Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Neuro (Chpt 41 & 42)

Chapter 41 Nervous System Assessment

Seizures - Abnormal electrical discharge in part or all of brain - Altered state of cerebral function
Epilepsy seizure triggers Flashlights Odor Fatigue Hypoglycemia Fever Constipation Hormonal changes
Generalized seizures Involves activation of both hemispheres - most common type
Simple partial seizures - No loss of consciousness
Simple partial seizures - Recurrent muscle contractions on one part of body - Abnormal sensations or hallucinations - Tachycardia, flushing, hypotension, hypertension
Complex partial seizures - Impaired consciousness - Automatisms- repetitive, non-purposeful activity (I.e. Lip smacking) - May be preceded by aura - Amnesia afterwards
Absence seizure (petit mal) - In children: - Sudden brief cessation of all motor activity lasting 5-10 sec - Blank stare - Unresponsive - Occasional or up to 100 times a day
Tonic-clinic (grand mal) - May begin with aura - Seizure begins with loss of consciousness; falling to floor
Tonic phase - Muscle contractions, rigid muscles, legs and arms extended (opisthotonos) - Jaw clenched; incontinence and breathing cessation, cyanosis - Lasting 15 sec - up to one minute
Clonic phase - Alternating contraction/relaxation in extremities; hyperventilation - Eyes roll back, patient froths at mouth - May last longer - Entire seizure lasts 60-90 seconds
Postictal phase - Slowly regains consciousness - Headache, muscle ache, fatigue, amnesia - May sleep several hours after - Check for possible injury (biting tongue, fractures, head injury
Status epilepticcus Prolonged or repetitive seizures with only short periods in between (5 min)
Status epilepticcus - Effect is hypoxia, acidosis, hypoglycemia, hyperthermia - IV push (Ativan or diazepam (Valium); repeat 10 min if needed - May be followed with phenytoin (Dilantin) slow IVPB for longer control
Anti epileptic drugs (AEDs) pg 1366-67 - May have to use combination of medications to achieve goal - Type of medication based upon type of seizures
Phenobarbital Given for extreme sedation
Phenytoin (Dilantin) Several undesired side effects - Gingival hyperplasia - use soft toothbrush and floss - Demineralization of bones - maintain calcium levels
General side effects of AEDs -Blurred vision - Nystagmus (rapid eye movement) - Slurred speech - Confusion/cognitive slowing - Ataxia (impaired coordination)
Teachings for epileptics - Periodic lab for therapeutic levels - Do not discontinue - Wear medic-alert tag - Avoid hazardous activities
Driving privileges re-instated Seizure-free for 2 years and letter for physician
How long does migraine headaches last? 4-72 hours
Migraine headache triggers - Stess, excitement, fatigue, rapid blood sugar changes - Foods: chocolate, aged cheese, alcohol, artificial sweeteners, MSG, caffeine - Menstrual cycle, hypertension, fever
Prophylactic daily medications - Beta blockers - Calcium channel blockers - Tricyclics antidepressants or SSRI antidepressants
Abortive medications (stops migraine) - Sumatriptan (Imitrex) binds with serotonin receptors: oral, SQ, nasal spray - Ergotamine - causes vasoconstriction ( caution with coronary disease/HTN, limited amount allowed; report chest pain)
Created by: pdimple