informationfornurses

Don’t wonder when your patient screaming around like a pain stricken kid , as you are efficient nurse you can easily diagnose it as TRIGEMINAL NEURALGIA if the pain is confined to the face. Study the med surg and read the article below to enrich you more.

TRIGEMINAL NEURALGIA is a neurological disease (trigeminal nerve, Vth mixed cranial) in which patient experiences severe intractable, shock like, stabbing pain in the different areas of the face. Other names are tic doloureux or prosopalgia. Compression from the blood vessel damage the myelin sheath lead to hyperactivity of the nerve and pain signal is rarely shut down. Even the slightest touch or air current may trigger the TN.

Medication used to RX the TN are 1. Oxacarbazepine, 2.Phenytoin3. Topiramate4. Gabapentin 5 Clonanzepam 6. Baclofen 7. Methadone (opiod) 8. Oxocodone9. antidepressants10. Butox injection directly to the nerve 11. Glycerol injections

Surgical options available 1. Micro vascular decompression 2. Balloon compression 3. Radiofrequency rhizotomies 5. Gamma knife radiation surgery

Hello nurses we must take care of the patient at the fullest; for that we can make use of the following methods to relive the shock like pain that patient is experiencing.
a. apply icepacks
b. give adequate rest
c. make him calm
d. provide healthy nutritious diet
e. avoid all the nerve stimulants like tea ,coffee, alcohol
f. give lot of fluid to drink
g. give psychological support
h. provide health education to patient and relatives
i. start to plan the rehabilitative efforts

Soon catch you all ….. march to the ward

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