Question

Explain SJS/ten CAP MR Pleural effusion right   DM type 2 IR .Give 6 nursing care plan and its pathophysiology

Answer 1

Steven Johnson syndrome

It is a rare and serious disorder of skin and mucous membrane. It is due to reaction to medication that starts with flu like symptoms followed by painful rashes and blisters.

It is a medical emergency that requires hospitalization.

Symptoms -fever, sore throat, fatigue, burning eyes, blisters on the skin, Red or purplish rash.

Pathophysiology -it is a type IV hypersensitivity reaction where the medication stimulates cytotoxic T cells and helper T cells to initiate autoimmune reaction.

Nursing interventions

-pain medication to reduce discomfort

-medication to reduce inflammation eyes and mucous membranes such as topical steroids.

-antibiotics to control infection when needed

-depending upon severity other medications can be included like oral corticosterone.

- fluid replacement and nutrition.

-wound care, eye care.