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Neuro 2
Ms B Neuro 2 study set
| Question | Answer |
|---|---|
| Not a stroke. Blockage causing brief neuro impairment | Transient Ishcemic Attack |
| Ischemic stroke | blockage buildup in artery that stops blood flow to brain |
| travels through artery until trapped in a smaller vessel | Embolic stroke |
| Embolic stroke | created somewhere in body and travels to brain |
| Hemorrhagic Stroke | rupture of cerebral vessel allowing blood into brain tissue |
| aneuyrism needing surgery to correct, usually fatal | Subarachnoid Hemorrhage |
| Intracerebral Hemorrhage | Occurs in deep brain tissue caused by uncontrolled HTN; can occur w/o detection |
| S/S of stroke | LOC HTN Drifting Drooping Severe HAF |
| FAST | assessment tool for stroke/risk |
| tPA | clotbuster med to dissolve existing clot |
| medication that must be used within 4.5 hrs contradindicted in Hemorrhagic stroke | tPA |
| aggregate | used for clot prevention |
| blood thinners | used to prolong time to form clot |
| Statins | used to reduce cholesterol |
| special scale used to assess strokes | glasgow coma scale |
| check gag reflex; ROM; ADL's; speech therapist; diet | Adverse S/A: what to do for pt. with a stroke |
| Modifiable risk factors | smoking, Diet, Obesity, ETOH, |
| autoimmune; grave muscle weakness | Myasthenia Gravis |
| Tensilon | drug used in IV to test for positive MG |
| If MG present, ptosis occurs with patient doing this | eyelids droop when Pt looks upward for 2-3 mins |
| There is no cure for Myasthenia Gravis | True |
| Thymus - ectomy will not help decrease symtoms of MG | False |
| ALS | progressive, degenerative neuron condition effecting voluntary muscles |
| keep suction at bedside; prevent aspiration, pneumonia | Nursing care for ALS patient |
| ALS usually occurs in the elderly | False |
| Trigeminal Neuralgia | Cranial nerve V affecting face, chewing, scalp sensations |
| facial nerve VII is inflamed and swollen | Bells Palsy |
| Gullian Barre Syndrome | check ABG lab values remember ABC's |
| Immunoglobulin Sandoglobulin | treatment for GBS |
| condition where myelin sheath of neurons breaks down | Multiple Sclerosis |
| Dysarthria | difficulty speaking |
| Sensory apahsia | impaired comprehension of spoken and written word |
| Motor dysphasia | patient understands but can't answer appropriately |
| Expressive aphasia | difficulty or inability to verbally communicate uses wrong words: "The sky is dish.' |
| Receptive aphasia | difficulty receiving or understanding ; uses gestures |
| Contra-lateral Hemilplegia | stroke on one side of brain effects the opposite side of body |
Created by:
Scoop55
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