disorders of the neuro system Flashcards
viral Meningitis signs and symptoms
more common
rarely serious
flu-like symptoms
1-2 weeks
Encephalitis
contracted from vectors (mosquitos)
ask pt. if they traveled recently
Parkinson’s signs and symptoms
gradual and subtle, early symptoms masked by aging or fatigue, muscular rigidity, bradykinesia or akinesia, tremors, changes in posture, shuffling gait, pill rolling,
parkinsons safety
with ambulation
Romberg sign
pt. is able to stand with feet together and eyes open, but sways or falls with eyes closed
positive Romberg sign in older adults safety precautions
assist with ambulation
positive Babinski sign
when the bottom of the feet are stimulated and the toes fan out indicating a neurological issue
decerebrate posture
the arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backward.
myelogram
for severe symptoms
CT scan education
done FIRST, easier and detects skull fractures better
What should you monitor with CT scans?
unstable vital signs
Should you medicate before a CT scan?
yes
What kind of hereditary disease is Huntington’s?
autosomal dominant
viral meningitis
very common
flu like symptoms for 1-2 weeks
bacterial meningitis
isolation
antibiotics
droplet precautions
bacterial meningitis signs and symptoms
stiff neck
photophobia
headache
positive Brudzinski sign indicates what?
meningitis
flexion of neck causes hips and knees to flex
sympathetic response
fight or flight
heart rate goes up
peristalsis goes down
bronchioles dilate
partial seizure
does not lose consciousness
Paresthesia of opposite side of body, involuntary arm/hand movement of opposite side , visual disturbances
generalized seizure
Tonic- 30-60secs, rigidity, pupils fixed and dilated, hands/jaw clenched
Clonic- muscles jerking in a rhythmic manner, incontinent, biting lips
seizure triggers
stress
flashing lights
caffeine
fatigue
four tool
no evaluation of verbal response is necessary
Alzheimer’s stage 1
Early Stage, lasts 2-4 years Increasing forgetfulness Coping mechanisms- lists Diminished interests Termination from job
Autonomic dysreflexia
most common cause is bladder distension
aggravating stimuli below injury