Test 3 Flashcards
Migraine abortive therapy
Acetominophen
NSAIDS
OTC formula
Antiemetics
Severe migraine abortive therapy
Triptan
Ergotamine
Isometheptine
Migraine preventative therapy
NSAIDS
Beta blockers
Calcium channel blockers
Antiepileptic
Characteristics of cluster HA
Facial sweating Ptosis Eyelid edema Miosis Facial pallor N/V
Tx cluster HA
Triptans, ergotamine, antiepileptics
Oxygen therapy 7-10 L/min for 15-30 min
Cool, dark, quiet room with HOB elevated
Viral meningitis
Mumps, measles, herpes, West Nile
Fungal meningitis
AIDS
Bacterial meningitis
Otitis media
Pneumonia
Sinusitis
Bacterial meningitis neuro checks
Cranial nerves III, IV, VI, VII, VIII
Prevention of meningitis
Hib- infants
PPSV- vaccinate adults who are immunocompromised
Meningococcal vaccine- living in dorms
Parkinson’s is a degeneration of the ______ that results in __________
Substantia nigra; dopamine
Symptoms of Parkinson’s
Tremor
Muscle rigidity
Bradykinesia
Postural instability
Medications for Parkinson’s
Levodopa, carbidopa
Anticholinergics
Dopamine agonists- bromocriptine
Nursing care for alzheimers
Structuring the environment
Safety
Cognitive stimulation and memory training
Alzheimers medications
Donepezil
Galantamine
SSRIs
Huntington’s is a _______ transmitted as an__________
Hereditary; autosomal dominant
Spinal shock is an
Initial period of flaccid paralysis and loss of sensation and reflexes
Management of SCI
Maintain patent airway
JAW THRUST METHOD
Body should be correctly aligned, log roll
If SCI about C3, need
Mechanical ventilation
Managment of goals for Halo Vest
Inspect skin under jacket for breakdown
Keep Allen wrench taped to jacket
Neurogenic shock
Blood vessels unable to constrict
Management of neurogenic shock
Careful fluid resuscitation
Vasopressors- need to constrict
Maintain normothermia
Position to avoid orthostasis
SCI initial injury
Indwelling catheter
SCI long term injury
Intermittent catheter
Relieve spasms
Warm baths, muscle relaxants, antispasmodics
Complication of SCI
Autonomic Dysreflexia/hyperreflexia
Autonomic dysreflexia
Severe HTN (SPB may be 300)
Bradycardia
Severe HA, blurred vision
Flushed skin above injury, pale below
First thing to do in autonomic dysreflexia
SIT PATIENT UP (take advantage of orthostatic hypotension)
MS is an __________ characterized by __________
Plaque in the white matter of the CNS
Medications of MS
Corticosteroids- prednisone
Anticonvulsants- carbamazepine
Antispasmodics- dantrolene, baclofen
ALS medication
Riluzole; slows the progression, avoid drinking alcohol
Guillian-Barre syndrome
Ascending paralysis
Cranial nerve dysfunction with GB
III, VII, IX, X, XI, XII
Initial stage GB
1-4 weeks
Onset until no new symptoms present
Plateau stage GB
Several days to 2 weeks
No deterioration or improvement
Recovery stage GB
4-6 months for up to 2 years
Tx for GB
Plasmapheresis
Positive Tensilon testing
Marked improvement in muscle strength that lasts approximately 5 minutes
Bell’s Palsy affects the
7th cranial nerve
Trigeminal neuralgia affects the
5th cranial nerve
Medication for trigeminal neuralgia
Carbamazepine
Gabapentin, Baclofen