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AMPolish up on client care Drugs or alcohol Endocrine disorders Genital surgery Genital trauma Infections Lifestyle disruptions Medications Paraphilia Pregnancy Religious or cultural taboos that reinforceguilty feelings about sex StressASSESSMENT FINDINGS Anxiety Decreased sexual desire (sexual desiredisorder) Delayed or absent orgasm (orgasmic disorder) Depression Disturbance in body image Frustration and feelings of being unattractive Inability to maintain an erection (sexualarousal disorder) Ineffective coping Pain with sexual intercourse (sexual paindisorder) Poor self-concept Premature ejaculation (orgasmic disorder) Social isolationDIAGNOSTIC TEST RESULTS Diagnostic tests are used to rule out aphysiologic cause for the dysfunction.

Key treatments Cervical collar (until neck injury is ruled out) Anticonvulsant: phenytoin (Dilantin) Barbiturate: pentobarbital (Nembutal) if unableto control intracranial pressure (ICP) with diuresis Diuretics: mannitol, furosemide (Lasix) tocombat cerebral edema Dopamine to maintain cerebral perfusionpressure above 50 mm Hg (if blood pressure islow and ICP is elevated) Glucocorticoid: dexamethasone to reducecerebral edema Histamine2 (H2)-receptor antagonists: ranitidine(Zantac), famotidine (Pepcid), nizatidine (Axid) Mucosal barrier fortifier: sucralfate (Carafate) Posterior pituitary hormone: vasopressin ifclient develops diabetes insipidusWhen Im onoverload, I skipdirectly to theCheat sheet.

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