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LCC Med Surg

jdannels LCC neuro test

QuestionAnswer
Two main divisions of the nervous system CNS and PNS
somatic nervous system voluntary
autonomic nervous system involuntary
nerons carry messages to brain and spinal cord
neuroglial or glial cells produce CSF
neuron cell body nucleous
axon conducts impulse away from cell
dendrites recieve impulse
synapse gap between each neuron
neuromuscular junction contact between mylelinated nerve fibers and skeletal muscle
neurotransmitter transmission
acetocholine cholinesterase deactivates
norepinepherine wake cycle
dopamine motor function
serotonin sleep and role in mood
what is myelin protects and insulates
Schwann cells produce myelin
neurilemma regenerates axons
Cerebrum largest part. controls movement on the opposite sode. gray matter is cerebral cortex.
frontal lobe judgment, motor, speech
parietal lobe touch, pain, temp
temporal lobe memory, auditory stimuli
occipital lobe visual impulses
Diencephalon inner brain contains thalmus and hypothalmus
thalmus sensory
hypothalmus hormones and vital functions
cerebellum second largest part of brain
brain stem connects spinal cord and cerebrum
midbrain movement and reflexes
pons resp. cnt to assist medulla
medulla controls HR, breathing, swallowing
meninges dura mater, arachnoids, pia mater
ventricles 4 spaces in the brain
spinal cord goes brain stem to second lumbar
spinal nerves how many 31
how many pairs cranial nerves 12
sympathetic nervous system accelerates
parasympathetic nervous system slows
assessment of neurological disorders prevention, Hx, MS, LOC, Arousal, Glasow Coma Scale, language and speech, motor reflexes, sensory and perceptual staus, hemianopia, unilateral neglect
what are the Lab tests to detect neuro disorders blood and urine, CSF, Brain scan, MRI, MRA, PET, Lumbar puncture. EEG, Myelogram, angiogram, carotid duplex, digital subtraction, electromyelogram, echoencephalogram
HA etiology tumors and other causes
types of HA vascular, tension, stress
signs of migraine visual changes, disorientation, sensitive to light
Dx of HA CT, MRI, PET, brain scan, lumbar puncture
TX HA avoid foods such as choc. psychotherapy, ASA, meds to constrict vessels, caffeine, phenobarbital, belladonna, apap, inderal, imitrex, darvocet, codeine
nursing care for HA cold packs, dark room, avoid triggers
Etiology of Neuro pain lesions in nerves. pain receptors are not adaptable. specific for pain only. activated by chemicals, heat, ischemia.
assessment of neuro pain factors, description, quality of pain
Dx of neuro pain electrical stimulation
Tx of neuro pain TENS, nerve block, acupuncture, epidural catheter
meds for neuro pain nonopioid and opioids, neurontin
sugery for neuro pain cordotomy
nursing care for neuro pain position for comfort, avoid straining, counseling, ROM
ICP Etiology lesion, cerebral edema
what can lead to herniation of ICP PCO2 increases and PO2 and pH decreases which leads to vasodialation, edema and increased pressure
signs of ICP diplopia, nausea, pain, LOC decreased, dialated pupil, wide pulse pressure, bradycardia, resp. distress, hyperthermia, hyperreflexia.
Dx of ICP CT, or MRI, internal measuring with ventricular cath/subarachnoid bolt, epidural sensor
Tx of ICP decompression, manital, lasix, bumex, steroids, anticonvolsants, versed
nursing care for ICP elevate HOB, neutral postion, restrict fluids, avoid valsalva, suction only if necessary, O2, hypothermia blanket, VS/Neuro checks frequently, glasglow coma scale report less than 8
Created by: jdannels
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