A new quantity within the 5-Minute medical Consult sequence for nurses, Signs & Symptoms describes greater than three hundred sufferer symptoms equipped A-to-Z for fast entry to info. This reference covers background and overview instructions, factors and linked findings, prevalence, review information, and emergency interventions. insurance additionally comprises age-related details, natural medicinal drugs as factors, and findings linked to bioterrorism.
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Additional info for Nurse’s 5-Minute Clinical Consult: Signs & Symptoms
Other signs include “barrel” chest, pursed-lip breathing, and finger clubbing (late in the disease). ◆ Determine the patient’s chief com- Anaphylactic shock Heart failure plaint. ◆ Ask about the duration of the anxiety. ◆ Determine precipitating or exacerbating factors. ◆ Obtain a medical history, including drug use. ◆ Acute anxiety signals the onset of ◆ Acute anxiety is a symptom of inade- HISTORY PHYSICAL ASSESSMENT ◆ Perform a physical examination. ◆ Focus on complaints that trigger or are aggravated by anxiety.
A hallmark sign of mitral valve pro- ◆ Chronic anxiety occurs with persist- lapse is a midsystolic click, followed by an apical murmur. ◆ Paroxysmal palpitations with sharp, stabbing, or aching precordial pain may also occur. ent fear of an object, activity, or situation that results in a strong desire to avoid it. ◆ The patient recognizes the fear as irrational, but he can’t suppress it. Mood disorder ◆ Chronic anxiety or periodic attacks of ◆ Anxiety may be the chief complaint acute anxiety may occur, especially in situations demanding attention, judgment, or comprehension.
PHYSICAL ASSESSMENT ◆ Perform a neurological assessment. ◆ Assess level of consciousness, and check vital signs. ◆ Continually assess and monitor the patient’s neurologic and respiratory status. ◆ Watch for prolonged periods of apnea or signs of neurologic deterioration. ◆ Monitor the patient’s arterial blood gas levels, or use a pulse oximetry device. qxd 8/21/08 4:21 PM Page 39 CAUSES MEDICAL Pontine lesions ◆ Apneustic respirations usually result from extensive damage to the upper or lower pons due to infarction, hemorrhage, herniation, severe infection, tumor, or trauma.