Term
| after a nerve is cut or damaged what happens to the nerve distally to that |
|
Definition
| regenerates and retracts within 24 hrs |
|
|
Term
| how does recovery occur in peripheral nerve trauma. |
|
Definition
| schwann cells regenerate from both proximal and distal and regernarate the axons to grow. the better the alingment the more normal the function |
|
|
Term
| how is slow regeneration of perpheral damge occur |
|
Definition
| infection and increasing age |
|
|
Term
| who is peripheral damage common in and how do they feel the pain |
|
Definition
| common in those who served wartime and it feels like a burning sensatin |
|
|
Term
| there are two phases in peripheral nerve damge what are they |
|
Definition
warm and cold
warm- skin is warm and flushed
cold- skin appears mottled and cyanotic |
|
|
Term
| restless leg syndrome who is affected more |
|
Definition
burning or prickly sensation with the urge to move
women more then men |
|
|
Term
| what are some risk factors of RLS |
|
Definition
polyneuropathies
advanced age
sleep deprivaiton |
|
|
Term
| what is felt in the legs with RLS |
|
Definition
| crawling type sensation refered to as "night walkers" |
|
|
Term
| what are some of the meds used for RLS |
|
Definition
| dopamine agonists and antieliptic drugs |
|
|
Term
| what are some lifestyle changes with RLS |
|
Definition
limit caffien
lsoe weight
exersice
quit smoking |
|
|
Term
trimengeminal nuralgia what is it affect
whos is affect and what age group |
|
Definition
doulourex
affects the trigeminal and the fifth nerve
occurs inmore women over 50
is familial |
|
|
Term
| how does trimengeminal neuralgia provoked and where does it occur |
|
Definition
| provoked by trigger zone like dental procedure and is usually unilateral |
|
|
Term
| what is the course of trimengeminal neuralgia |
|
Definition
| bouts of pain then remissions may be from days to years and attac free period become shorter as a person ages |
|
|
Term
| what is the priority of care with trimengeminal neurolgia |
|
Definition
|
|
Term
| what is the first druig of choice with trimengeminal |
|
Definition
|
|
Term
| percutaneous sterotactic rhizotomy what is this procedure and what ios done postopt |
|
Definition
heating current goes thru the needle to destroy some of the fibers
after procedure apply ice pack to jaw |
|
|
Term
| facial paralysis or bells palsey what cranial nerves it affect and who does it affect |
|
Definition
paralysis of cranialnerve VII V or VIII
occurs in all ages more common n young adults |
|
|
Term
| how does the pain occur in bells palsey |
|
Definition
| behind the ear of on the face maylose the ability to tear or have excesive tearing |
|
|
Term
| what is bells palsey from |
|
Definition
| inflammatory process or dormant hepes infections or a cold |
|
|
Term
| what are two treatemtns for bells palsey |
|
Definition
corticosteroids
antivirals |
|
|
Term
| CHAPTER 47 CRITICALLY ILL NEURO |
|
Definition
|
|
Term
| WHAT IS THE DIFFERNEC BETWEEN TRANSIENT ISCHEMIC ATACK AND REVERSIBLE ISCHEMIC NEURO DEFICIT |
|
Definition
THE LENGTH OF TIME A EPRSON IS SYMPTOMATIC TIA IS 24 HRS
RIND IS 24 HRS TO A WEEK |
|
|
Term
| WHAT THERAPY IS A PT ON AFTER A TIA OR RIND |
|
Definition
|
|
Term
| ATROKE HOW DOES IT HAPPEN |
|
Definition
| CHANGE INNORMAL BLOOD SUPPLY TO THE BRAIN |
|
|
Term
| WHY IS THE FLOW TO THE BRAIN VIP |
|
Definition
| IT CAN NOT STORE O2 OR GLUCLOSE AND HAS TO RECIEVE A CONSTANT FLOW TO PROVIDE NUTRIENTS AND BLOOD FLOW ALLOWS TO REMOVE WASTE BUILDUP |
|
|
Term
| WHERE ARE THE EFFECTS OF THE STROKE FOUND IN THE BRAIN |
|
Definition
| AROUND THE LEASION AND CONTALATERAL HEMISPHERE |
|
|
Term
| WHAT ARE THE EFFECTS ON THE BRAIN ON THE CONTRALATERAL SIDE FROM WHERE IT HAS HAPPENED |
|
Definition
|
|
Term
| HOW ARE STROKES CLASSIFIED |
|
Definition
|
|
Term
| HOW IS AN ISCHEMIC STROKE |
|
Definition
| OCCLUSION OR BLOCKAGE OR CEREBRAL ARTERY |
|
|
Term
| HOW IS A THROMBOTIC STROKE |
|
Definition
| ARTHERSCLEROSIS AND RUPTURE OF A PLAQUE |
|
|
Term
|
Definition
| point of division of the carotid and the vertabrea arteries |
|
|
Term
|
Definition
| bleeding into the brain usully from hypertension |
|
|
Term
|
Definition
| bleeding into the subarachnoid space between the arachnoid and the pia mater |
|
|
Term
|
Definition
| abnormall ballooning or blister along a noraml artery |
|
|
Term
| what artery is the most vommon one involved in an embolic strok |
|
Definition
|
|
Term
|
Definition
| sudden constriciton of a cerbral artery usually due to n aneurysm |
|
|
Term
what is the difference in evolution of;
thromboitc
embolic
hemorrhagic stroke |
|
Definition
imprvement and worsening or episodes
abrupt and steady
abrupt |
|
|
Term
what are the difference in contributing facotrs in a thrombotic
embolic
hemorrhagic stroke |
|
Definition
hyprtension, arthersclerosis
cardiac disease
hypertension, vessle disorders |
|
|
Term
| arteriovenous malformation |
|
Definition
| abnormality during embryonic development spagetti like mass of malformed thin walled dialated vessles |
|
|
Term
| stroke can appear at any time but what have researchers found |
|
Definition
| circardian pattern with a peak between 6 am and noon |
|
|
Term
| what are 2 major risk factors to a stroke |
|
Definition
| sedentary life style and high fat diet |
|
|
Term
| what diet should you recomend to those with risk for stroke |
|
Definition
| high in fruits and veggie an low in saturated fat |
|
|
Term
| risk factors that are modifiable for stroke |
|
Definition
smoking
obesity
birth control
alcohol |
|
|
Term
| ischemic stroke and hemorrhagic strokes what is the difference in when they occur |
|
Definition
| ischemic during sleep and hemorrhagic during ACTIVITY |
|
|
Term
| DID THE SYMPTOMS WITH THIS STROKE WORSEN AFTER THE INITIAL ONSET |
|
Definition
|
|
Term
| DID THE SYMPTOMS WITH THIS STROKE IMPROVE? |
|
Definition
|
|
Term
| THIS IS THE WORST HEADACH OF MYLIFE, IM HAVEN/V, STIFF NECK, PHOTOPHOBIA |
|
Definition
|
|
Term
| WHAT AREA OF THE BRAIN IS MORE INVOLVED WITH PROPRIOCEPTION |
|
Definition
|
|
Term
| WHAT ARE THREE CLUES TO A PERSON HAVING STROKE IN THE RIGHT SIDE OF THE BRAIN |
|
Definition
PERSONALITY CHANGES
CANT DETERMINE TIME OR PLACE
DENIAL |
|
|
Term
| IF A PERSON HAS A STROKE IN THE LEFT ISDE OF THE BRAIN WHAT WILL OCUUR 5 |
|
Definition
APHASIA (CAN COMPREHEAND)
ALEXIA(READING PROBLEMS)
DYSLEXIA( READING PROBLEMS)
ACALCULIA (WRITING PROBLEMS)
AGRAPHIA(MATH PROBLEMS) |
|
|
Term
| IF THERE IS PARALYSIS ON THE RIGHT SIDE OF THE BODY WHAT CAN THAT DETERMINE |
|
Definition
| STROKE ON THE LEFT CERBRAL HEMISPHERE |
|
|
Term
| WHAT SIDE IS EFFECTED WHEN THERE IS A HEARING LOSS |
|
Definition
|
|
Term
| WHAT SIDE HAS DEPRESSION, GUILT,WORRIES AND IS SLOW |
|
Definition
|
|
Term
| WHAT SIDE OF THE BRAIN WOULD HAVE IMPULSIVENESS LACK OF AWARENESS, EUPHORIA AND POOR JUDGEMENT |
|
Definition
|
|
Term
| UNILATERAL BODY NEGLECT IS COMMON IN WHAT SIDE OF STROKES |
|
Definition
|
|
Term
| THIS PT IS IN THE WHEELCHAIR LEANING TO THE LEFT WITH ARM CAUSGHT IN THE CHAIR AND THINKS ALL IS FINE WHO IS THIS |
|
Definition
|
|
Term
|
Definition
| BRIEF PERIOD OF BLINDNESS |
|
|
Term
|
Definition
| BLINDNESS IN HALF OF THE VISUAL FIELD |
|
|
Term
|
Definition
| BLINDNESS IN SAME SIDE OF BOTH EYES |
|
|
Term
| WHAT CRANILA NERVE ARE YOU ASSESING IF YOU ASK A PERSON TO CHEW |
|
Definition
|
|
Term
| WHAT CRANIAL NERVE IS THE SWALLOW REFLEX |
|
Definition
|
|
Term
| ABSENT GAG REFLEX CRANIAL ERVE |
|
Definition
|
|
Term
| FACIAL PARALYSIS CRANIAL NERVE |
|
Definition
|
|
Term
| WHAT MAY THE LABS LOOK LIKE AFTER A STROKE |
|
Definition
| INCREASED HEMATOCRITE AND HEMOGLOBIN, WBC |
|
|
Term
| WHAT CHANGES MAY BE SEEN ON A ECG WITH A STROKE |
|
Definition
| INVERTED T WAVE, ST DEPRESSION, PROLONGED QT |
|
|
Term
| WHAT IS THE STANDARD CARE PROVIDED TO A STROKE PT |
|
Definition
| 2 IV LINE NON DEXTORSEIOSTONIC SALINE |
|
|
Term
| WHEN IS THE PT MOST AT RISK FOR INCREASE ICP AFTER STROKE |
|
Definition
|
|
Term
| WHAT IS THE BEST POSITION FOR THE HOB IN STROK |
|
Definition
| ELEVATED TO DECREASE BLOOD FLOW TO THE BRAIN |
|
|
Term
| WHAT POSITION PROMOTES DRAINAGE IN THE STROKE VICITM |
|
Definition
| MIDLINE AND IN A NEUTRAL POSITION |
|
|
Term
| WHY SHOULD EXTREME HIP AND NECK FLEXION BE AVOIDED IN STROKES |
|
Definition
| CAN INCREASE THORAC PRESSURE AND INTERFERS WITH DRAINAGE FROM THE BRAIN |
|
|
Term
| WHY SHOULD CLUSTER OF NURSING INTERVENTIONS BE AVOIDED IN ICP AND STROKES |
|
Definition
|
|
Term
|
Definition
|
|
