Ms. Glutting Neuro exam 2
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each of the black spaces below before clicking
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| Type of seizure caused by head trauma, metabolic or electrolyte imbalance (renal failure, hyponatremia, infection) | show 🗑
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| Type of seizure most often a result of unknown cause | show 🗑
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| Seizure that causes loss of consciousness | show 🗑
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| Seizure that does not result in loss of consciousness | show 🗑
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| Group of abnormal cells that initiates seizures | show 🗑
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| Listed seizures all have something in common- Focal motor, jacksonian, sensory | show 🗑
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| show | Focal Motor seizure
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| show | Jacksonian
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| show | sensory seizure, focus is in the occipital area
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| Type of seizure beginning with an aura or sensation. Rising from the epigastric region, odor, visual disturbance, deja vu. Lip smacking | show 🗑
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| show | Involves entire brain, activated at once. Loss of consciousness
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| show | Petit mal (absence seizure) may only stare into space, stop talking.
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| show | 100; will exhibit learning problems.
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| show | Status epilepticus
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| Tx for status epilepticus | show 🗑
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| show | Generalized tonic clonic (grand mal)
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| show | 1- sudden LOC
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| Second stage of grand mal | show 🗑
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| show | entire body stiffens, including diaphram, throat muscles contract, air is pushed out. RR interrupted, may become cyanotic. Eyes open wide, pupils fixed/dilated. Lasts 30-60 sec.
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| tonic phase is also known as | show 🗑
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| show | Clonic/ictal phase.
relaxed/unresponsive afterward won't remember episode
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| Stage of grand mal that involves involuntary jerk or contraction of major muscles. May be thrown to the floor | show 🗑
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| show | Atonic seizure "drop attack"
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| Normal level of dilantin? How is it sent from pharmacy? | show 🗑
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| Max Mg/Minute for dilantin? | show 🗑
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| Nursing considerations for Dilantin? Teaching in reference to side effects? | show 🗑
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| show | AST- 5-40
ALT- 7-56
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| show | cerebrex
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| show | alcohol
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| show | Filter needed, only hang with NS, cardiac monitor will also be needed.
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| 4 s's | show 🗑
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| show | Felbetol
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| show | Speech is affected
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| show | recognition/have to think about what they say before they say it
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| show | muscle spasticity, neurogenic bladder, parethesias, cerebellar ataxia, fatigue, weakness, numbness, difficulty in coordination, loss of balance
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| Diagnostics to determine MS include a CSF exam that will find ____ antibodies. | show 🗑
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| Right or Left sided stroke? spatial-perceptual deficits | show 🗑
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| show | Right
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| show | Right
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| show | Right
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| show | Right
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| show | Right
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| show | Left
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| Right or left sided stroke? Impaired Right/Left descrimination | show 🗑
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| Right or left sided stroke? Slow performance/cautious | show 🗑
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| Right or left sided stroke? Aware of deficits, depressed/anxious | show 🗑
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| show | Left
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| show | TPA, Heparin/platelet inhibs. Ticlid, Plavix, Persantine, Lovenox, Fragmin
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| Meds used for hemorrhagic stroke? | show 🗑
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| Dilantin is given to a stroke victim when..... | show 🗑
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| When will BP drugs be given in presence of a stroke? | show 🗑
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| show | Nimodipine (nimotop) Ca channel blocker, decreases vasospasm, minimizes tissue damage.
GIVEN WITHIN 96 HOURS
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| show | Used to establish blood flow, prevent cell death in a ischemic stroke. Given in the 1st 3-4.5 hours after symptoms begin, not after. Know LSN. No TPA unless BP is 185/110 or less. Do all sticks/NG, etc, before TPA admin
Assess for cerebral bleed
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| show | Water, Glucose containing
Glucose level, no higher than 140 and in norm range
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| Inability to recognize and object by sight, touch, or hearing | show 🗑
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| Side of brain affected by stroke in which patient may exhibit unilateral neglect | show 🗑
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| Things appear smaller than they are | show 🗑
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| Loss of vision in half of each visual field. | show 🗑
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| show | TIA
lasts minutes to hours
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| which stroke? Onset and disappearance of focal neuro deficit within days. Lasts longer than 24 hours, minimal to no lasting deficit | show 🗑
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| Stroke? Progresses 12-24 hours, progressive deterioration of neuro status, residual effects possibly permanent | show 🗑
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| Stroke? Severe in character, condition stabilizes but neuro deficit remains. No further deterioration after 2-3 days usually has permanent deficits | show 🗑
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| Disturbance in muscular control of speech | show 🗑
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| Cannot name an object | show 🗑
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| show | apraxia
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| show | perservation
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| Motor or expressive aphasia. Pt demonstrates difficulty expressing self through spoken/written word. Speech slow, nonfluent, effortful. Can understand verbal/written word. Aware of problem | show 🗑
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| receptive aphasia, injury to temporal lobe of dominant hemisphere. PT unable to comprehend written/verbal. Brain unable to interpret sounds heard, pt has fluent speech/norm rhythym but uses incorrect words. makes up own words. May not realize deficit. | show 🗑
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| show | Global aphasia
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| show | Betaseron
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| show | spastic bladder; urinary frequency and urgency
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| show | Urecholine and Prostigmine cholinergics
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| Med given for parasthesias and ataxia in MS? (select all) A. Tegretol B. Dilantin C. Klonopin D. Neurontin E. TPA | show 🗑
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| Daclofen, Valium, and Dangrium would be given to control ____________ in MS. | show 🗑
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| show | Dopamine receptor agonists, parlodel,permax, mirapex, requip
Sinamet added as disease progresses
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| show | Symmetrel
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| Patient teaching for Levodopa | show 🗑
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| Nutritional teaching for PD patient? | show 🗑
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| show | Meds need to be taken on time.
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| show | Myasthenic
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| Crisis when there is too much Ach available, constant action potential is generated, fatiguing the respiratory muscles. From over medication. S/S will be muscle weakness, respiratory distress but also will exhibit GI symptoms: N/V, diarrhea, bradycardia. | show 🗑
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| Spinal cord injury most common in cervical cord. Motor weakness/sensory loss present in upper/lower extremities but mainly upper | show 🗑
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| show | anterior cord, compromised blood flow to anterior cord. posterior not injured so sense of touch, position, vibration, motion is intact.
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| damage to 1/2 spinal cord characterized by loss of motor function and position, vibratory sense. Ipsilateral paralysis. Loss of pain/temp senstation below lesion Often caused by penetrating injury | show 🗑
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| S/S of what disorder? *Severe hypertension (300/160 with bradycardia) *severe throbbing ha *nasal stuffiness *blurred vision *goosepimples and pallor below injury *profuse swelling, flushing above level of injury | show 🗑
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| Nsg TX for autonomic dysreflexia? | show 🗑
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| What six things determine brain death? | show 🗑
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| show | Hypothermia, CNS depression r/t drugs; barbituates
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