Medical-surgical Nursing Demystified

(Sean Pound) #1

(^162) Medical-Surgical Nursing Demystified
NURSING INTERVENTIONS



  • Provide supportive care.

  • Encourage fluids and adequate nutrition.

  • Rest.

  • Offer psychotherapy.

  • Exercise regimen.


Lyme Disease


WHAT WENT WRONG?


A bite from a deer tick causes the bacteria (a spirochete) Borrelia burgdorferi,to
be transmitted into the human blood stream. The patient presents with fever, myal-
gias and the classic bull’s eye rash, erythema chronicum migrans up to three weeks
following the bite.

PROGNOSIS


Early treatment generally leads to a better outcome. Lingering constitutional symp-
toms occasionally occur.

HALLMARK SIGNS AND SYMPTOMS



  • Fever

  • Generalized aches

  • Headache

  • Rash at site of the bite (patient may not recall bite)


INTERPRETING TEST RESULTS



  • IgM antibody is elevated.

  • Lyme titers may be drawn.


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