The medications would the nurse anticipate administering to this patient include Pyridostigmine, Azathioprine and Prednisone.
Pyridostigmine (Mestinon) is an anticholinesterase that enhances the action of acetylcholine neurotransmitters at the neuromuscular junction.
Azathioprine (Imuran) is an immunosuppressant medication (it has immunomodulatory effects).
Prednisone (Deltasone) is a corticosteroid used to suppress the immune response associated with the symptoms above described.
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A manual resuscitation bag to give the client big breaths before beginning by the student nurse will require additional instruction by the nurse.
What is Tracheostomy?
- Tracheostomy may be a surgical procedure which consists of making an incision in the front(anterior aspect) of the neck and opening a direct airway through an incision in the trachea.
- This tube allows an individual to breathe without the use of the nose or mouth. As a result, stoma (hole) can serve independently as an airway or as a site for a tracheal tube or tracheostomy tube to be inserted.
- In the chronic (long-term) setting, indications for tracheotomy include the necessity for long-term mechanical ventilation and tracheal toilet (e.g., comatose patients, extensive surgery involving the top and neck).
- Tracheotomy may end in a significant reduction in the administration of sedatives and vasopressors, also as the duration of stay in the intensive care unit (ICU).
- In extreme cases, the procedure could also be indicated as a treatment for severe obstructive sleep apnea (OSA) seen in patients intolerant of continuous positive airway pressure (CPAP) therapy.
- The reason tracheostomy works well for OSA is because it is the only surgical procedure that completely bypasses the upper airway. This procedure was commonly performed for obstructive apnea until the 1980s, when other procedures like the uvulo palato pharyngoplasty, genioglossus advancement, and maxillomandibular advancement surgeries were described as alternative surgical modalities for OSA.
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The actions performed by the client that can cause complications on the second post-operative day include:
- Nose blowing
- Teeth brushing.
- Bending forward.
<h3>Who is a nurse?</h3>
It should be noted that a nurse simply means an individual who takes care of the sick people who are in the hospital.
It should be noted that the nurse is teaching a client who underwent a hypophysectomy for hyperpituitarism about self-management and these actions illustrated can cause complications.
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A. Nose blowing
B. Teeth brushing
C. Bending forward
D. Breathing through the mouth
E. Lying in a semi-Fowler's position
