Cognitive Perceptual Pattern

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  1. Shingles (Herpes Zoster):
    Caused by
    is a viral infection of a dermatome section of the skin caused by varicella zoster (chickenpox)
  2. Shingles (Herpes Zoster):

    usually affects persons over
    • 50-60
    • who are immunocompromised (people on chemo, elderly, have mono/cold/flu)
  3. Shingles (Herpes Zoster):

    skin lesions
    • Follow path of dermatome
    • very painful
    • lesions erupt
    • long recovery
  4. Shingles (Herpes Zoster):

    skin lesion
    • contagious when lesions are filled with fluid and are open
    • lesions keep erupting for 3-5 days and than crust over
  5. Shingles (Herpes Zoster):

    • antiviral agents: Acyclovir (Zovirax), valacyclovir (Valtrex), famciclovir (famvir)
    • pain relief: narcotic and non-narcotic analgesics
    • nerve block to treat initial pain
    • infection control: antibotics
  6. Shingles (Herpes Zoster):

    • Zostavax, helps increase immune response
    • 60 or older that has had chickenpox
  7. Shingles (Herpes Zoster):

    Nuring Dx
    • Acute pain
    • distrubed sleep pattern
    • risk for secondary bacterial infection
  8. Migraine Headaches:

    • Something causes blood vessels inside the SKULL (not brain) to dilate which puts pressure on meninges and inside of skull – this causes a throbbing headache (HA)
    • MHA are recurring vascular headaches r/t · Abnormalities in cranial blood flow
  9. Migraine Headaches:

    Triggers include
    • Stress
    • fluctuating blood sugar levels (skipping a meal)
    • hormones (common in women during child bearing years a few days before menstruation starts r/t drop in estrogen levels)
    • bright and/or flashing lights (video games, disco balls, movie theatres)
    • fatigue
  10. Migraine Headaches:

    Clin manifestation

    • usually onesided
    • Hypersensitivity
    • pain
    • N/V
    • HA lasts a couple of hours to several days
  11. Migraine Headaches

    the pt feels exhaused and the area of head where the MHA was is sensitive to touch and deep aching is present
  12. Migraine Headaches

    about 20%
  13. Migraine Headaches:

    Abortive meds:
    • non-specific analgesics: NSAID, aspirin
    • Migraine specific drugs: imitrex, cafergot (caffine)
  14. Migraine Headaches:

    Prophylactic meds:
    • Beta-blockers: Propranolol (inderal)
    • anticonvulsants: divalproex sodium (valproic acid)
    • antidepressants: amitriptylline (Elavil) -taken on a regular daily basis
  15. Migraine Headaches:

    Nursing Care:
    • pain meds, minimize light, noise, activity
    • application of heat and cold
  16. Migraine Headaches:

    • preventive meds,
    • triggers- keep diary
Card Set:
Cognitive Perceptual Pattern
2012-04-13 16:36:07

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