week 6 Flashcards
3 types of strokes
- Thrombotic
- Embolic
- Hemorrhagic
manifestations of left-sided stroke
left = RIGHT SIDE affected
right visual field deficit
left gaze preference
SLOW & cautious behavior
aphasia (expressive, receptive, & global)
apraxia
agnosia (cant id anything)
alexia (cant see words)
difficulty controlling emotions
2 meds necessary after a stroke
-statins = blood flow
-platelets
manifestations of right sided stroke
right = left side affected
spatial perceptual alterations
RECKLESS behavior
manifestations of increased ICP
headache
non reactive pupils
elevated temperature
n/v
decreased LOC
Cushing’s triad
focal vs generalized seizures
focal = remains conscious & one spot
generalized = altered consciousness
tonic vs clonic
tonic = straightening of limbs
clonic = jerking motion
drug for an active seizure
benzodiazepine
adverse effects of phenytoin
gingival hyperplasia
hypotension
steven-johnson syndrome (rash)
cns effects of phenytoin
ataxia
diplopia
nystagmus
sedation
adverse effects of carbamazepine
rash
blood dyscrasias
hypervolemia
**interacts w grapefruit juice
adverse effects of Valproic acid
n/v
hepatotoxicity
pancreatitis
thrombocytopenia
client is post op for a lumbar puncture and reports a headache when sitting upright. which of the following actions should the nurse take? sap
- Use Glasgow coma scale when assessing the client
- assist client to a supine position
- administer an opioid
- encourage the client to increase fluid intake
- instruct client to perform deep breathing & coughing exercises
- assist client to a supine position
- administer an opioid
- encourage the client to increase fluid intake
pt teaching for EEG
sleep deprivation preferred
avoid
stimulation/sedation 12. to 24 hrs before
pt teaching for lumbar puncture
- void before
- cannon ball position
- remain lying for several hours
