Neuro Meds

Question 0

The most important nursing diagnosis is ICP IS?

Answer 0

Altered cerebral tissue perfusion

Question 1

Mannitol ( osmitrol)

Answer 1

Is an osmotic diuretic use to decrease cerebral edema and intracranial pressure. Diuresis and reduce intracranial pressure should start to occur 30 to 60 minutes after administration

Question 2

How do you decrease intercranial pressure?

Answer 2

The patient must be positioned with the head elevated about 30° in semi Fowler’s position

Question 3

What is an early sign of neuroleptic malignant syndrome (NMS)

Answer 3

Stiffness
fever
sweating
tumors

Neuroleptic malignant syndrome is an emergency state cause by a reaction to antipsychotic medications

Late signs r
dysphasia
unstable blood pressure
respiratory depression

Question 4

what are common side effects associated with Valproic acid (depakene)

Answer 4

Nausea/vomiting
tremors
vertigo
Thrombocytopenia

This med is used in the treatment of seizures and bipolar disorders

Question 5

what is a common side effect Benztropine (Cogentin)

Answer 5

This med is anticholinergic med and has typical anticholinergic side effects such as

Urinary retention 
tachycardia 
dry mouth 
 constipation 
blurry vision

Question 6

What is Gillian barre syndrome

Answer 6

Is an autoimmune disease that causes demyelination of nerves . The result is ascending paralysis that can affect extremities, respiratory muscles, cranial nerves, and sometimes autonomic function. The majority of patients have a complete recovery within the first year

Question 7

What is a hypophysectomy

Answer 7

Is the surgical removal of the pituitary gland due to a tumor

Frequent swallowing may be present due to blood draining from the sinuses into the mouth and throat which will cause the patient to frequently swallow

Question 8

Cerebral arteriogram

Answer 8

Is an angiogram of the blood vessels of he brain. For cerebral arteriogram, arterial access is usually obtained via the femoral artery.

The patient must be placed on bed rest for 4 to 24 hours depending on positions orders

Maintaining a pressure dressing over the site for four hours is important to prevent bleeding swelling or hematoma formation

The affected extremity should be kept Straight and immobilized for the length of bed rest

Question 9

Ticlopidine ( Ticlid)

Answer 9

Is an antiplatelet to reduce the risk of thrombotic stroke. Has been known to cause neurtropenia ,a low neutrophil count in up to 2.4% of cases