Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
The information nurse should obtain from parents Has the child taken tetracycline for treatment?
Tetracycline used for :
Tetracycline is used to treat infections caused by bacteria including pneumonia and other respiratory tract infections; ; certain infections of skin, eye, lymphatic, intestinal, genital and urinary systems; and certain other infections that are spread by ticks, lice, mites, and infected animals
When should you take tetracycline?
Adults and teenagers—100 mg once a day. You should take the first dose one or two days before travel to an area where malaria may occur, and continue taking the medicine every day throughout travel and for four weeks after you leave the malarious area. Children older than 8 years of age—Dose is based on body weight.
Does tetracycline cure infections?
Tetracycline is used to treat a wide variety of infections, including acne. It is an antibiotic that works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu).
Learn more about Tetracycline :
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Answer:
Yes, the focus should change to a disease prevention and health promotion plan.
Explanation:
The curative focus of the U.S healthcare system is an outlook that places more emphasis on the development of drugs and other treatment plans in the event of an ailment. This is not a proactive measure to counter health issues. It is rather reactive. The health promotion and disease prevention method focuses on countering and proactively dealing with situations that could lead to diseases. This is a better way of dealing with diseases for the following reasons;
1. It prevents the harmful side effects of drugs. A health-based plan that focuses on healthy ways of living like proper exercise and healthy eating would promote better health, and prevent the outbreak of diseases that would lead to the consumption of drugs with harmful side effects.
2. It saves cost. Evidence has shown that prevention is better than cure in terms of saving costs. Money that would have been spent on hospital bills and drugs are saved when healthy ways of living are observed. An example of this effect is the YMCA Diabetes Prevention program where people who are prone to diabetes are placed on a healthy lifestyle for a year. The result is that the likelihood of these participants suffering from type-2 diabetes is drastically reduced. This saves the cost that would have been involved in taking care of this disease.
3. It increases lifespan. The chances of people who stick to healthy ways of living rather than always subjecting themselves to drugs and other curative measures with their associated side effects are quite long.
For the above-stated reasons, it is imperative that the focus in the U.S health care system should change to the health promotion and disease prevention plan.
