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Syndrome Questions and Answers (Q&A)

There are phases to ARDS. Exudative phase allows us to give ABX, Corticosteriods, Diuretics, Albumin, Vasodilators, etc. to reverse the process of ARDS. The next phase is prolific, which is damage to the surfactant producing cells. We are able to give surfactant via ETT. The Fibrotic phase is the phase that there is little we can do but support. because the lung has been remodeled by scar tissue and cannot be oxygenated. This question is misleading.

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The patient will have a shingles rash, to start. Ramsay Hunt syndrome is when the patient has a shingles rash that has also affected a facial nerve near the ear. This means the shingles rash also appears near that ear.

There will be pain in that ear, but little else going on around the face, painwise. If it’s not treated right away, the patient could be paralyzed at that nerve and lose the hearing in the affected ear.

The most obvious signs of Ramsay Hunt syndrome are a painful rash with fluid-filled blisters on and around the affected ear as well as facial weakness or paralysis on that side of the face. Other symptoms include a ringing in the ears, difficulty closing one eye, and dry mouth and eyes.

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The correct answer to this question is D. The earliest detectable sign of acute respiratory distress syndrome (ARDS) is an increased respiratory rate, which can begin from 1 to 96 hours after the initial insult to the body. This is followed by increasing dyspnea, air hunger, retraction of accessory muscles, and cyanosis.

Breath sounds may be clear or consist of fine inspiratory crackles or diffuse coarse crackles. The main complication is fluid leaking into the lungs, making it difficult or impossible to breathe. ARDS can occur in critically ill patients, and is a disease that often rapidly progresses, making it important to monitor a patient's respiratory rate if they are at risk.

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Thyroidectomy is a surgical procedure, involving the thyroid glands. One complication of the procedure is the accidental removal of the parathyroid glands. This results in deficiency of parathyroid hormone. Parathyroid hormone is responsible for maintaining normal amount of calcium in the body, in its absence, the amount of calcium decreases, which leads to tetany.

Tetany is characterized by involuntary spasms and muscular contractions. The patients is displaying a similar set of problems and needs immediate attention. Tetany can result in spasm of the airway and can be potentially lethal. It needs treatment by optimum infusion of calcium and then maintenance of parathyroid hormones in the long run.

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The best answer to this is letter C. The patient who is diagnosed to have this condition will probably be afraid about what is going to happen next. The patient should be given all of the needed information so that she can be reassured. Giving positive feedback will also help so that the patient will also start to be more optimistic about her condition.

The information should also be given to her family members so that they can all be positive for the patient. The more relaxed that the patient is, the easier it will be to deal with this condition. The family members can also be taught some activities that they can do with the patient to divert her attention from her condition.

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Hypoxia is when a person’s body part has not had oxygen to that body part for a certain period of time. Hypoxia can pertain to the entire body or just one body part. There are certain causes to getting hypoxia. These include carbon monoxide poisoning, altitude, cyanide poisoning and other reasons.

One could be that a firefighter goes into a fire and can’t breathe because of all of the smoke. When a room is filled with smoke, people can’t breathe. Therefore, they breathe in smoke which does not have oxygen in it.

So, their body does not get the oxygen it needs. If a firefighter develops severe hypoxia a few days after the fire, requiring intubation and mechanical ventilation, he may be suffering from acute respiratory distress syndrome.

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A thyroidectomy is a procedure done to take out the thyroid from a person. This person may have issues with this gland including having cancer of this gland or trouble swallowing and the enlargement of this gland has squeezed the esophagus.

Also, some people have this procedure done because the thyroid is enlarged, but it is not causing breathing problems. Instead, it is removed for cosmetic purposes, so that they look better. There are always side effects that can occur after a surgical procedure.

If a patient is showing complications of muscles twitching and tingling, they may have a problem. Numbness in the fingers, toes and mouth area may also present a problem. This is because of a seizure known as tetany.

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The answer to this is C. The nurse should have the ability to provide positive information. There will be facts that the patient and the family members have to know. The more familiar people are with the information, the better. Giving positive feedback is also required.

A person’s morale may be at its all-time-low especially since paralysis is ascending. Allowing the patient to stay positive will help improve the person’s feeling. The patient has to relax more because stress can cause further problems with the person’s overall system. There are different relaxation techniques available that can keep the patient’s mind off some things.

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