Infectious Processes

Question 1

guillan barre s/s

Answer 1

acute flaccid paralysis
hyperasthesia - sensitive to touch (even a sheet)
nerves effected in hands and feet first (stock and glove)

Question 2

guillan barre cause

Answer 2

unknown - immune response

Question 3

guillan barre

Answer 3

peripheral nervous disorder - destruction of myelin sheath and schwann cells (peripheral nerves) - can regenerate
poly neuropathy - affecting multiple nerves

Question 4

guillan barre can follow these problems

Answer 4

trauma
surgery
flu
immunizations
gastroenteritis

Question 5

guillan barre is a ascending or decending presentation

Answer 5

ascending paralysis, goes from feet up to arms - symtpoms show 1-3 weeks after event

Question 6

guillan barre is an ascending or decending recovery

Answer 6

decending - feet are the last to come back may take weeks or months for recovery

Question 7

dx of guillan barre

Answer 7

hx, clinical signs

csf

Question 8

complications of guillan barre

Answer 8

respiratory muscle paralysis

infection - aspiration - immobility complications - dvt

Question 9

what happens in lymes disease

Answer 9

tick attaches to body - neurotoxic stuff - remove the tick

Question 10

how do you remove a tick

Answer 10

don’t squeeze it or burn it off with a lighter

use tweezer be sure to get all of it out

Question 11

can lymes disease be transferred person to person

Answer 11

no

Question 12

s/s of lymes disease

Answer 12

bullseye

Question 13

when does tick paralysis go away

Answer 13

with removal of the tick

Question 14

dx of lymes disease

Answer 14

studies are not reliable until later disease process

commonly based on hx

Question 15

what is meningitis

Answer 15

an acute inflammation of CNS (meningeal tissue)

Question 16

cause of bacterial meningitis

Answer 16

organisms enter CNS (streptococcus pneumonia) spread to brain through (increased) CSF leading to swelling of brain tissue and increased ICP

Question 17

meningitis can be

Answer 17

septic or aseptic

Question 18

classic triad of symptoms r/t bacterial meningitis

Answer 18

fever, stiff neck or nuchal rigidity, chg in LOC

Question 19

s/s of meningococcal

Answer 19

rash that resembles bruising that doesn’t fade when pressed

Question 20

what happens in meningococcal

Answer 20

circulation to extremeties is diminshed (shocky, hypotensive) necrotic tissue leading to gangrene need for amputation

Question 21

predictors for meningitis

Answer 21

+kernigs and brudzinski sign (indicative of bacterial meningitis - irritation of the spinal cord

Question 22

which cranial nerve, if effected, usually doesn’t return

Answer 22

cranial nerve VIII-permanent hearing loss

Question 23

dx of meningitis

Answer 23

LP - papiledema due to ICP - blood cultures - START ANTIBIOTICS before results are in - low sugar

Question 24

if pt has papiledema would you do LP

Answer 24

no, could cause herniation

Question 25

viral meningitis caused by

Answer 25

entero-virus

Question 26

what is encephalitis

Answer 26

acute inflammation of the brain

Question 27

encephalitis dx

Answer 27

CT, MRI

Question 28

encephalitis s/s

Answer 28

flu-like symptoms

Question 29

what is a brain abscess

Answer 29

accumulation of pus in brain tissue

Question 30

s/s of brain abscess

Answer 30

excruciating headache - photophobia - ICP

Question 31

primary cause of brain abscess

Answer 31

ear, tooth, sinus infection

Question 32

if a brain abcess is untreated what is mortality rate

Answer 32

100%

Question 33

trt for brain abcess

Answer 33

forms capsule around outside my have to be surgically drained
try antibiotics