NRNP 6531 Week 10 Assignment; i-Human Case Study; Evaluating and Managing Neurologic Conditions
Assignment: i-Human Case Study: Evaluating and Managing Neurologic Conditions As an advanced practice nurse, you will likely observe patients who experience neurological conditions. While patients with ...
Additional Laboratory and Diagnostic Tests: Consider optical coherence tomography to
determine exact damage of optic nerve (Pietrangelo, 2020).
Consults: Physical therapy for strengthening exercises. Consider referral to neurologist to discuss
treatment options for slowing the disease process.
Therapeutic Modalities: Multiple sclerosis consists of three clinical courses: relapsing -remitting
MS, Secondary progressive MS, and Primary progressive MS. While there is no cure for MS, the
overall treatment goal is to prevent further exacerbations and slo w the disease process
(AMBOSS, 2020). Treatment is devised of step -wise therapy; beginning with escalation therapy
then progressing to induction therapy if patient is experiencing severe disease symptoms at onset.
Treatment for acute exacerbation includes: Methylprednisolone 500 -1000mg PO daily for 3 -5
days. Begin slowly tapering dosage if symptoms decrease. Consider prophylactic therapy for
adverse effects from corticosteroids; such as Prilosec daily to prevent gastritis and Lovenox daily
for thromboprophy laxis (AMBOSS, 2020).
Disease -modifying therapy exists but possess substantial risks and is only provided after
thorough discussion with neurologist. These treatments can be costly and have many health
related risks.
Symptom relief is key to Multiple Scler osis management. Consider physical and occupational
therapy to manage strength and mobility. Consider muscle relaxants; baclofen or Zanaflex for
muscle spasms. Consider Ritalin to treat fatigue related to MS. Finally, consider medications for Powered by TCPDF (www.tcpdf.org)
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