Neurology Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Phenytoin (Dilantin):

A

Anti-seizures, status epilepticcus
Risk to cardiovascular collapse ( watch Bp, pulse)
Adverse effect😫😫: ataxia, slurred speech, drowsiness Nystagmus, gingival hyperplasia and N/V.
Can cause Red, orange and amber urine

Nursing consideration🤓👌:
Good oral hygiene
Measure blood pressure
Comes also in suspension so shake before use
Contraindications: no bradycardia, no hypoglycemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Narcotic use with Head injury

A

NO NARCOTIC USE WITH HEAD INJURY📣📣📣📣📣📣📣📣📣
IF TO USED: FOLLOW
Meperidine hydrochloride (Demerol) needs to be used with caution
Morphine sulfate is contraindicated- could increase ICP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Eyes exam

A

Fixed and dilated pupils indicated increase ICP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Strabismus

A

Also called crossed eyes. It is a situation in which both eyes cannot look in the same direction.
Assessment include:
Close one eyes 👀 to see the other objects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Multiple sclerosis

A

Demyelinization of the neurons
S/S:
Fatigue, tiredness, tremors, spasticity, parenthesis, Nystagmus, blurred vision, diplopia, blindness, dysphasia, decrease perception to pain, touch, and temperature 🤒. Abnormal reflexes. Memory changes and confusion and emotional changes.
Intervention:
Conserve energy
Place eye patch on the eyes for diplopia.
Instruct client to avoid fatigue, stress, infection, overheating and chilling.
Instruct client to increase fluid, increase potassium
Safety measures such as regulating temperature of water.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Post op Lumbar puncture

A

Placed patient in flat supine position to prevent headaches and leaking of CSF at the site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ICP

A

No coughing or deep breathing
Hyperventilate manually before and after suctioning
No prones
Space out activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

EEG

A

Patient needs to stay awake from 2am/3am for the test: so that way they can sleep while the test is done ✅ better result is yielded if patient are asleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Phenobarbital (barbiturates)

A

Used as sedative hypnotic, can also be used as anticonvulsant.
It does not change urine color
It can increase vitamin D metabolism
S/E: nausea, constipation, and epigastric pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly