NEURO ONCOLOGIC AND DENGNERATIVE Flashcards
Akathisia
restless need to move around restless leg
Brain Tumor
location and size lesion
s/s: localized and generlized neuro , increased ICP, headaches, vomiting , visual disturbances and seizures if pressingon pitruity (hormonal) vertigo , tinnuitis
Diagnostic : brain tumor
EEG- brain waves
CT scan, cytologic
biopsy
Brain Tumor: Medical MANAGMENT
surgery- try to get tumor without making tumor worse, give some relieve , craniectomy , transspheondial sterotacic
Radiation - common for may brain tumors
Chemo -
Sterotacic
computer guided radiation
Spinal cord tumors
intra : within cord
Extramedllay- outside cord
s/s: pain weakness los of motor function loss of reflexes loss of sensation
Relieve compression - Dexamethsone- combined with radiation
Assesment
baseline neuro, bowel bladder function , respiratory symptoms
Nursing Dx
self care deficit
imbalanced nutrition
anxiety
Interventions
Encourage independence
measure improve cognitive function
express fears and concerns , let people visit
Improving Nutrition
oral hygiene before meals , plan meals when well rested watch I&O and daily weight
Parkinson’s Disease
increase dopmaine
s/s: tremor, rigidity slow or absence of movement postural instability losing some muscle control
Autonomic : leaky drooling flushed ORTHOSTATIC HYPOTENSION
dysphagia and very prone to anxiey depression and eventually hallucinations
not enough dopamine and acyecholine goes up in order to tx you have to give meds increase dopamine or decrease acychoiline
Parkinson’s Disease : Medical Management
Levadopa
surgical procedure: sterotacic procdres
Huntington’s Disease
hereditary chronic progressive , autosomal dominate trait 20’s and 30’s
premature cell death of cells that are controlling movement and thinking cognition
BED BOUND - aspiration wounds
choreiform movement
core spacicidy core (spasm)
Alzheimer’s Disease
chronic progressive degenerative brain disorder brain shrinks oxidative stress play a role
RECENT MEMORY ISSUE(don’t know what they have for breakfast) more anxious and irritability
ALS (amyotropic lateral sclerosis)
Lou Gehring disease loss of motor neurons anterior horn of the spinal cord
s/s: progressive weakness and atrophy of muscles cramps twitiching and lack of coordination spacitiy deep tendon reflex , diffculty speaking swalloing then breathing ISSUES WITH CONTROL OVER WHOLE BODY
MUSCULAR DYSTROPHIES
MUSCLE- sex linked inheriented
muscle wasting abnormla elevaltion in muscle enyzme
CK -B - muscle damage enyzme elevated as atrophy elelvate issus with mobility breathing swalloing digestion
Degenerative disc disease
low back pain - postural related for years wear and tear
Radiculopathy produce pain
compression of nerves issues with sensation and movement below the site of injury below legs
animmflammatory (typical older pts)
POST POLIO SYNDROME
s/s: new musculoskeletal weakness
no treatment
Parkinson’s : Nursing Process
can they do ADL IDL( things have to do to function pay your bills balance check book)
fall risk assessment (balance issues)
Complications: skin integrity issues
Parkinson’s: Diagnosis
impaired mobility self care deficis imbalanced nutrition constipation impaired verbal communication Risk for injury KEEP SAFE MOVING ADN FUNCTIONAL
Parkinson’s: improved mobility
daily excersis ROM postural exercise no FLIP FLOPS frequent rest periods
Parkinson’s : Interventions
self care ability: adaptive devices , OT , PT
supporting coping : Socialize
Cervical Discectomy
assessing paresthesia limited movement and dimished function to the neck asses for muscle tone and any tenderness in neck ,
