NeuroandA/V Flashcards
Strategies to stimulate to void
Stroking
Pulling on the
Pouring warm water
Tapping bladder
Stroking the inner thigh
Pulling the clients pubic hair
Pouring warm water over clients perineum
Tapping the bladder to stimulate the detrusor muscle
Teaching plans for migraine headaches
Foods with tyramine Drugs such as nifedipine and nitroglycerin Abortive therapy Rebound headache Complementary therapies estrogen therapy
Avoid foods with tyramine, such as alcohol and aged cheese
Avoid nifedipine and nitroglycerin drugs
Abortive therapy is aimed at eliminating the pain during the aura
Rebound headache which is a potential side effect of medications
Therapies such as biofeedbakc and relaxation may help
Should be stopped because it can trigger attacks
Angle-closure glaucoma treatment:
Miotics
Hyperosmotic agents
Cool compress
Dark quiet place
How about mydriatic agents?
How about atropine?
Which opens up trabecular network and facilitate aqeous flow
To move fluid from intracellular to extracellular
Cool compress and providing dark and quiet place
Contraindicated because dilation of pupil will further block the outflow
It should also not be used because it also causes dilation which impedes outflow of aqueous humor and increases intraocular pressure
Spinal nerves C3 to C5 innervate the phrenic nerve which controls the?
Diaphragm. Monitor for RR
Monitoring , observing and setting up equipment for oxygen and suctioning are within scope of
How about giving meds, reviewing and demonstrating standard procedures with noncomplex cases?
LPN/LVN
Still with LPN/LVN
A serious adverse effect of Phenytoin is
Leukopenia
Eyedrop administration
Client sit down head tilt backward
Gently pull tissues underneath eyes
Hold dropper and stabilize hand on clients forehead
Have client look up and instill eyedrops
Have client close eyes and move it around
Gently press on lacrimal duct for 1 minute
Correct order
Should epilepsy clients avoid alcohol?
How about taking over the counter meds?
Yes!!
No.they should consult the healthcare provider first
Sumatriptan is contraindicated to
Heart and heart related diseases like HPN and peripheral vascular diseases
Primary open-angle glaucoma
Develops slowly
Early signs
Late signs
And irreversible damage to the optic nerve can occur before any signs or symptoms are manifested
Mild eye aching or headaches
Loss of peripheral vision, seeing halos and loss of central vision are late signs
All beta adrenergic blockers are contraindicated in
Alpha-adrenergic agents can cause
Carbonic anhydrase inhibitors should not be given to clients with
Bradycardia
Tachycardia and hypertension
Rheumatoid arthritis who are taking HIGH DOSES of ASPIRIN
Right cerebral hemisphere stroke
They lean to the
Neglect syndrome
Left, and they believe they are sitting up straight
They often neglect the left side of their bodies and ignore food on the left side of their food trays
Bacterial meningitis is a medical emergency so give
Give antibiotics after specimen are collected even if diagnosis is not confirmed
Gentamycin, ethacrynic acid,furosemid and aspirin are
Ototoxic drugs
Earl symptom of AD (alzheimer disease)
Short term memory impairment
Hordeopum or stye is
Warm compress
Eyelid scrubs
Antibiotic
An inflammation of the eyelid with pus
Warm compress is done to provide relief, this is usually the first thing to do
Eyelid scrubs musybe gentle and hygienic
Antibiotic ointments can be used
Vertigo withoit hearing loss should be further assessed
For nonvestibular causes like cardiovascular or metabolic
How to decrease systemic absorption in eyedrops?
Punctal occlusion or putting pressure on lacrimal ducts
Ear discomfort preceded by a viral infection;tympanic membrane is erythematous
Rapid onset of ear pain with pruritus and a sensation of fullness that started after cleaing ear canal with finger
Acute otitis media which is treated with antibiotics or tympanostomy tubes
Swimmers ear; responds to antibiotic and eardrop infections
Stapedectomy is
After procedure:
Heavylifting
Water and air travel
Cough with mouth open
Surgery in the middle ear to improve hearing
Heavy lifting is strictly avoided for at least 3 weeks
Water in ear and air travel should be avoided for 1 week
Cough with mouth open to prevent increased pressure
Ear canal irrigation is avoided in
Perforated
Foreign body
Otitis
Ear drums
Foreign body is stuck inside the ear
In otitis media
Meclizine is prescribed for
Vertigo and Motion sickness
Ranibizumab is an angiogenesis inhibitor that is directly injected into the vitreous humor of the eye
Purpose is to inhibit growth of
Adverse effect is ENDOPHTHALMITIS
New blood vessels in clients who have neovascular age-related macular degeneration
Can be caused by bacteria,virus or fungal, redness light sensitivity and or pain are the Signs and symptoms
Acute angle closure glaucoma is a
-cant drain
Open angle glaucoma
Medical emergency. The fluid cant be drained,it is closed. Pressure builds up in the eyes.
Fluid accumulates but some fluids are still drained.
Glaucoma patho
Increased in aqueous humor thus increased pressure in the eye which damages the optic nerve
