Seizure Care & Neuro

Question 1

S+S of Increased Intracranial Pressure

Answer 1

• severe headache, nausea + vomiting, increased BP, change in LOC, hyperthermia, bradycardia

Question 2

Seizure Care

Answer 2

• ensure patent airway (sedation may be required if teeth are clenched
• monitor vitals, LOC, pupils
• apply oxygen as needed
• suction as needed
• ensure safety - never restrain
• establish IV access
• administer benzos (valium/diazepam, lorazepam/ativan, midazolam)
• side lying position if possible
• IV dextrose for hypoglycemia
• reassure and orient after

Question 3

Status Epilepticus

Answer 3

• state of continuous seizure activity or seizures reoccurring in rapid succession
• greater than 5 minutes or not returning to regular consciousness in between

Question 4

Parkinson’s Etiology

Answer 4

• drug-induced
• illicit drug-induced (meth/amphetamines)
• encephalitis, etc

Question 5

Parkinson’s Patho

Answer 5

• degeneration of dopamine-producing neurons in the substantia nigra of the mid brain (which controls voluntary movements

Question 6

Clinical Manifestations of Parkinson’s

Answer 6

• flat affect
• tremor, rigidity, bradykinesia = classic triad
• slow, monotone, slurred speech
• tremor
• short shuffling gait
• forward tilt to posture
• decreased arm swing