EBK HUMAN ANAT.+PHYSIOLOGY
EBK HUMAN ANAT.+PHYSIOLOGY
11th Edition
ISBN: 9780134807362
Author: Marieb
Publisher: PEARSON CO
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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.

Chapter 11, Problem 3CCS, Nursing Student with Neuropathic Pain

Tamara Costa broke her right tibia and has undergone two

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. Harry Roost is a 78-year old male being discharge after a fracture of his right tibia and fibula.  He has a long leg cast that he will need to wear for the next 8 weeks.  The nurses have observed him using a hanger to scratch the skin under the cast.  The nurses have reminded him each time that he is not to put anything down his cast.  He also sits on the side of the bed for long periods with his leg in a dependent position.  He also gets up to go to the bathroom without calling for help.  The staff have observed him hopping to the bathroom without using his crutches.  He currently rates his pain 5/10.Name the Disease Process giving a short description of patho of disorder
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Mrs. C is a 50-year-old woman who presents with joint pain. She reports the pain has been present for about 2 years. The pain affects her hands and her wrists. She describes the pain as a “dull aching” and “a stiffness.” It is worse in the morning and improves over 2 to 3 hours. She says that on particularly bad days she uses aspirin with moderate relief. She is otherwise well, except for a history of mild hypertension managed with angiotensin-receptor blocker. She reports no other joint pain. She does not have a history of psoriasis. Her vital signs are: 37.1 C; B/P 128/84; P 84; R 14. There is a 2/6 systolic ejection murmur. Joint exam revealed limited range of motion of the MCPs and wrists bilaterally. There is swelling of the third and fourth MCP on the right and the third on the left. There is pain at the extremes of motion and a boggy quality to the joints. A detailed skin exam is normal. Rheumatoid arthritis (RA) is suspected. 1. What type of hypersensitivity is rheumatoid…

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EBK HUMAN ANAT.+PHYSIOLOGY

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