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Beta-adrenergic drugs: epinephrine, salmeterol (Serevent) Bronchodilators: terbutaline, aminophylline, theophylline(Theochron); via nebulizer: albuterol (Proventil-HFA), ipratropium(Atrovent) Mast cell stabilizer: cromolyn (Intal) Antileukotrienes: zafirlukast (Accolate), montelukast(Singulair)Key interventions Administer low-flow humidified O2.
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CAUSES Atherosclerosis Congenital weakness Head traumaASSESSMENT FINDINGS Asymptomatic until aneurysm ruptures Decreased LOC Diplopia, ptosis, blurred vision Fever Headache (commonly described by theclient as the worst hes ever had) Hemiparesis Nuchal rigidity Seizure activity Altered LOCDIAGNOSTIC TEST RESULTS Cerebral angiogram identifies theaneurysm.
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Key treatments Treatment based on gestational age, when first episodeoccurs, and amount of bleeding If gestational age less than 34 weeks, hospitalizing the clientand restricting her to bed rest to avoid preterm labor Treatment of choice: surgical intervention (by cesarean deliver)depending on placental placement and maternal and fetalstabilityKey interventions Dont perform rectal or vaginal examinations unless equipmentis available for vaginal and cesarean delivery.
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CONTRIBUTING FACTORS Age at menopause Celibacy Exposure to asbestos, talc, and industrialpollutants Familial tendency and history of breast oruterine cancer Fertility drugs High-fat diet InfertilityASSESSMENT FINDINGS Abdominal discomfort, dyspepsia, andother mild GI disturbances Abdominal distention Constipation Pelvic discomfort Pelvic mass Urinary frequency Weight lossTeaching topics Explanation of the disorder and treatmentplan Medication use and possible adverse effects Evacuation techniques as necessary(Creds method, intermittent self-catheterization techniques) Preventing and identifying infectionOvarian cancerOvarian cancer attacks the ovaries, theorgans in women that produce the hormonesestrogen and progesterone.
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