Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Textbook Question
Chapter 11, Problem 3CCS
Nursing Student with Neuropathic Pain
Tamara Costa broke her right tibia and has undergone two separate surgeries to repair it. Although the bone has healed, she suffers increasing pain around the incision sites. The painful area covers the lateral surface of her right leg. She can't stand wearing anything over it or even having a sheet touch it. Her diagnosis is postsurgical neuropathic pain. Pain medication has not helped.
Tamara is a second-year nursing student and has done some reading to try to understand her problem and perhaps find a solution. She has found an article that says neuropathic pain may be caused by a decreased threshold for action potential generation in pain-detecting neurons. However, she has forgotten some of her physiology and needs some help in understanding what she is reading. She has logged into the “Ask a Nurse" chat line–and she got you!
3. The paper Tamara read claims that drugs that block voltage-gated sodium channels can help with neuropathic pain. Explain how this might work.
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Mr. Bailey’s roommate brings him to the emergency room after a snow tubing accident that occurred 1 hour ago. Mr. Bailey is experiencing very bad pain in the area of his lower left leg and has been unable to stand on his leg since the accident occurred. When looking at his left leg, the nurse notices redness and swelling in the area where Mr. Bailey is experiencing his pain. The nurse also finds that the client has limited movement of his left knee. An X-ray reveals a fracture of the lower leg. (Learning Objectives 2, 3, 4, 12)
A. Describe the relationship between long bones and hematopoiesis.
B. What are the potential bones that could be fractured in Mr. Bailey’s lower leg? Explain the
function of the affected bones.
C. Discuss the limited movement that Mr. Bailey is experiencing.
JL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is red and swollen. A diagnosis of a simple fracture and sprain (damage to ligaments) is made.
Describe the pathophysiology of her pain and swelling as related to both the fracture and the strain
JL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is swelling. A diagnosis of a simple fracture and sprain (damage to ligaments) is made.
What is the cause of pain and swelling? --- don't need this --- I need question #2 answered
What can JL expect in the days to come as inflammation resolves and healing begins?
Chapter 11 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 11 - Prob. 1RQCh. 11 - 2. Match the names of the supporting cells found...Ch. 11 - 4. Assume that an EPSP is being generated on the...Ch. 11 - 5. The velocity of nerve impulse conduction is...Ch. 11 - 6. Chemical synapses are characterized by all of...Ch. 11 - Prob. 5RQCh. 11 - Prob. 6RQCh. 11 - 9. Inhibition of acetylcholinesterase by poisoning...Ch. 11 - 8. The anatomical region of a multipolar neuron...Ch. 11 - 11. An IPSP is inhibitory because (a) it...
Ch. 11 - 12. Identify the neuronal circuits described by...Ch. 11 - 13. Explain both the anatomical and functional...Ch. 11 - 14. (a) Describe the composition and function of...Ch. 11 - 15. (a) What is myelin? (b) How does the...Ch. 11 - 16. (a) Contrast unipolar, bipolar, and multipolar...Ch. 11 - 17. What is the polarized membrane state? How is...Ch. 11 - 18. Describe the events that must occur to...Ch. 11 - 19. Since all APs generated by a given nerve fiber...Ch. 11 - 20. (a) Explain the difference between an EPSP and...Ch. 11 - 21. Since at any moment a neuron is likely to have...Ch. 11 - Prob. 22RQCh. 11 - Prob. 13RQCh. 11 - 25. Briefly describe the three stages of neuron...Ch. 11 - 2. Local anesthetics block voltage-gated Na+...Ch. 11 - 3. When admitted to the emergency room, Sean was...Ch. 11 - 4. Rochelle developed multiple sclerosis when she...Ch. 11 - 5. In the Netherlands a young man named Jan was...Ch. 11 - Nursing Student with Neuropathic Pain Tamara Costa...Ch. 11 - Nursing Student with Neuropathic Pain Tamara Costa...Ch. 11 - Nursing Student with Neuropathic Pain
Tamara...Ch. 11 - Nursing Student with Neuropathic Pain Tamara Costa...Ch. 11 - Nursing Student with Neuropathic Pain Tamara Costa...
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