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Stack #205743
Unit 2-neuro
| Question | Answer |
|---|---|
| frontal lobe | written speech, speaking, intellectual judgement, motor ability |
| parietal lobe | sensory, touch, pain, temp, shapes , sizes, left from right |
| temporal lobe | auditory, memory |
| Occipital lobe | visual impulse, understand written word |
| Migraine | vascular-tension-stress type of HA. S/S visual changes, disorientation, sensitivity to light. Tx-ergotamine |
| nursing for migraine | cold packs, dark room, avoid trigger |
| ICP S/S | diplopia, nausea, pain, LOC decreased, dilated pupil, wide pulse pressure, bradycardia, resp distress, hyperthermia, hyperreflexia, decorticate , decebrate(rigid),personality change, pressure on cranial nerve 3. |
| Nursing for ICP | elevate HOB 45 deg, neurtral pos, restrict fluid, avoid valsalva, suction only if necc, oxygen, hypothermia blanket, VS, and neuro check, glascow coma scale.report if below 8. |
| Diagnosis for ICP | CT or MRI, internal measuring w ventricular cath/subarachnoid bolt, epidural sensor, CuShInG's Response, subtle change is signif. |
| Epilepsy or Seizure | discharge of neurons, hypoglycemia, infections, electrolytes |
| absence-petit mal | loss of cons., no warning or tonic clonic;morning time |
| pyschomotor-cons | looks drunk, aura and postical period |
| focal,jacksonian | begins in hands or feet, tonic clonic, aura, postictal. |
| myoclonic | muscle contractions, conscious, no aura |
| akinetic | falls flaccid, no aura or postictal period. |
| Nursing for Epilepsy/seizure | observe and record seizure, never leave alone, support body, turn to side, do not restrain, padded SR, suction, patent airway, oral care if taking Dilantin |
| Med for seizure | anticonvulsant and mon. blood level; tegritol, gabapentin, depako, colonapin, neurotin, lamictol, cerebrex, topamax. combo-dilantin/phenobarbitl |
| PD | damage of dopamine producing cells in subtantia nigra of midbrain |
| signs of PD | tremor(pill rolling),rigidity, bradykinesia, bent forward, shuffling gait, masked face, drooling, cannot stop gait |
| nursing for PD | pos. on firm bed, OT, PT, alignment;bite sized, small meals, prevent aspiration, high fiber, antidepressant, exercise such as stepping over lines |
| Drugs for PD | levodopa, sinemet(works together) drug holiday |
| MG | nerve impulses fail to pass at Neuromuscular junction, muscle weakness(face) |
| Cause of MG | decreased actylcholine, excess cholinesterase |
| S/S of MG | ptosis, diplopia, weakness, dysphagia, dysarthria, nasal voice, limbs affectred, unable to walk, Resp, BB. |
| Nursing for MG | prevent aspiration, airway, ROM, trach, ET tube, Resp concern |
| ALS | loss of motor neurons,known as lou gehrigs disease, muslce wasting, affects resp muscles for swallowing. Rulutek for tx, OT, and PT |
| Nursing for ALS | support, assist w/ grieving process, death 2-6 yrs from resp infections |
| Huningtons Disease | genetic over activity of Dopamine, excessive involuntary movements(chorea) |
| Nursing for Huningtons | up calories, prevent aspiration, conseling, g-tube?, loss of intelligence adventually |
| Stroke or CVA | brain attack, disruption of oxygen and nuerons cease to function |
| S/S of Stroke | HA, neuro chagne, MS changes, apraxia, dyslexia, facial sens. impaired, rigidity, nystagmusm, LOC, ICP, dysphagia, aphasia, sptial problems, behavior, hemianopoia. |
| Nursing for Stroke or CVA | tube feeding, IV, HOB, syringe for fluids, self care, bladder/bowel training, comm. w/ pics, PROM, Bobath approach, unhurried, speak slow, simple commands, anticonvulsants, emotional outbursts |
| Bell's Palsy | inflammatory process of Cranial nerve 7 from herpes simplex |
| S/S of Bell's Palsy | numbness, drawing sensation of face, weakness of facial muscles, asymmetric face, drooping, loss of tase and saliva |
| Nursing for Bell's Palsy | protection of eye, face exercises-wrinkle brow, and farehead, close eyes, puffing cheeks, electrical stimulation of warm moist heat along course of nerve |
| Gullain-Barre Syndrome | demylelination of PNS, axons wrapped in myelin and GBS attacks, immune disorder |
| S/S of Gullain-Barre | weakness, swallowing, Resp, speaking, lower motor neuron paralysis, moves up to chest and recovers opposite, Starts at Feet and Works Up |
| Nursing for Gullain Barre | monitor resp, nutrition, PT, meds for nueropathic pain such as Neurontin, Elavil |
| Meningitis | infection of meninges, inflammatory reaction in pia matter and arachnoid and occludes ventricles |
| Signs of Meningitis | Kernigs, Brudzinski, HA, Stiffness of neck, delirium, inflammation signs, icp |
| Tx | manitol, hyperosmolar agents, anticonvulsants, antibiotic to penetrate BBB. |
| Nursing for Meningitis | resp, isolation, IV, dark room, Safety |
| Craniocerebral trauma | head injury due to MVA, falls, etc |
| S/S of head injury | open or close; skull fracture(linear, comminuted, depressed or compound), epidural hemoatomas, subdural hematoma(venous bleed), sensation/motor def,m battles sign, racoon eyesm, rhinorrhea, otorrhea |
| Nursing for Head injury | check fluid for CSF(TT for sugar) prevent infection, emotional support such as memory aids and redirecting, teaching of complications if being dismissed, rehab |
| Spinal cord Injury | MV, diving,surfing, gunshot due to flexion-extension-rotation injury. |
| S/S of Spinal cord traums | above C4 all is lost-even resp; C5-7,some neck, chest, arm movement;Thoracic-trunk and below chest lost; lumbosacral-leg movement is lost |
| Spinal shock | temp loss of reflexes, sensory and autonomic function is lost, may require ventilation during this time |
| Autonomic dysreflexia | increased reflex actions;abnormal response to stimuli of SNS, signs-HTN, bradycardia, diaphoresis, due to impact of distended bladder |
| Nursing care for Spinal cord trauma | prevent contractures, skin care, bladder/bowel training program |
| Symmetrel | parkinson disease |
| Baclofen | antispasticity for MS |
| Artane | blocks cholinergic, antiparkinson |
| Mestinon | stops destruction of Acetylchloine(MG-AD) |
| Cognex | cholinesterase inhibitor-Altheimer disease(monitor liver) |
| Levodopa | antiparkinson-Increases balance of cholineric and dopamine |
| Sinemet | antiparkinson-increases Dopamine |
| Eldepryl | MAO inhibitor, used with Levodopa for Parkinson disease |
| Aricept | Improves cholinergic function, Altheimer disease |
| Narrenda | moderate to severe Altheimer disease |
Created by:
allicat21
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