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Journal des pratiques avancées en soins infirmiers

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Volume 6, Problème 12 (2021)

Communication courte

Management of a Patient with Glenn Shunt

Mayur Mandawkar1*, Priyanka S Meshram1, and Aniket Pathade2

Introduction: The Glenn and Fontan procedures are still the two most popular operations for those with a single ventricle. Some people may be difficult to treat because of their cardiopulmonary anatomy. This article describes the Glenn shunt procedure in a patient with a single pulmonary artery and a hereditary lung. Main diagnosis, therapeutic intervention, and outcome: After a physical examination and inquiry, the doctor diagnosed the patient with Ischemic Stroke and prescribed analgesics to relieve the pain. Antipyretic medications are used to lower fever. Therapeutic intervention: This patient was administered Glenn shunt antipyretics for 7 days, including Tab. paracetamol 500 mg (BD), Inj. Ceftriaxone 1 gm IV (BD), Inj. Pantoprazole 40 Mg iv (OD), and Inj. Ondansetron 4MG iv (TDS). Outcome: The patient was given medications prescribed by the doctor, such as paracetamol. In addition, the patient's condition improved as a result of the medical treatment. The patient's problems had subsided, and he was in better shape. Nursing perspectives: - DNS and RL were used to administer fluid replenishment. Check vital signs and blood pressure every hour. Maintaining the patient's intake and output chart, as well as ensuring that he or she gets enough rest and sleep. Administered drugs as directed by the doctor. Because the patient had a fever, he was given hydrotherapy. Conclusion: The patient was hospitalized to A.V.B.R.H. with bradycardia, exhaustion, weakness, gait trouble, impaired balance and coordination, fever, chills, headache, and other symptoms. In this case of heart illness, the patient received the necessary treatment and medication. The patient's health has improved.

Mini-revue

Medical Attendants' Tolerance towards Patients for their Safety

Maheshwari Rathod*

The attendants' job is to save patient wellbeing and forestall hurt during the arrangement of care in both present moment and long haul care settings. Attendants are relied upon to hold fast to authoritative techniques for distinguishing damages and dangers through surveying the patient, making arrangements for care, observing and observation exercises, twofold checking, offering help, and speaking with other medical care suppliers.

Communication courte

Acute Pain Management and its Physiology and Types of Pain

Samir Singh*

Intense agony is an intricate cycle including actuation of nociceptors, substance middle people and aggravation.

Article de révision

Nursing Technologies

Areeba Rahim*, Inara Saleem, Maria Baber, Meraj Uddin, Nusrat Fatima, Sanila Nadir, Zainish Salim

Healthcare nowadays is a far more advanced field than it was half a century ago. This advancement could only happen due to the new nursing technologies introduced in past years.

Rapport de cas

60-Year-Old Male with Foot Gangrene in Bleeding in Toes: A Case Report

Auto amputation, Dry gangrene, Immune system

Introduction: Gangrene is a term used to describe dead or dying body tissue that occurs when the tissue's local blood supply is lost or insufficient to keep it alive. Since ancient times, gangrene has been recognized as a localized area of tissue death. The term gangrene was coined by the Greeks to describe the putrefaction (death) of tissue. Although many people think of gangrene as a disease that affects the feet, it is a disease that affects the whole body. Clinical Finding: Following a physical examination and investigation, a case of foot gangrene with bleeding in the toes was found, and the patient was treated with antibiotics and analgesics to relieve the discomfort. Fever is treated with an antipyretic medication. Therapeutic intervention: Present case to medical management with a case of foot gangrene in bleeding in toes, antipyretics give such Tab. Paracetamol 500 mg BD, Tramodol.5mg in 100 ml NSBD, Penicillin 250 mg BD, Inj. Pan 40mg OD. Nursing Perspectives: Administered fluid replacement i.e., DNS and NS. Monitor the Vital signs and check the B.P hourly. Maintain the intake and output chart and provide adequate rest and sleep to the patient. Administer medication as per the doctor ordered. Conclusion: The patient was admitted to A.V.B.R. Hospital with a Chief complaint of fever, weight loss, bleeding in toes, pain in toes, irritability, insomnia. a patient takes all treatment with proper medication.

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