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28 February 2020

Takayasu Arteritis and Quality of Life

Sultan Karim
The writer is a gradute of Nursing from AKU and is currently pursuing his Masters in Public Health from NIHS, Islamabad

 

Takayasu Arteritis is autoimmune vacuities of large arteritis like aorta and its branches. According to the (Takeshi Kuroda · Mitsuhiro Ueno · Hiroe Sato ·2006) Takayasu is inflation of unknown cause which affects the large arteries. If killing of one person is killing of human being than every time when health care professionals make mistakes or with their ignorant behavior they take away a lot of lives. This they do because they are been taught in a way that no civilized nation would allow this to happen with their people. This is fact which happens in every profession. Nurses are thought to be in a profession which is caring and a profession which is sacred and helps the humanity. A mistake on their part becomes sometime a threat to life. Simple intervention like assessing patient seriously for his vital signs,  which takes two minutes of their time but saves a life. So I decided to write my article on a topic which is not very common disease but a life threatening. This will help the novice nurses and also nurses who are clinically practicing as well to understand its nature.

Takaysau Arteritis is not a disease which attacks acutely. Mostly it’s chronic sometimes sub-acute and very little it’s acute. So assessment is very important. Patient mostly comes with complication or with systemic manifestations. Like patient sometimes comes with stroke or some time with a very simple and very wag symptoms like nausea, vomiting and stomach ache. So with these things we never take it seriously and it does the damage. Here I will share my experience that a patient comes with headache, ER staff didn’t take his vital signs and they started fluids for him, with knowing that he came with very high blood pressure. They had given more fluids to him which also increased his blood pressure. And his blood pressure remained high for 10 hours. Once a senior doctors came and checked the blood pressure which was above three hundred, shifted the patient to ICU and remained there for 10 days and with aggressive treatment with antihypertensive BP didn’t come down. He was finally been diagnosed as Takayasu Arteritis on 11th day of his hospitalization, he remained hospitalized for twenty days and got discharged and after five days was brought to ER with rectal bleeding which ultimately took his life. Firstly the negligence was on ER staff, if they had taken the vital signs by a skillful and sincere staff, his complication could have been controlled.

Like due to blood pressure his right occulorartery was ruptured and due to which one side of sightness was finished. Also there had been damage of mesenteric artery and patient was suffered of constipation and small intestine infracted. So his disease could not be treated at anywhere but could have controlled the complication. This was quite in control and manageable. People say that early diagnosis and prompt intervention can save so many disasters which is very much true in Takayasu’s case.