Muscle spasms, cramping and stiffness
Pain in the buttock
Sciatic nerve compression causes severe pain when leg is straightened and held up
Numbness/tingling of the leg (paresthesia); burning or stabbing pain in the leg or foot
Report chills/fever, bowel or bladder incontinence, progression of decreased ability to move, and
paresthesias to the provider promptly (can indicate a more serious condition)
Herniated disk which can cause sciatic nerve involvement with burning or stabbing pain into one leg or
foot
Peripheral Vascular Diseases: Risk Factors for Deep-Vein Thrombosis
(Active Learning Template - System
Disorder, RM AMS RN 10.0 Chp 35)
Associated with Virchow's triad (hypercoagulability, impaired blood flow, damage to blood vessels)
- hip surgery, total-knee replacement, open prostate surgery
- heart failure
- immobility
- pregnancy
- oral contraceptives
- active cancer
Pituitary Disorders: Caring for a Client Following a Hypophysectomy
(Active Learning Template - System
Disorder, RM AMS RN 10.0 Chp 77)
- The nurse should monitor the drainage to the mustache dressing
- Monitor for bleeding
- Monitor nasal drainage a possible cerebrospinal fluid (CSF) leak. Assess drainage for presence of glucose
or a halo sign (yellow on the edge and clear in the middle), which can indicate CSF. Notify the provider is
this occurs
- Protect the client from developing an infection by using good hand hygiene and making sure the client
avoid contact with those who have infections. Use caution to prevent a fracture by providing assistance
getting out of bed and raising side rails
- Assess neurologic status every hour for the first 24 hr then every 4 hr
- Administer glucocorticoids to prevent an abrupt drop in cortisol level
- Administer stool softeners to prevent straining
Addison's Disease and Acute Adrenal Insufficiency (Addisonian Crisis): Manifestations of Addisonian
Crisis
(Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 81)
3
Drop in adrenocorticoid level
Severe hypotension
Hyponatremia
Hyperkalemia
Hypoglycemia
Hypercalcemia
Weight loss
Craving for salt
Hyperpigmentation
Weakness and fatigue
Nausea and vomiting
Abdominal pain
Constipation or diarrhea
Coagulation Disorders: Laboratory Values Associated with Heparin-Induced Thrombocytopenia
(RM
AMS RN 10.0 Chp 42, Active Learning Template - System Disorder)
Decreased platelet levels
Other s/s: redness, pain, warmth and swelling of lower extremities, excessive bleeding, tachycardia,
hypotension, diaphoresis, oliguria, decreased LOC
Kidney Transplant: Indications of Transplant Rejection
(Active Learning Template - System Disorder, RM
AMS RN 10.0 Chp 58)
Hyperacute
: within 48 hr
cause: small blood clots form in transplanted kidney that block vessels and lead to massive cellular
destruction, irreversible
s/s: fever, hypertension, pain at transplant site
treatment: immediate removal of the donor kidney
Acute
: occurs 1 week - 2 years after surgery
cause: vasculitis in the donor kidney and cellular destruction begins with inflammation that can cause lysis
of the donor kidney
