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Treatments for Adie syndrome
Treatments of Adie syndrome: Online Medical Books
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Deep tendon reflexes, hypoactive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Encourage the patient to perform activities of daily living as independently as possible. Assist the patient when necessary. Try to strike a balance between promoting independence and ensuring the patient’s safety. Encourage him to walk with assistance. Make sure personal care articles are within easy reach, and provide an obstacle-free course from his bed to the bathroom.
Deep tendon reflexes, hyperactive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Provide emotional support to the patient and his family. Explain all procedures and treatments. Help the patient relax and provide him with quiet activities. Explain safety measures to the patient and his family.
Deep tendon reflexes, hypoactive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Help the patient perform his daily activities, keeping a balance between promoting independence and ensuring his safety.
▪ Ambulate the patient with assistance.
▪ If the patient has sensory deficits, protect him from injury from heat, cold, or pressure.
▪ Reposition the patient frequently and perform or encourage range-of-motion exercises.
▪ Keep the skin clean and dry to prevent breakdown.
▪ Provide a balanced diet with plenty of protein and adequate hydration.
Patient teaching
▪ Teach skills to promote independence in daily life.
▪ Discuss safety measures with the patient and family, such as walking with assistance.
▪ Explain to the patient his diagnosis and the treatment plan.
Deep tendon reflexes, hyperactive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for diagnostic tests to evaluate hyperactive DTRs, such as laboratory tests for serum calcium, magnesium, and ammonia levels; spinal X-rays; magnetic resonance imaging; a computed tomography scan; lumbar puncture; and myelography.
▪ If motor weakness accompanies hyperactive DTRs, perform or encourage range-of-motion exercises to preserve muscle integrity and prevent deep vein thrombosis.
▪ Reposition the patient frequently, supply a special mattress, provide skin care, and ensure adequate nutrition to prevent skin breakdown.
▪ Administer a muscle relaxant and sedative to relieve severe muscle contractions.
▪ Keep emergency resuscitation equipment on hand.
▪ Provide a quiet, calm atmosphere to decrease neuromuscular excitability.
▪ Assist with activities of daily living, and provide emotional support.
Patient teaching
▪ Explain the diagnosis, procedures, and treatments to the family.
▪ Discuss measures necessary to keep the patient safe.
▪ Provide emotional support.
Doll's eye sign, absent [Negative oculocephalic reflex]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Don't attempt to elicit doll's eye sign in a comatose patient with suspected cervical spine injury; doing so risks spinal cord damage.
▪ Monitor vital signs and neurologic status.
▪ Discuss end-of-life issues with the patient's family, if appropriate.
▪ Provide emotional support to the family.
Patient teaching
▪ Explain to the patient the underlying cause and its treatment.
Unlabelled alternative drug treatments include:
- Pilocarpine
- Adsorbocarpine
- Akarpine
- Almocarpine
- E-Pilo Preparations
- I-Pilopine
- Isopto Carpine
- Minims
- Miocarpine
- Ocusert Pilo-20
- Ocusert Pilo 40
- PE Preparations
- Pilagan
- Pilocar
- Pilopine HS
- Piloptic-1
- Piloptic-2
- Pilosyst 20/40
- Salagen
- Spersacarpine
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Next articles:
- Alternative Treatments for Adie syndrome
- Glossary for Adie syndrome
- HYPOACTIVE REFLEXES (Algorithmic Diagnosis of Symptoms and Signs)
- HYPOACTIVE REFLEXES (Differential Diagnosis in Primary Care)
- Deep tendon reflexes, hypoactive (Handbook of Signs & Symptoms (Third Edition))
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