Exam (elaborations)
ACHPN Intervention and Management
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ACHPN Intervention and Management
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ACHPN Intervention andManagement
TBI classification Mild - answer - GCS 13-15
- Brief LOC
- Headache
- Mild Confusion
- Good recovery
- May Have persistent symptoms
Complications of Chemotherapy - answer Fatigue and Activity Intolerance Itching N/V
Diarrhea/Constipation
Hair Loss
Neutropenia Treatment for Fatigue and Activity Intoleranc - answer - Geared towards the patient's ability with adequate rest periods
- Recognize the signs of physical overactivity
Treatment for itching in Chemotherapy complications - answer - Change medications
- Add Antihistamines
- T opical Corticosteroids
- Apply moisturizers
Treatment for N/V in Chemotherapy - answer - Cold
Food
- Small frequent meals
- Ginger Ale
- Antiemetics
Treatment for Diarrhea/Constipation in Chemotherapy - answer Diarrhea
- Dietary Modification
- Bulk Formers Constipation
- Dietary Modifications
- Stool softeners
- Increased Fluids
- Laxatives
Hair Loss in Chemotherapy - answer - Mild shampoo
- Air dry
- Avoid stress (hair rollers) - Wigs or hair pieces
- Scarves
Neutropenia in Chemotherapy - answer - Monitor blood counts
- Protect from exposure to infection
- Antibiotics if develops infection
- Granulocyte infusions
- Corticosteroids
- Administration of G-CSF/ Filgrastim Lymphedema - answer Accumulation of lymph in soft tissue because of damage to lymph nodes such as following radiation or excision. - Over time tissue becomes distended, hard, painful and fibrotic - Common after surgery/treatment for breast cancer in arm
Treatment for Lymphedema - answer Pressure Bandaging
Stockings
Avoid dependent positioning
Lower Extremity lymphedema - answer Increased risk for fungal infection of the toes
- antifungal powder - wear cotton socks
- breathable shoes
- Antibiotics * given for infection which are common complications because of stasis and accumulated debris of tissue
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