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Symptom management

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J
judygold
Saúde e medicina
1 de 90
(Or how to make your patients comfortable without distressing their families or yourself)
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Symptom management

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Notas do Editor

  1. Medications: opioids, phenothiazines, benzodiazepines, anticholinergics, beta-blockers, diuretics, dopaminergics, steroids, phenytoin, H2 antagonists, dig toxicity. H2 antagonists: Pepcid, Zantac, Tagamet
  2. Excessive restlessness, increased mental and physical activity Frequent, non-purposeful motor activity, inability to concentrate or relax, sleep disturbances, may progress to agitation
  3. Portal hypertension: cirrhosis, cancer (ovarian, color, edometrial, breast, pancreatic gastric lymphoma, liver) Decreased plasma oncotic pressure: decrease in plasma albumin levels, causing fluid to leave plasma and accumulate in abdomen: cirrhosis, nephrotic syndrome, malnutrition
  4. Comtan
  5. Tumor necrosis –potential for hemorrhage or obstruction of blood vessel Nutritional assessment – involve dietician
  6. Cleanse wound: low pressure for granulation tissue; high pressure (35 ml syringe with 19 ga angiocath) if wound has debris, eschar, or exudate.
  7. Drugs: Anticholinergics, antihistamines, phenothiazines, 5FU (chemo) Oral mucosa: dry cracked lips, sores / white patches in mouth, bleeding of gums, lips, tongue
  8. Lemon contributes to dryness / irritation Pilocarpine is cholinergic drug.
  9. Sarna