Neuro Flashcards
Manifestations of cranial nerve VIII damage
Vertigo
hearing loss
equilibrium
Nursing interventions for increased ICP
HOB 30-45* neck in neutral no hip flexion head midline monitor LOC
clinical manifestation of early increased ICP
Diplopia
Personality change
headache
Change in LOC
with increased ICP after HOB what do next
neck neutral
head midline
monitor VS
types of foods for cranial nerve V damage
soft
no straw
not hot/cold
priority nrsg dx for MG
Respiratory
dietary interventions for pt w CVA and L side weakness
SLP eval no straw assess ability to swallow pocketing food? tuck chin HOB up
Diagnostic test for hemiplegia
CT/MRI
Physical assessment
interventions for CN II damage
fall risk/injury
increased ICP what degree
30-45*
Highest priorities for SCI
airway management
head/neck alignment
position to avoid with cerebral edema
hip/neck flexion
first 72 hours after CVA
HOB-30
head midline
neck neutral
loss of proprioception
inability to know position of body without looking
first time eating post CVA
check gag reflex
assess ability to swallow
no straw
before CT check for
Allergy to shellfish/iodine
no metal
Post CT nurse should
encourage fluids
personality changes after right CVA
impaired judgment
impulsive
short attention span
deny-minimize problems
nurse assessments for traumatic head injury
Airway
LOC
Battles sign
PERRLA
pt with BP 240/120 interventions
HOB 45*
Recheck BP
loosen tight clothing
bladder distention?
homonymous hemianopsia
needs to turn head to see objects on affected side
discharge teaching for MS pt
take meds as ordered
exercise as tolerated
prevent skin breakdown
no hot baths/showers
mechanical ventilation with SCI above what level?
C3
SCI and BP of 230/100
sitting position
urine retention?
fecal impaction?
noxious stimuli
Side effects of anticholinergic medications
Blurred vision
constipation
dry mucous membranes
Levodopa is most effective when taken
food
antacids
Side effect of apomorphine
nausea
orthostatic hypotension
chewing motions
confusion/ hallucinations
clinical manifestations of acute MS exacerbation
visual disturbances
motor impairment increase
parathesia
cautions when using Beta Blockers
Respiratory status
how to prevent contractures
ROM
splinting/braces
Cushings triad
Bradycardia
increased sys BP
wide pule pressure
WBS
seizure meds for migraines
Topamax/Topiramate
Valproic acid
diabetic taking Hydantoin
can reduce the effectiveness of metformin
monitor BGL closely
hypergycemia
when repositioning pt with ICP have pt…
Exhale while turning
before anticholinergic meds must be screened for
glaucoma
MG
basil skull fx and fluid from nose. look for
CSF
protien
glucose
concentric circles
Carbamazepine is used for what disorders
Seizures
Bipolar
Trigeminal nerve damage
clinical manifestations of bacterial meningitis
headache
still neck
fever
Most difficult aspect of ALS
cognition intact
watch their body die
drug test for Myasthenia Gravis
endophonium
S/S of altered LOC
change in cognition change in sensory response restless lethargic slurred speech personality changes
long term levodopa use manifestations?
twitch
tongue roll
restless
what nurse do for depressed parkinsons pt?
theraputic communication
give supportive care
type of room for meningitis pt?
Private
close to nurse station
3 days
24* after ABT started
positions to avoid with ICP
supine
prone
neck turned
head not midline
interventions for seizure
secure airway
protect head
side lying
why hyperventilation with increased ICP?
Reduces cerebral edema.
pt with skull fx and increased ICP shows?
Battle sign raccoon eyes papilledema nausea/vomiting nasal drainage
what nurse to for pt with angina prescribed Imitrex
Call HCP
increases chance of MI
post lumbar laminectomy nurse call Dr if…
hasnt voided
newly incontinent
numbness in legs
braces/splints reduce?
contractures
clinical manifestations of MS
numbness/weakness in 1+ limbs loss coordination unsteady gait slurred speech incontinence diplopia blurred vision
check what for nerve X reflex?
Gag reflex
how turn pt after laminectomy?
logroll
priority assessment for post cervical SCI
ABCs
2 main functions of CSF
protection and cushioning of the brain and spinal cord
shock absorber
when testing mental status is checking what function?
cognitive/cerebral
when should pt take Benzotropine
qHS
nursing dx for confused restless pt
risk for falls
Adverse reactions to Hyantoins
Hyperglycemia
excessive gum tissure growth
blurred vision
insomnia
flushed face, throbbing headache, and increased BP are s/s of
Autonomic Dysreflexia
