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Muscle spasms, cramping and stiffness Pain in the buttockSciatic nerve compression causes severe pain when leg is straightened and held upNumbness/tingling of the leg (paresthesia); burning or stabbing pain in the leg or footReport 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 footPeripheral 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 cancerPituitary 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 strainingAddison'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 levelSevere hypotensionHyponatremiaHyperkalemiaHypoglycemiaHypercalcemiaWeight lossCraving for saltHyperpigmentationWeakness and fatigueNausea and vomitingAbdominal painConstipation or diarrheaCoagulation Disorders: Laboratory Values Associated with Heparin-Induced Thrombocytopenia(RM AMS RN 10.0 Chp 42, Active Learning Template - System Disorder)Decreased platelet levelsOther s/s: redness, pain, warmth and swelling of lower extremities, excessive bleeding, tachycardia, hypotension, diaphoresis, oliguria, decreased LOCKidney Transplant: Indications of Transplant Rejection(Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 58)Hyperacute: within 48 hrcause: small blood clots form in transplanted kidney that block vessels and lead to massive cellular destruction, irreversibles/s: fever, hypertension, pain at transplant sitetreatment: immediate removal of the donor kidneyAcute: occurs 1 week - 2 years after surgerycause: vasculitis in the donor kidney and cellular destruction begins with inflammation that can cause lysis of the donor kidney