Ms. Glutting Neuro exam 2
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| Type of seizure caused by head trauma, metabolic or electrolyte imbalance (renal failure, hyponatremia, infection) | show 🗑
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| Type of seizure most often a result of unknown cause | show 🗑
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| Seizure that causes loss of consciousness | show 🗑
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| show | Partial
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| Group of abnormal cells that initiates seizures | show 🗑
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| Listed seizures all have something in common- Focal motor, jacksonian, sensory | show 🗑
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| show | Focal Motor seizure
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| Seizure that involves adjacent areas of the motor cortex, affecting a greater portion of the body. seizure that begins in hand and marches up to the shoulder | show 🗑
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| show | sensory seizure, focus is in the occipital area
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| Type of seizure beginning with an aura or sensation. Rising from the epigastric region, odor, visual disturbance, deja vu. Lip smacking | show 🗑
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| Define generalized seizure | show 🗑
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| seizure that lasts 5-30 seconds, generally begins in childhood and may disappear by puberty | show 🗑
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| A petit mal/absence seizure may occur up to how many times in a day | show 🗑
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| show | Status epilepticus
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| Tx for status epilepticus | show 🗑
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| type of seizure that has levels | show 🗑
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| show | 1- sudden LOC
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| Second stage of grand mal | show 🗑
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| S/S of grand mal tonic phase | show 🗑
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| tonic phase is also known as | show 🗑
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| show | Clonic/ictal phase.
relaxed/unresponsive afterward won't remember episode
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| show | Myoclonic seizure.
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| Stage of grand mal that involves complete loss of muscle tone, pt drops to floor but regains awareness by the time they drop. Resumes activity immediately. | show 🗑
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| Normal level of dilantin? How is it sent from pharmacy? | show 🗑
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| Max Mg/Minute for dilantin? | show 🗑
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| show | Teach patient that liver enzymes will need to be monitored. SE: Can cause hirsutism, gingival hyperplasia.
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| AST normal level? ALT " " | show 🗑
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| converted into fasphenytoin in system | show 🗑
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| The metabolism of dilantin will be increased by what substance? | show 🗑
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| show | Filter needed, only hang with NS, cardiac monitor will also be needed.
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| 4 s's | show 🗑
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| show | Felbetol
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| show | Speech is affected
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| If seizure is on the Right side what will be seen? | show 🗑
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| show | muscle spasticity, neurogenic bladder, parethesias, cerebellar ataxia, fatigue, weakness, numbness, difficulty in coordination, loss of balance
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| Diagnostics to determine MS include a CSF exam that will find ____ antibodies. | show 🗑
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| Right or Left sided stroke? spatial-perceptual deficits | show 🗑
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| Right or left sided stroke? Denies/minimizes problems | show 🗑
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| show | Right
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| Right or left sided stroke? Impulsive | show 🗑
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| show | Right
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| show | Right
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| Right or left sided stroke? Impaired speech/language aphasias | show 🗑
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| show | Left
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| Right or left sided stroke? Slow performance/cautious | show 🗑
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| show | Left
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| Right or left sided stroke? Impaired language, math comprehension | show 🗑
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| Meds used for ischemic stroke? | show 🗑
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| show | Nimodipine (Nimotop)
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| show | After seizure to prevent more seizures from occurring, will NOT be given prophylacticly before a seizure
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| show | ONLY if 220 or more or if MAP is 130+
Don't want hypotension to occur
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| TX for those who are in the process of a Hemorrhagic stroke, what med and when is it given? | show 🗑
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| show | Used to establish blood flow, prevent cell death in a ischemic stroke. Given in the 1st 3-4.5 hours after symptoms begin, not after. Know LSN. No TPA unless BP is 185/110 or less. Do all sticks/NG, etc, before TPA admin
Assess for cerebral bleed
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| show | Water, Glucose containing
Glucose level, no higher than 140 and in norm range
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| Inability to recognize and object by sight, touch, or hearing | show 🗑
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| Side of brain affected by stroke in which patient may exhibit unilateral neglect | show 🗑
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| show | micropsia
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| show | homonymous hemaniopsia
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| Which stroke? Deficits such as slurred speech, numbness, tingling goes away within 24 hours of onset. caused by temporary disturbance of blood to the brain | show 🗑
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| which stroke? Onset and disappearance of focal neuro deficit within days. Lasts longer than 24 hours, minimal to no lasting deficit | show 🗑
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| Stroke? Progresses 12-24 hours, progressive deterioration of neuro status, residual effects possibly permanent | show 🗑
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| Stroke? Severe in character, condition stabilizes but neuro deficit remains. No further deterioration after 2-3 days usually has permanent deficits | show 🗑
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| show | dysarthria
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| Cannot name an object | show 🗑
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| show | apraxia
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| show | perservation
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| Motor or expressive aphasia. Pt demonstrates difficulty expressing self through spoken/written word. Speech slow, nonfluent, effortful. Can understand verbal/written word. Aware of problem | show 🗑
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| receptive aphasia, injury to temporal lobe of dominant hemisphere. PT unable to comprehend written/verbal. Brain unable to interpret sounds heard, pt has fluent speech/norm rhythym but uses incorrect words. makes up own words. May not realize deficit. | show 🗑
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| show | Global aphasia
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| show | Betaseron
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| anticholinergics, pro-banthine and ditropan would be given to treat what complication of MS? | show 🗑
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| Drugs given for urinary retention in MS> | show 🗑
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| show | A,B,C,D all are anticonvulsants
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| Daclofen, Valium, and Dangrium would be given to control ____________ in MS. | show 🗑
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| show | Dopamine receptor agonists, parlodel,permax, mirapex, requip
Sinamet added as disease progresses
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| show | Symmetrel
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| Patient teaching for Levodopa | show 🗑
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| Nutritional teaching for PD patient? | show 🗑
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| show | Meds need to be taken on time.
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| show | Myasthenic
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| show | Cholinergic
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| Spinal cord injury most common in cervical cord. Motor weakness/sensory loss present in upper/lower extremities but mainly upper | show 🗑
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| show | anterior cord, compromised blood flow to anterior cord. posterior not injured so sense of touch, position, vibration, motion is intact.
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| damage to 1/2 spinal cord characterized by loss of motor function and position, vibratory sense. Ipsilateral paralysis. Loss of pain/temp senstation below lesion Often caused by penetrating injury | show 🗑
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| show | autonomic dysreflexia
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| show | *raise HOB 90 degrees; decreasing BP
*notify MD
*ck for irritation: distended bladder, fecal impaction
*reposition
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| show | *unreceptive/unresponsive to painful stimuli
*no movement after MD observes for an hour (continuously)/No breathing after 3 minutes off respirator
*No reflex, including brain stem
*Flat EEg
*all tests repeated in 24 hours
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| show | Hypothermia, CNS depression r/t drugs; barbituates
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