciplinary approach from the neurosurgeon, the neurophysician, the neurophysiologist and the neuroanesthetist. Epilepsy surgery poses significant challenges to the neuroanesthetist. The challenges are to provide optimal operating conditions, hemodynamic stability, monitored anesthesia care for awake craniotomy and rapid emergence for neurological assessment as well as avoidance of agents which interfere with intraoperative ECoG and cortical mapping.

Which of the findings from the nursing assessment demonstrate possible adverse effects from amphotericin B? If respiratory distress occurs, discontinue infusion immediately; anaphylaxis may occur. Monitor patient closely during test dose and the first 1–2 hr of each dose for fever, chills, headache, anorexia, nausea, or vomiting. Renal function should be monitored frequently during Amphotericin B therapy.

In one particular article they were in a radiology oncology unit working with cancer patients. The group ended up finding “a total of 108 failure modes” (Denny, Allen, Worthington & Gupta, 2014). Surprisingly, one of the areas that needed to be improved on was checking armband identification

Sepsis impacts the U.S. healthcare based on its high incidence, mortality rates, financial costs and long-term adverse effects on sepsis survivors. To reduce this impact, the rapid initiation of bundled care based on the SSC can reduce the severity of severe sepsis and septic shock thereby, reducing patient mortality and long term adverse effects. The objective of this paper is to discuss the benefits of implementing a sepsis bundle focusing on the SSC recommendations and the improved effects realized on patient outcomes and morality rates. The clinical question is as follows:

• The diagnosis of cystic fibrosis requires symptoms affecting at least one organ system and evidence of abnormal CFTR function (sweat chloride tests or genetic testing). • Patients with certain mutations found on CFTR genotyping may benefit from treatment with Kalydeco (ivacaftor) or Orkambi (lumacaftor-ivacaftor). • DNase I (dornase alfa) is typically recommended for children with moderate to severe lung disease. • Chronic therapy with hypertonic saline, physiotherapy, and the antibiotic Zithromax (azithromycin) often help improve pulmonary symptoms. Short-acting bronchodilators such as ProAir or Ventolin (albuterol) are recommended prior to these

Most people that are diagnosed with Multiple Sclerosis suffer from MS attacks. Just like with the disease, some are worse than others, when an MS attack occurs the symptoms that the person has worsen and can become unbearable. Treatments for MS can aid in speeding up the recovery of attacks and can slow the progression of the disease, the medication that is most commonly used is corticosteroids, an oral prednisone that will reduce nerve inflammation. Plasma exchanges are also used when symptoms are severe and haven’t responded to steroids. The prognosis of a person with Multiple Sclerosis is very positive if managed and good health is maintained, even though there is still no cure for the

This patient is 1 year post second bilateral lung transplant and completely immunocompromised from CF and the transplant. One week prior to developing symptoms of high fever, headache, and vague abdominal pain the patient had their stent removed that was placed for treatment of choledocholithiasis, gallstones. This case is presented as rare case due to the imaging of patient virtually identical to a inflamed swollen pancreas (acute interstitial edematous pancreatitis). With further testing and increase of symptoms candida albican infections, a type of yeast infection, was concluded. It was successfully treated by antifungal therapy.

There are numerous parts for cardiovascular ultrasound throughout potentially cardiotoxic cancer treatment regimens. Primarily, prior to potentially cardiotoxic chemotherapy, echocardiography can safeguard that patients do not already have diminished cardiac function. Subsequently, throughout chemotherapy, cardiovascular ultrasound can monitor ventricular function to eliminate chemotherapy-induced dysfunction. Preceding, the follow-up treatment, cardiovascular ultrasound can regulate new symptoms that are potentially caused from cardiac disease.

We reviewed differential diagnosis and at this point, because her pain has been persistent now for the last couple of weeks, it is mainly in the left and right upper quadrant, I have recommended that we move forward with an abdominal ultrasound and I will review those results when available. She will also be doing some laboratory studies. She knows that if her symptoms worsen acutely, she will seek care particularly if has vomiting, fevers or worsening abdominal pain. We also talked about possibly having her follow up with Dr. Maher, as well, but we will start the evaluation here. I am going to have her also do a trial of a proton pump inhibitor either Nexium or Prilosec over-the-counter to use for about a week to see if that helps her symptoms, also.

These observations emphasize diastolic heart failure as an important contributor to morbidity, mortality, and health care costs, and highlight the need for further research and clinical trials examining this condition. (Chatterjee 572). Differentiating between systolic and diastolic dysfunction is essential because their long-term treatments are. The treatments of choice in patients with systolic dysfunction are ACE inhibitors, digoxin, diuretics and beta blockers. In patients with diastolic dysfunction, the cornerstones of treatment depend on the underlying

Rett Syndrome is generally misdiagnosed as Autism and/or Cerebral Palsy. Doctors will use a highly specific criteria guideline to diagnose Rett Syndrome; it includes all signs and symptoms. The criteria usually consist of the Diagnostic and Statistical Manual of Mental Disorders or DSM. The child will have to receive ongoing physical and neurological evaluations. She will have to see numerous physicians.

Treatment: There is no specific treatment for Horner syndrome itself. The doctor will focus on finding and treating the underlying cause. If the cause can be treated successfully, Horner will clear up on its own. However, if you find it difficult to see out of the eye, you may need to be checked by an eye doctor.

Initially, cortisone steroids are being used as notable treatment for asthma and allergies. Asthma is commonly known respiratory disorder that affects many today. Typically prednisone is prescribed to treat patients with asthma and allergies. Cortisone steroids are available in tablet, liquid or even aerosol form.

“Anti-inflammatory medications help to relieve many of the symptoms of lupus by reducing inflammation and pain. Anti-inflammatories are the most common drugs used to treat lupus, particularly symptoms such as fever, arthritis or pleurisy, which generally improve within several days of beginning treatment” (lupus.org). They may be bought without a prescription and can also be taken if currently experiencing joint pain and swelling in your fingers, wrist or knees. An antimalarial drug is also used to treat malaria can also be used to manage some symptoms of lupus. Antimalarial drug is “used to treat skin rashes, mouth sores and joint pain.

Discussion Post Week Eleven NURS6551, N-6 As an advanced practice nurse (APN), one will evaluate many patients with musculoskeletal and endocrine conditions. Therefore, the clinician must be aware of subtle differences that occur in various diseases to ensure proper diagnosis and treatment. For the purpose of this week’s discussion, I will choose a case study and explain the likely diagnosis along with the differentials.