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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Blood Pressure Imbalances and Circulatory Shock01:24

Blood Pressure Imbalances and Circulatory Shock

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Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Toxic Reactions: Overview01:26

Toxic Reactions: Overview

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When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
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Updated: Jul 17, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
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Published on: March 14, 2025

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Toxic Shock Syndrome After Orthopaedic Surgery.

Sharon M Fernandes1, Amylene Luna1, Thomas Hall1

  • 1Critical Care Medicine, St George's University Hospitals NHS Foundation Trust, London, GBR.

Cureus
|August 29, 2023
PubMed
Summary
This summary is machine-generated.

Toxic shock syndrome (TSS) is a rare but severe condition. Early recognition and multidisciplinary care are crucial for improving outcomes in patients, especially after surgery.

Keywords:
bone and jointemergency medicine resuscitationgeneral trauma surgerymedical critical careorthopaedics surgerytoxic shock syndrome

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Area of Science:

  • Infectious Diseases
  • Critical Care Medicine
  • Orthopedic Surgery

Background:

  • Toxic shock syndrome (TSS) is a severe, acute multisystem illness.
  • It is caused by exotoxin-producing bacteria, primarily Staphylococcus aureus or Streptococcus species.
  • Prompt diagnosis and management are essential for patient survival.

Observation:

  • A 62-year-old male developed symptoms including confusion, fever, hypotension, and rash post-wrist fracture surgery.
  • Initial presentation mimicked surgical site infection, but other causes were systematically excluded.
  • Despite standard treatments, the patient's condition did not improve.

Findings:

  • Blood cultures confirmed Staphylococcus aureus infection.
  • Surgical wound exploration, debridement, and hardware removal were performed.
  • The patient eventually recovered after multidisciplinary intervention.

Implications:

  • High index of suspicion is vital for diagnosing TSS in postoperative orthopedic patients.
  • Symptoms can be delayed and surgical wounds may appear uninfected.
  • Early recognition, intervention, and collaborative care improve patient prognosis.