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Tottie25
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Shingles (Herpes Zoster):
Caused by
is a viral infection of a dermatome section of the skin caused by varicella zoster (chickenpox)
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Shingles (Herpes Zoster):
usually affects persons over
- 50-60
- who are immunocompromised (people on chemo, elderly, have mono/cold/flu)
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Shingles (Herpes Zoster):
skin lesions
- Follow path of dermatome
- very painful
- lesions erupt
- long recovery
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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
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Shingles (Herpes Zoster):
Treatment
- antiviral agents: Acyclovir (Zovirax), valacyclovir (Valtrex), famciclovir (famvir)
- pain relief: narcotic and non-narcotic analgesics
- nerve block to treat initial pain
- infection control: antibotics
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Shingles (Herpes Zoster):
prevention
- Zostavax, helps increase immune response
- 60 or older that has had chickenpox
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Shingles (Herpes Zoster):
Nuring Dx
- Acute pain
- distrubed sleep pattern
- risk for secondary bacterial infection
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Migraine Headaches:
Def
- 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
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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
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Migraine Headaches:
Clin manifestation
S/S
- usually onesided
- Hypersensitivity
- pain
- N/V
- HA lasts a couple of hours to several days
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Migraine Headaches
After
the pt feels exhaused and the area of head where the MHA was is sensitive to touch and deep aching is present
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Migraine Headaches
Aura:
about 20%
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Migraine Headaches:
Abortive meds:
- non-specific analgesics: NSAID, aspirin
- Migraine specific drugs: imitrex, cafergot (caffine)
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Migraine Headaches:
Prophylactic meds:
- Beta-blockers: Propranolol (inderal)
- anticonvulsants: divalproex sodium (valproic acid)
- antidepressants: amitriptylline (Elavil) -taken on a regular daily basis
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Migraine Headaches:
Nursing Care:
- pain meds, minimize light, noise, activity
- application of heat and cold
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Migraine Headaches:
Education
- preventive meds,
- triggers- keep diary
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