Review Exam 1 Flashcards
partial seizures
1 hemisphere
only some of eeg
generalized seizures
full brain
full eeg
unclassified idiopathic
dont fall into any category
occur for unknown reasons
generalized tonic clonic
stiffening and jerking
generalized myoclonic
awake
brief siffening/jerking
generalized absnece
genetic
blank staring
generalized atonic
loss of muscle tone
complex partial
mimics a blackout
complex simple
remains conscious
one sided movements
ischemic stroke
clot
hemhorragic stroke
bleed
tx for ichemic
tpa/tnk w/in 4 hrs
tx for hemhorhagic
rush to or
s/s ischemic
expressive and receptive aphsasia
facial assymetry
hemiparesis
visual changes
expressive aphasia
cant say what they want to say
receptive aphasia
cant understand what we are saying to them
s/s hemorrhagic
worst ha of their life
for all strokes…
get to CT, last well, NIH scale, labs within 5 min
what can mimic a stroke
hypoglycemia
who is not a candidate for tpa
recent surgery
gi bleed
recent head injry
what intervention in place for all stroke pts
npo until speech therapy assesses
what is a risk factor for ischemic
afib
what is important to control for stroke pts
blood pressure
seizure precautions
padded side rails
all 4 up
turn on side
what do you find out ab siezure pts
precipitating factors
what can cause a seizure
post stroke
fever
infection
what do we tell seizure pts
do not stop meds
cautions for seizure ots
medic alert bracelet
no driving
tx for concussion
brain rest
no sports
shorten school
monroe kellie doctrine
80% brain tissue
10% blood
10% csf
normal icp
less than 15
preffered 0-10
how to calculate cpp
map-icp
normal cpp
60-80
as icp goes up
cpp goes down
low cpp can lead to
hypoxic brain injury
to decreased icp..
proper head alignment
hob elevated 30 degrees
give mannitol-osmotic dieuretic
hypertonic saline
what scale is used for head injury
GCS
what scale is used for stroke
nih
decorticate
to core
decerebrate
away from body
is decorticate or decerebrate better
decorticate
what is important to asses for tbi
loc
lethargy
awake
interactive
pupils
what is different ab neurogenic shock
low bp and low hr
brain death criteria
2 separate physicians on separate period of time
cushings triad
increased bp/widening pulse pressure
decreased hr
irregular respirations