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NS 406 Exam 1!! > Someone else's review > Flashcards

Someone else's review Flashcards

1
Q

Sumatriptan (Imitrex)

A

Anti-migraine med-given to abort ongoing migraine. not prevent

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2
Q

Beta Blockers (-olol)

A

ex) Metoprolol (Lopressor), Propranolol (Inderal), Atenolol (Tenormin)

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3
Q

Phenytoin (Dilantin)

A

Anti-Seizure med

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4
Q

Phenytoin (Dilantin) is used for

A

tx of seizures or bacterial meningitis

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5
Q

Fast acting anti-seizure meds

A

-Lorazepam (Ativan)

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6
Q

MS and pregnancy

A

MS sx are likely to improve during pregnancy and worse after pregnancy

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7
Q

Seizure nursing actions

A

-note duration: start/stop time

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8
Q

(GBS) Guillain-Barre Syndrome

A

Autoimmune disease that presents with flu like sx

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9
Q

Spinal Shock

A

SIC that causes:

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10
Q

Neurogenic Shock

A

SCI that causes loss of SNS innervation leaving the PNS unopposed

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11
Q

Hemodynamic instability

A

A state requiring pharmacologic or mechanical support to maintain a normal blood pressure or adequate cardiac output.

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12
Q

Hemodynamic instability parameters

A

Goal is to be above:

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13
Q

Delegation to unlicensed care provider p. 1344

A

Obtain VS

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14
Q

5 rights of medication administration

A

Right…

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15
Q

Bradykinesia treatment

A

slow movement

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16
Q

levodopa with carbidopa (Sinemet)

A

tx of parkinson’s sx

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17
Q

Carbidopa (Sentiment)

A

tx of parkinson’s motor sx

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18
Q

entacapone (stalevo)

A

tx of PD motor dysfnx

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19
Q

Pramipexole (Mirapex)

A

Started on this dopamine agonist Sentiment or Carbidopa wears off

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20
Q

Importance of nutrition in neuro pts (PD)

A

malnutrition and constipation can occur

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21
Q

S/sx of Myasthenia Gravis

A

You will see…weak skeletal muscle manifestations:

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22
Q

Assessment of MG

A

Respiratory status: RR, effort of breathing, suction?

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23
Q

Nutrition for MG

A

-larger meals in morning

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24
Q

Major concerns r/t MG

A

Respiratory insufficiency

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25
Q

What is MG

A

-autoimmune disease causing “weak muscles”

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26
Q

ALS-amyotrophic lateral sclerosis

A

-progressive degeneration of motor neurons of the brain and spinal cord

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27
Q

Nursing care of pt with ALS

A
  1. Facilitate communication
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28
Q

Voice banking

A

the process of recording voice samples for later use in a speech-generating device

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29
Q

What is a stroke?

A

ischemia or hemorrhage (inadequate blood flow) to part of the brain that results in death of brain cells.

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30
Q

modifiable risk factors for stroke

A

HTN, heart disease, DM, serum cholesterol, soking, obesity, sleep apnea, metabolic syndrome, lack of exercise, poor diet, drug/ETOH use, stress

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31
Q

thrombotic stroke (ischemic)

A

formation of clot/blockage that obstructs blood flow

32
Q

Embolic Stroke (Ischemic)

A

circulating debri that obstructs blood flow

33
Q

Hemorrhagic stroke (intracerebral or subarachnoid)

A

Blood vessel bursts and blood dc blood flow to brain tissue

34
Q

Hemorrhagic stroke

A

-sudden onset of sx

35
Q

TIA

A

transient ischemic attack (mini stroke)

36
Q

PT for TIA

A

PT: seek help/medical attention with stroke like sx and note time of sx onset

37
Q

Sx/sx TIA

A

Tinnitus, vertigo, darkened or blurred vision, diplopia, ptosis, dysarthria ,dysphagia, ataxia, and unilateral or bilateral numbness or weakness.

38
Q

ABCD2

A

Risk assessment tool used to determine likelihood of progression to stroke.

39
Q

Statins SE/AE

A

lower cholesterol; need to mange for PPX of TIA/stroke

40
Q

Anticoagulants

A

prevent blood clot formation

41
Q

tPA (tissue plasminogen activator)

A

Drug that immediately dissolves clots

42
Q

Antiplatelet drug PT

A

Antiplatelet drug for ppx of thrombus or embolus development

43
Q

Dx of stroke

A

-Rapid non-contrast CT or MRI of head

44
Q

TX hemorrhagic stroke

A

*anticoagulants & antiplatelets contraindicated

45
Q

carotid endarterectomy (CEA)

A

the surgical removal of the fatty plaque/clot clogging the carotid artery leading to the brain

46
Q

A patient having TIAs is scheduled for a carotid endarterectomy. The nurse explains that this procedure is done to

A

prevent a stroke by removing atherosclerotic plaques blocking cerebral blood flow.

47
Q

sx tx of stroke/TIA

A
  1. Carotid endarterectomy
48
Q

Frontal lobe

A

-motor fux

49
Q

Parietal lobe

A

-ideation

50
Q

occipital lobe

A

The occipital lobe is responsible for…

51
Q

Primary assessment of stroke

A

focus on cardiac, respiratory, and neuro status

52
Q

Secondary assessment of stroke

A

Includes comprehensive neurologic exam

53
Q

NIHSS Stroke Scale

A

National Institute of health stroke score

54
Q

d. Sudden onset of severe HA

A

D.

55
Q

Cushings triad

A

three classic signs—

56
Q

Monroe-Kellie Doctrine

A

as ICP rises (>20 mmHg), the body tries to compensate by decreasing one of the three components that make up ICP

57
Q

Decorticate Posture (flexor)

A

internal rotation and adduction into core w/flexion of arms and wrists

58
Q

Decerebrate posturing (extensor)

A

-“extensor posturing”;

59
Q

Nutrition for IICP

A

malnutrition promotes continued cerebral edema

60
Q

Care for pt with IICP

A

-elevate HOB 30 deg, no higher

61
Q

care goals for IICP

A

(1) maintain a patent airway;

62
Q

When do you intibate?

A

GCS 8 or less

63
Q

Best IV fluids for IICP

A

Hypertonic: push water out of cell

64
Q

Coupe-countercopue

A

focal contusion (brain bruise)

65
Q

Battle’s sign

A

Bruising behind the ears, indicative of a basilar skull fracture

66
Q

Racoon eyes

A

Bruising around the eyes, indicative of a basilar skull fracture

67
Q

Basilar skull fx (linear)

A

-linear fx located at base of skull

68
Q

halo or ring sign

A

test for CSF

69
Q

Dextrostix or test-tape

A

test for presence of CSF

70
Q

Complications of basilar skull fx:

A

-meningitis

71
Q

Basilar skull fx contraindications

A

Do not place an NG tube

72
Q

Craniectomy

A

opening into the cranium with the removal of a bone flap.

73
Q

Burr holes

A

Opening into cranium with a drill to remove blood and fluid beneath the dura and releive pressure

74
Q

Care or pt with craniectomy

A

general pre/post op teaching

75
Q

Decorticate GCS

A

3

76
Q

Decerebrate posturing GCS

A

2

77
Q

tx and care of neuro pt on isolation

A

Meningitis requires respiratory isolation “droplet” and contact?

NS 406 Exam 1!! (9 decks)

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