Medical Surgical Nursing

(Tina Sui) #1

  • Manifestations may include headache, fever, confusion, changes in LOC; rash, flaccid


paralysis, Parkinson-like movements



  • Medical management

  • Acyclovir for HSV infection, amphotericin and/or other antifungal agents for fungal


infection



  • Nursing management

  • Frequent and ongoing assessment

  • Supportive care


Multiple Sclerosis (MS)



  • A progressive immune-related demyelination disease of the CNS

  • Clinical manifestations vary and have different patterns

  • Frequently, the disease is relapsing and remitting, has exacerbations and recurrences


of symptoms including fatigue, weakness, numbness, difficulty in coordination, loss of


balance, pain, and visual disturbances



  • Medical management

  • Disease-modifying therapies; interferon b-1a and interferon b-1b, glatiramer acetate


(Copaxone), and IV methylprednisolone


Process of Demyelination

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