DONE: Disorders: Encephalitis & Meningitis & Myasthenia Gravis Flashcards
Patients at high risk for developing this disorder include: Skull fractures Brain surgery Spinal surgery Sinus Infection Upper respiratory infection Use of nasal sprays Compromised immune system. Patients diagnosed with anything that disrupts the protective case around the brain & spinal cord. What neurological disorder is this?
Meningitis
Monitor speech and swallowing to make sure they are not keeping food in their mouth which is also known as pocketing. The nurse must also educate the patient and family members to teach them to check their mouth for food. This is a nursing intervention for what neurological disorder?
Myasthenia Gravis
Studies shows that patients with Meningitis have better outcomes when they receive _______ within the first 12-24 hours, this helps to decrease brain swelling. If the medication was delayed 5 days there were NO benefits in receiving the medication at all.
corticosteroids
As the nurse you might want to suggest this medication to the physician if they have not already ordered it for your patient.
ASK ARBOGAST? What is the difference between a Myasthenic Crisis and a Cholinergic Crisis?
Myasthenic Crisis- caused by the nurse not enough Anticholinesterase medication.
Cholinergic Crisis- caused by the nurse giving too much Anticholinesterase medication.
The symptoms are similar so it may be DIFFICULT to tell the difference.
HOW CAN YOU TELL THE DIFFERENCE?
Educate patient with this neurological disorder to avoid stress, infection, fatigue, and OTC medications all of these can cause exacerbations.
This is a nursing intervention for what neurological disorder?
Myasthenia Gravis
This disorder is described as the inflammation of the arachnoid and pia mater of BOTH the brain and spinal cord. This is a Medical Emergency. What neurological disorder is this?
Meningitis
In certain patients you will see meningitis that results in lethal hemorrhagic shock that had just traveled to _______.
Okinawa
Finish the Nursing Diagnoses related to Myasthenia Gravis?
Disturbed Body Image-some pts may feel like their body is betraying them and can cause some psychosocial issues.
???
This can be caused by bacteria, viruses, fungi, and protozoa. What neurological disorder is this?
Meningitis
_______, _______, and _______ are the leading causes of meningitis. The _____ virus used to be the LEADING cause of meningitis prior to immunizations.
Strep
Pneumonia
Niaceria Meningitis
Flu
Mortality rate if untreated is about 100%!
MEDICAL EMERGENCY! What neurological disorder is this?
Meningitis
Involuntary flexion of the hips and knees; have them lay on their back, lift up their chin to their chest and they will involuntarily flex their hips that’s positive.
This is what technique used to diagnose Meningitis?
Brudzinski’s Sign
Finish the Nursing Diagnoses Disturbed Sensory Perception related to Myasthenia Gravis?
???
Administer anticholinesterase medications ON TIME. Need to keep the medication at a therapeutic level or the pt can STOP _____ SO MAKE SURE YOU GIVE IT ON TIME.
This is a nursing intervention for what neurological disorder?
Breathing
Myasthenia Gravis
Usually bacteria will gain entrance into the CNS through the upper respiratory tract or the blood stream, but it can also enter if there is a penetrating wound at the skull or if there are fractured sinuses with a basal skull fracture. What neurological disorder does this cause?
Meningitis
Pain in their lower back and resistance to straightening their leg at the knee, so you have them bend their knee up and then you are going to try and straighten their leg so it is pointing straight in the air and they would resist that.
This is what technique used to diagnose Meningitis?
Kernig’s Sign
Study Tip: This would show that there is meningeal irritation.
_________ usually occurs during the fall, winter or early spring. Usually secondary to a viral respiratory disease.
Meningitis
Study Tip: Strep, pneumonia, and niaceria meningitis are the common viral respiratory diseases that cause meningitis.
The skin affected by the rash during meningitis does not _______.
Blanch
This is an inflammatory process which results in an increase in CSF production which increases ICP.
What neurological disorder is this?
Meningitis
After the Lumbar Puncture the fluid will be evaluated for ________, _______, ______, and _______.
blood, bacteria, protein, and glucose
The CSF is analyzed to determine the diagnosis and type of _________.
Meningitis
Pre-test: The nurse will want the patient to empty their bladder to assist with comfort during positioning. Explain the fetal position rationale to the patient.
Tell them that they will have to remain still. Keep calm, and be there with them during the procedure to help reassure the patient.
These nursing interventions are required before what diagnostic procedure?
Lumbar Puncture
HOB raised to 30-45 degrees to prevent their neck from flexing.
Quiet environment, room dark, any stimulation will be uncomfortable.
These nursing interventions are implemented during what neurological disorder?
Meningitis
Strength is usually restored in a patient with Myasthenia Gravis after _______.
Rest
This is contagious and can be transferred through direct contact including droplets. The patient will be in isolation until we know what is going on. What neurological disorder is this?
Meningitis
Suctioning equipment. Keep this equipment at bedside to maintain a patent airway.
This is a nursing intervention for what neurological disorder?
Myasthenia Gravis
