Nursing management and medical management of having tetanus!


Question: Nursing management and medical management of having tetanus
please separate the nursing management to medical management!.!.!.tnxWww@Answer-Health@Com


Answers:
Medial management may include use of a tetanus antitoxin, such as tetanus immune globulin (TIG)!. However, the antitoxin can neutralize only toxin that hasn't yet combined with nerve tissue!. Your doctor may also give you antibiotics, either orally or by injection, to fight tetanus bacteria!. You'll also need to receive a tetanus vaccine in order to prevent future tetanus infection!.

Tetanus infection often requires a long period of treatment in an intensive care setting!. You may need drugs to sedate you and to paralyze your muscles, and that may result in shallow breathing that needs to be supported temporarily by a ventilator!.

In most cases of tetanus, the illness is severe and widespread, and there's a risk of death despite treatment!. Death may result from constriction of airways, pneumonia or instability in the autonomic nervous system!. The autonomic nervous system is the part of your nervous system that controls your heart muscles, other involuntary muscles and glands!.

People who've had tetanus often recover completely!. However, some people have lasting effects, such as brain damage caused by a lack of oxygen when muscle spasms in the throat cut off the airway

Nursing Management:

Nursing Considerations
Although nurses in the United States rarely have the opportunity to manage a patient who has tetanus, they still must be prepared to deliver competent care!. The toxins can cause intense muscle spasms and autonomic nervous system dysfunction!. Astute and prompt recognition of complications followed by proficient intervention is crucial!.

During the course of tetanus, patients linger in a vulnerable state in which unrecognized or untreated complications of therapy can be overwhelming!. An extensive assessment should form the foundation in developing the plan of care!. Collaborative actions by the nursing staff with other members of the interdisciplinary team can sustain patients while the disease is being treated!.

Outcome criteria for patients with tetanus should include (1) maintenance of the airway; (2) prevention of the complications of respiratory dysfunction, such as atelectasis; (3) treatment of autonomic nervous system dysfunction, such as cardiac dysrhythmias; (4) maintenance of proper gastrointestinal function; (5) maintenance of skin integrity; and (6) compliance with the prescribed immunization schedule!.


Different aspects of nursing involved here are neurological considerations; pulmonary consideration; wound management;administration of antitoxin ; cardiovascular considerations; immobility considerations, Psychosocial ; GI and metabolic and rehab phase!.

The site below will give more information:

http://classic!.aacn!.org/aacn/jrnlccn!.nsf!.!.!.
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