Term
|
Definition
| governs sensory and motor activity and thought and learning |
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|
Term
| Cerebral Cortex (5 lobes) |
|
Definition
Consious activty.
Frontal: Brocs area; Morals, emotions, reason/judgemet, concentration/abstract
Parietal: Taste, pain, touch, temp/pressure
Temporal: auditory, weirnkies area
Occipital- visual
Limbic- learning and memory |
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Term
|
Definition
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Term
|
Definition
Regulares PNS and ANS
stress response, sleep, appetite, body temp, fluid balence and emotions |
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Term
|
Definition
| Respitory center/ breathing |
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Term
|
Definition
| HR, RR, blood vessle diameter,sneezing, swallowing, vomit, cough |
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Term
|
Definition
Normal pressure: 50-175
Normal volume: 125-150 |
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Term
| Cheyne-Stokes Respirations |
|
Definition
Rythmic, with periods of apnea
Indicate: dysfunction in cerebral hemisphere or basal gangli |
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|
Term
| Neutrogenic Hyperventilation Respirations |
|
Definition
Regular and rapidand deep
dysfunction in low midbrain or pons |
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Term
|
Definition
| Irregular resp. with pause at end of inspiration and expiration |
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Term
|
Definition
totally irregular rate and depth
dysfunction in medulla |
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Term
|
Definition
clusters of breath w/ irregularrly spaced pauses
dysfunction to medulla and pons |
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|
Term
|
Definition
abnormal flexion
nonfunctioning cortex |
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|
Term
|
Definition
abnormal extension
brainstem lesion |
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Term
|
Definition
abnormal extension
brainstem lesion |
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|
Term
|
Definition
Decrease LOC (earliest indication)
Abnormal respirations
Increase BP and wide pulse pressure
Slow pulse
fever
vomit/ pupil changes |
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|
Term
| Late signs of Increased ICP |
|
Definition
| Increase systolic BP, slow HR, weakness/hemiplegia, positive babinski, posturing, seizures |
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|
Term
| Interventions for Increase ICP |
|
Definition
Monitor RR: prevent hypoxia
avoid morphine
PaCO2 maintain at 30-35
prevent shivering
decrease stimuli
monitor I&)
limit fluid 1200/day
avoid cough/sneeze/vasala |
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|
Term
|
Definition
will affect contralateral side stroke was on
airway is priority
pulse (slow & bounding)
Respiration (cheyne stokes)
HTN
facial drooping
nuchal rigidity
visual changes
ataxia
dysphsgia |
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Term
|
Definition
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|
Term
|
Definition
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|
Term
| Interventions during stroke |
|
Definition
maintain airway
maintain BP 150/100
suction (less then 10sec)
monitor for increased ICP
position 15-20degrees & LOC
maintain quite enviorment
insert foley
IV
give anticoagulants, amtiplatelets, diuretics, antiHTN, anticonvulesant |
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|
Term
| Interventions during poststroke |
|
Definition
postion (2 hours good side, 20 min bad side)
suction
passive ROM
TEDS
monitor gag reflex |
|
|
Term
|
Definition
| sually preceed mild upper respitory tract infection or gastroenturitis |
|
|
Term
|
Definition
| Parsthesias, hypersensitivity, ascedning, weakness lower extremites first, possible resp. failure, CSF show elevated protien |
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Term
|
Definition
treatment of symptoms/pain
monitor RR
give RR treatments/support |
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Term
|
Definition
| detect cranial bleeding, lesions, cerebral edema, infarctions, hydrocephalus, atrophy, shift in brain structures |
|
|
Term
|
Definition
Assess if allergic to contrast
teach to hold breath when needed
IV line
remove all objects from head
assess if claustrophobic
-after: provide fluids to rid dye, assess for bleeding, color warmth and pulse at extremity |
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Term
|
Definition
| shows tissues, tumors, vascular abnormalities |
|
|
Term
|
Definition
remove all metal, iv pumps, pulse ox
claustrophobic |
|
|
Term
| Myelography & intervention |
|
Definition
abnormalities spinal cord and vertebrae
-informed consent
provide hydration at leas 12 hrs before
allergies
withhold pheothiazine |
|
|
Term
|
Definition
through femoral to carotid to assess cerebral arteries and assess for lesions
hydradtion 2 days before
NPO 4-6 hours
bedrest 12 hrs
elevate HOB as prescribed |
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