Advance for nurse practitioners
-
Multiple sclerosis is a chronic disease of the central nervous system that affects young adults most often. The course of MS is unpredictable and variable on a day-to-day basis. ⋯ A diagnosis of multiple sclerosis is a clinical one based on a thorough history and neurologic examination findings and supported by magnetic resonance imaging of the brain and evoked potential studies. Management strategies fall into three general categories: treatment of relapses caused by underlying disease; prevention of progression or reduction of the frequency of relapses; and control of specific symptoms.
-
The challenges of pediatric laceration repair include the probability of an uncooperative participant, tense or frantic parents and a busy setting. Linear lacerations of the scalp, trunk and extremities are excellent sites for staples. ⋯ The most common methods of anesthesia for laceration repair include topical agents, direct infiltration and blocks. All wounds that are deep, dirty or may contain a foreign body should be locally cleansed with antimicrobial agents and irrigated vigorously.