serious complications and maintaining a positive self image and actively

Serious complications and maintaining a positive self

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serious complications, and maintaining a positive self-image, and actively participate in the therapy plan o Health promotion Teach at risk related to using medications and monitoring side effects is an important preventative measure o Acute Care Therapy has many side effects, so assessment focuses on S&S of hormone and drug toxicity and complicating conditions Cardiovascular disease, diabetes mellitus, infection Vitals, daily weight, surgical site assessment, S&S of thromboembolic events such as a PE Provide comfort due to body image changes and provide emotional support. Reassure patient that physical changes and much of the emotional lability will resolve when hormones levels return to normal. o Preoperative Care Before surgery patient should be brought to optimal physical condition. Hypertension and hyperglycemia must be controlled. Hypokalemia must be corrected. High protein to correct protein depletion. Teaching depends on approach and information regarding postop care. o Postoperative Care Surgery on adrenal glands poses great risks. Glands are very vascular, and the risk of hemorrhage is increased. Regardless of approach patients will have a NG, Foley, IV, and central venous pressure monitor, and SCDs. Manipulation of gland may cause flood of hormones into circulation producing marked fluctuations in metabolic processes. BP, F&E balance may be unstable. Sudden changes in these or RR should be reported immediately. High dose corticosteroids are given in the days following to ensure adequate stress responses from the procedure. Urine analysis each morning to determine effectiveness of surgery
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If corticosteroid dosage is tapered too rapidly after surgery acute adrenal insufficiency may develop Vomiting, increased weakness, dehydration, and hypotension are signs of hypocortisolism. Painful joints, pruritus, peeling skin, emotional disturbances should be reported, and dosages should be adjusted. Bedrest until BP stabilizes S&S of infection due to inflammatory response suppression.
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  • Spring '17
  • Cortisol, Adrenal cortex, Adrenal insufficiency, Corticosteroid,  Muscle

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