Outcomes of Delirium
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Delirium is typically short-lived, lasting for a week to a month.
Once the underlying etiology is addressed, symptoms diminish over a3 to
7day period. Client age and duration of delirium state can affect the rate at
which symptoms resolve
,Testicular Cancer symptoms
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A lump or enlargement in either testicle
A feeling of heaviness in the scrotum
A dull ache in the abdomen or groin
Pain or discomfort in a testicle or the scrotum
Enlargement or tenderness of the breasts
Back pain
Migraine Headache Interventions
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Lay down in a dark quiet environment
NSAIDS, aspirin, or caffeine- containing combination analgesics Triptans
first line of therapy Sumatriptan(Imitrex) Most effective taken at onset
Sometimes used in combination with other drugs like aspirin & naproxen
Dementia Diagnostic Studies
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, The diagnosis of dementia is focused on determining the cause (e.g.,
reversible versus irreversible factors). An important first step is a thorough
medical, neurologic, and psychologic history. During the history, special
attention is given to reviewing the cognitive and behavioral changes that
have occurred. Family members and significant others can give important
information. Elicit information about (1) problems with judgment; (2)
reduced interest in hobbies/activities; (3) repeating questions, stories, or
statements; (4) trouble learning how to use a tool or appliance; (5)
forgetting the correct month or year; (6) problems handling financial
affairs; (7) difficulty remembering appointments; and (8) consistent
problems with thinking and/or memory.
Obtain a complete medication history, including the use of prescribed and
over-the-counter medications, herbal supplements, and recreational
substances. Ask about drugs that can impair cognition, such as analgesics,
anticholinergics, psychotropics, and sedative-hypnotics.
A thorough physical assessment is done to rule out other potential medical
conditions. For example, slow movement, rigidity, asymmetric tremor of an
extremity, and shuffling gait are suggestive of Parkinsonism. Dementia,
urinary incontinence, and ataxic gait suggest normal pressure
hydrocephalus. The neurologic assessment includes a mental status
examination or screening test. Agreement among findings from the
assessment, screening tests, and history can help confirm the presence of
dementia.
Based on history and physical assessment findings, diagnostic studies are
ordered to confirm the most likely cause and exclude other possible
conditions. The American Academy of Neurology (AAN) recommends
routine screening tests, including an electrolyte panel, liver function tests,
serum vitamin B12 level, complete
Meningitis can be either
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Bacterial or Viral
, Alzheimer's Disease accounts for
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50-60% of all cases of Neurocognitive disorders
Dementia Symptoms
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The onset of manifestations varies depending on the cause. Manifestations
associated with neurologic degeneration usually occur gradually and
progress over time. Symptoms of VaD may appear abruptly or progress in a
stepwise pattern. While the cause of dementia cannot be determined
based only on the history of symptom progression, patterns can guide your
thinking about the different causes. An acute change that occurs over days
to weeks or subacute change that occurs over weeks to months may
indicate an infectious or metabolic cause of dementia, such as encephalitis,
meningitis, hypothyroidism, or drug-related dementia.
Lab Values Pre and post dialysis that need to be monitored for
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May Result from Peritoneal dialysis
Hypernatremia
Hypokalemia
Alkalosis
Hyperglycemia
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Delirium is typically short-lived, lasting for a week to a month.
Once the underlying etiology is addressed, symptoms diminish over a3 to
7day period. Client age and duration of delirium state can affect the rate at
which symptoms resolve
,Testicular Cancer symptoms
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A lump or enlargement in either testicle
A feeling of heaviness in the scrotum
A dull ache in the abdomen or groin
Pain or discomfort in a testicle or the scrotum
Enlargement or tenderness of the breasts
Back pain
Migraine Headache Interventions
Give this one a try later!
Lay down in a dark quiet environment
NSAIDS, aspirin, or caffeine- containing combination analgesics Triptans
first line of therapy Sumatriptan(Imitrex) Most effective taken at onset
Sometimes used in combination with other drugs like aspirin & naproxen
Dementia Diagnostic Studies
Give this one a try later!
, The diagnosis of dementia is focused on determining the cause (e.g.,
reversible versus irreversible factors). An important first step is a thorough
medical, neurologic, and psychologic history. During the history, special
attention is given to reviewing the cognitive and behavioral changes that
have occurred. Family members and significant others can give important
information. Elicit information about (1) problems with judgment; (2)
reduced interest in hobbies/activities; (3) repeating questions, stories, or
statements; (4) trouble learning how to use a tool or appliance; (5)
forgetting the correct month or year; (6) problems handling financial
affairs; (7) difficulty remembering appointments; and (8) consistent
problems with thinking and/or memory.
Obtain a complete medication history, including the use of prescribed and
over-the-counter medications, herbal supplements, and recreational
substances. Ask about drugs that can impair cognition, such as analgesics,
anticholinergics, psychotropics, and sedative-hypnotics.
A thorough physical assessment is done to rule out other potential medical
conditions. For example, slow movement, rigidity, asymmetric tremor of an
extremity, and shuffling gait are suggestive of Parkinsonism. Dementia,
urinary incontinence, and ataxic gait suggest normal pressure
hydrocephalus. The neurologic assessment includes a mental status
examination or screening test. Agreement among findings from the
assessment, screening tests, and history can help confirm the presence of
dementia.
Based on history and physical assessment findings, diagnostic studies are
ordered to confirm the most likely cause and exclude other possible
conditions. The American Academy of Neurology (AAN) recommends
routine screening tests, including an electrolyte panel, liver function tests,
serum vitamin B12 level, complete
Meningitis can be either
Give this one a try later!
Bacterial or Viral
, Alzheimer's Disease accounts for
Give this one a try later!
50-60% of all cases of Neurocognitive disorders
Dementia Symptoms
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The onset of manifestations varies depending on the cause. Manifestations
associated with neurologic degeneration usually occur gradually and
progress over time. Symptoms of VaD may appear abruptly or progress in a
stepwise pattern. While the cause of dementia cannot be determined
based only on the history of symptom progression, patterns can guide your
thinking about the different causes. An acute change that occurs over days
to weeks or subacute change that occurs over weeks to months may
indicate an infectious or metabolic cause of dementia, such as encephalitis,
meningitis, hypothyroidism, or drug-related dementia.
Lab Values Pre and post dialysis that need to be monitored for
Give this one a try later!
May Result from Peritoneal dialysis
Hypernatremia
Hypokalemia
Alkalosis
Hyperglycemia
