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Neurological
LP #10
| Question | Answer |
|---|---|
| decorticate | legs are internally flexed, fists are flexed to core. sign of ICP |
| decerebrate | arms extended fists facing away from body. sign of ICP |
| Autonomic dysreflexia | an uninhibited and exaggerated reflex response of the autonomic nervous system to some form of stimulation and it occurs in 85% of all patients who have spinal cord injury at or above the level of the sixth thoracic vertebra |
| causes of stroke | Cerebral thrombosis Embolus Intracerebral hemorrhage Pressure on a blood vessel |
| acronym to help triage stroke | (FAST) Face Arms Speech Time |
| nursing strategy for Homonymous Hemianopsia | place objects within field of visions |
| ALS | degeneration of the grey matter of the spinal cord and crainial nerves therefore electrical impulses can't reach the muscles |
| dx study for ALS | EMG/muscle biopsy |
| etiology of bacterial meningitis | streptococcus pneumonia, meisseria meningitis, haemophilus influenza B |
| Brudzinski and Kernig's signs associated with which condition? | bacterial meningitis |
| characteristic symptoms of bacterial meningitis | photosensitivity, HA, fever, stiff neck |
| nursing interventions for bacterial meningitis | maintain a quite environment with minimal stimulation to allow for brain rest |
| which disorder is associated with upward progression of muscle weakness, paresthesia and weakness of lower extremities | Guillian-Barre Syndrome |
| etiology of Buillian Barre Syndrome | recent respiratory or GI virus |
| diplopia, ptosis accompany this disorder | mysthenia gravis |
| a tensilon test where marked increase follows in injection is the diagnostic study for which disorder | mysthenia gravis |
| Lack of this neurotransmitter prevents muscles to contract properly in mysthenia gravis | acetylcholine |
| destruction of the myelin sheath which is replaced by scar tissue causing interruption of the impulse transmission along the axon characterizes this disorder | multiple sclerosis |
| This disorder has exacerbations and remissions that are unpredictable | multiple sclerosis |
| give an example of an exercise that is preferable for a pt with multiple sclerosis | yoga, meditation, swimming (activity with low impact on joints, muscles) |
| what comprises that triad of symptoms with Parkinson's disease | 1. pill rolling tremor 2. bradykinsesia 3. rigidity of skeletal muscles |
| This neurotransmitter is associated with Parkinson's disease | dopamine |
| what is the onset and progression for Parkinson's disease | rapid onset with slow advancement |
| This disorder could be though of as "milder than bacterial meningitis" | viral meningitis |
| Which precautions are necessary with meningitis? | standard and droplet precautions |