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MedSurg > neuro module > Flashcards

neuro module Flashcards

1
Q

CSF analysis lumbar puncture nursing intervention

A
  • pt should have no s/s of increased ICP
  • maintains lateral recumbent position
  • strict asepsis
  • encourage fluids, analgesia PRN
  • monitor neuro status & VS
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2
Q

skull and spine x-rays nursing intervention

A
  • explain procedure is non invasive

- explain positions to be assumed

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3
Q

cerebral angiography nursing intervention

A 
PRIOR
-assess for stroke
-NPO for 1 meal
-contrast may cause hot flush of head & neck
-pt must be still for procedure
POST
-neuro checks
-VS q15-30min for 2 hours, then q1h for 6 hours
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4
Q

CT scan nursing intervention

A
  • assess for allergies to shellfish

- remain still during procedure

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5
Q

MRI/MRA nursing intervention

A
  • screen for metal parts, pacemaker
  • lie still up to 1 hour
  • sedation for claustrophobia
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6
Q

PET/SPECT nursing intervention

A
  • 2 IV lines
  • no sedatives
  • empty bladder prior
  • pt may be asked to do activities
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7
Q

myelogram nursing intervention

A 
PRIOR
-administer sedative
-empty bladder
POST
-lie flat for few hours
-fluids
-neurochecks
-VS
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8
Q

EEG nursing intervention

A
  • noninvasive
  • no danger of electric shock
  • wash electrode paste out of hair
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9
Q

MEG nursing intervention

A
  • does not make contact with pt

- can pinpoint exact location of brain injury

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10
Q

EMG nursing intervention

A

pain and discomfort associated with insertion of needles

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11
Q

carotid duplex nursing intervention

A

noninvasive

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12
Q

transcranial doppler nursing intervention

A

non invasive

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13
Q

burr hole

A

opening into the cranium with a drill; used to remove localized fluid and blood beneath the dura

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14
Q

craniotomy

A

opening into cranium with removal of bone flap and opening the dura to remove a lesion, repair a damaged area, drain blood, or relieve increased ICP

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15
Q

craniectomy

A

excision into the cranium cut away bone flap

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16
Q

cranioplasty

A

repair of cranial defect resulting from trauma, malformation, or previous surgery
-artificial material used to replace damaged or lost bone

17
Q

stereotactic procedure

A

precise localization of a specific area of the brain using a frame or a frameless system based on 3-d coordinates

18
Q

shunt

A

alternate pathway to redirect CSF from one area to another using a tube or implanted device

19
Q

nursing interventions for cranial surgery

A

MONITOR

  • VS
  • neuro status
  • ICP
  • F/E
  • pain
  • n/v
  • dressing
  • positioning
  • scalp care
20
Q

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A

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21
Q
A

MedSurg (22 decks)

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