The nurse is caring for a patient with chronic kidney disease who is receiving epoetin alfa and reports of calf pain on dorsiflexion of the foot would be of greatest concern for the nurse.
Epoetin alfa could be a human glycoprotein made in cell culture victimization desoxyribonucleic acid technology. Authorised by the eu Medicines Agency on 28 August 2007, it stimulates organic process and is employed to treat anemia, usually related to chronic kidney disease and cancer therapy.
Sesamoiditis is the pain on dorsiflexion of the great toe, restricted motion of the primary MTP joint, or pain on dorsal touching of a bone happens. Turf toe: the primary MTP joint is red, swollen, tender, and stiff. Pain is typically greatest with end-range flexure of the foot.
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Abdominal pain is very common nowadays, this is due to fast life adjustments which also includes our dietary patterns and food type we eat.
Explanation:
- Abdominal pain can be due to several reasons, some of them are not so serious and self-limited only arising from eating something or some viral health issues. The pain lasts for a few seconds to minutes. Major cause being acidity which can be controlled by an antacid and with a check on food patterns.
- As in the case of Mary who has been complaining of more severe abdominal pain, that is sharp and occurs in mid epigastrium which is the mid-upper abdomen.
- And this pain occurs after her favorite meals, there can be several underlying possibilities to this.
- It can gastritis (inflammation of stomach lining) and it can be due to infections, acid or alcohols and symptoms include; heartburn, nausea, and aching or burning pain.
- Peptic Ulcers, gastroparesis and pancreatitis in all these disorders have nausea, worsening pain radiating to back or shoulders and pain lasts longer after having certain meals.
- Mary needs to have medical attention immediately so that it does not progress further and cause any serious health issue.
I think it is also all the above so D
They are usually between the ages of teenage and adulthood