HESI - MEDICAL SURG Study Guide-2021

HESI - MEDICAL SURG Study Guide-2021  Asses patient’s pain first [Lewis book 436] Linear disturbance along a dermatome of grouped vesicles and pustules on erythematous base resembling chickenpox. Usually unilateral on trunk, face, and lumbosacral areas. Burning, pain, and neuralgia preceding outbreak. Mild to severe pain during outbreak. Treatment: Symptomatic: antiviral agents such as acyclovir, famciclovir, and valacyclvir within 72 hr to prevent postherpetic neuralgia. Wet compresses, silver sulfadiazine (Silvadene) to ruptured vesicles. Analgesis. Mild sedation at bedtime. Gabapentin (Neurontin) to treat postherpetic neuralgia. Usually heals without complications, but scarring and postherpetic neuralgia possible. Vaccine (Zostavax) to prevent shingles is available for adults’ ≥ 50 yr.. Math- IM-mg/ml 2. Basic Nursing Skills/Nutrition-DASH diet- [med surg page 715-716] Plan emphasizes fruits, vegetables, fat-free or low-fat milk and milk products, whole grains, fish, poultry, beans, seeds, and nuts. Compared with the typical American diet, the plan contains less red meat, salt, sweets, added sugars, and sugar-containing beverages. The DASH eating plan significantly lowers BP, and these decreases compare those achieved with BP-lowering medication. Additional benefits also include lowering of low-density lipoprotein (LDL) cholesterol.