TUBEROUS SCLEROSIS
CLINICAL MANIFESTATIONS
DIAGNOSTIC TEST
DEFINITION
NURSING CARE PLAN
(A. M Brady, February 2013)
TREATMENT
(A. M Brady, February 2013)
DIET
SURGICAL TREATMENT
(A. M Brady, February 2013)
COMPLICATIONS
A rare disorder that causes tumors or growths
In the brain and other organs (kidneys, eyes etc)
(A.M Brady, February 2013)
Developmental delays
Pitted teeth
Rash on face - facial angiobromals
Mental disabilities (A. M Brady, February 2013)
Spots on the skin - hypopigmental macules
Seizures
Enchocardiogram to look any growth of tumors on the geart
Ultrasound for the kidneys to look for any tumors
CT scan and MRI of the brain to check for tumors
Ultraviolet light examination of skin(A. M Brady, February 2013)
Small growths can be treated with laser treatment though they come back
For intellectual disabilities special care is provided
Low-carb vegetables
Cheese
Seafood
Meat and poultry
Low carb, high fat diet
Eggs
Nuts and seeds (A. M Brady, February 2013)
Heart complications
Kidney damage
Excess fluids in and around the brain
Lung failure
Increased risk of malignant tumors
Vision damage
(A. M Brady, February 2013)
RISK FACTORS
PATHOPHYSIOLOGY
Random cell division error
Family history of tuberous sclerosis
(A. M Brady, February 2013)
Cell division and growth gets retarded
Leading to tuberous sclerosis that causes tumors
Mutations on the these genes leads to a disturbed production of proteins
To grow in various locations in organs of the body.
(A. M Brady, February 2013)
TSC1 and TSC1 are known to be genes that are responsible for protein production
NURSING CARE PLAN
(A. M Brady, February 2013)
Vagus nerve stimulation - involves sending electric impulses to the vagus nerve thus treating seizures and depression.
Focal cortical resection - removal of the part of the brain causing seizures.
Corpus collasotomy - surgical procedure where the corpus collesium gets cut to stop spread of seizures.
EXPECTED OUTCOME
NURSING INTERVATIONS
PROBLEM
:skin rash
Rash free skin
Offer or apply topical antifungals and antibiotics
EXPECTED OUTCOME
NURSING INTERVATIONS
PROBLEM
Patient will maintain effective respiratory pattern with airway patent or aspiration prevented.
Risk for ineffective airway clearance
Monitor respiratory rate, rhythm, depth, and effort of aspiration.
Loosen clothing from neck or chest and abdominal areas
To help breathing or chest expansions