Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
AH2 Chapter 50
Nursing Care of Patients with PNS Disorders
| Question | Answer |
|---|---|
| complications with MG that cause a cholingergic crisis | not enough medication |
| complications and GBS and respiratory involvement | fatigue and paralysis of the respiratory muscles lead to insufficient respiratory effort, can result in pneumonia |
| what lab test would you order for respiratory function with GBS | Pulmonary function testing |
| baclofen side effects and nursing implications | CNS depression, n, c, avoid operating machinery or driving until effects are known, monitor for respiratory depression |
| trigeminal neuralgia | affects only the sensory portion of the nerve; sudden jabbing pain (5th cranial nerve) |
| bells palsy | Loss of motor control typically occurs on one side of the face; pain behind the ear may precede the onset of paralysis (7th cranial nerve) |
| another name for ALS | Lou Gehrig’s disease |
| anticonvulsants treat what? | nerve pain, i.e. pheynotoin (Dilantin), carbamazepine (Tegretol), gabapentin (neurontin) |
| which med increases blood glucose | Prednisone (a glucocorticoid) |
| atropine is antidote for what medication class | cholinesterase inhibitors |
| how many cranial nerves are there | 12 pairs |
| plasmapheresis | the goal is to remove antibodies through plasma exchange, suppressing the immune response and inflammation |
| plasmapheresis preprocedure nursing care | assess baseline vs, weight, CBC, platelet count, and clotting studies; check blood type and crossmatch |
| pathophysiology of MS | Degeneration of myelin sheath; inflamed nerves; slowed or blocked nerve impulses |
| MS exacerbations due to | stress or illness |
| MS S/S | muscle weakness, numbness, intense fatigue, muscle spasticity, bowel or bladder dysfunction, paralysis, difficulty with concentration, forgetfulness, diplopia, blurred vision, vertigo, ataxia, constipation, sexual dysfunction, anger, depression, euphoria |
| MS therapeutic measures | steroids such as adrenocorticotropic hormone and prednisone to decrease inflammation and edema of the neurons; dilantin and tegretol to relieve nerve pain |
| MS rehabilitation after an acute episode | physical, speech, and occupational therapies |
| Teaching and myasthenia gravis | energy conservation, schedule activities when meds are at peak level, proper nutrition, s/s of crisis conditions, rest periods, avoid people with infections and exposure to cold |
| S/S of GBS | 3 stages: abrupt and rapid onset of muscle weakness and paralysis, with little or no muscle atrophy (24 hours to 3 weeks); s/s most severe but progression stops (2to 14 days); symptoms slowly improve (6 to 24 months) |
| Treatment for trigeminal neuralgia | Dilantin, nerontin, and tegretol for nerve pain; baclofen and clonazepam may also be effective in controlling symptoms; alcohol injection; nerve block, surgery, radio-frequency ablation, or gamma knife radiosurgery |
| Treatment for Bell’s palsy | prevention of complications; Prednisone to decrease inflammation; analgesics for pain; antivirals; moist heat and gentle massage; facial sling |
| Thymectomy and what disorder | used to treat MG; decreases production of Ach receptor antibodies which decreases symptoms in most patients |
| Treatment for MS | interferon therapy with beta-interferons such as Betaseron or Avonex may reduce exacerbations and delay disability |
| Eye care for Bells palsy | administer eye drops or eye ointment; teach patient to use a patch over the affected eye; advise patient to wear glasses or goggles especially when outside or in areas with particles in the air ( all interventions to protect the eye) |
Created by:
laotracuata
Popular Nursing sets