Shared Flashcard Set

Details

Neurology 2
Disorders of the Nervous System
41
Nursing
Undergraduate 2
04/09/2012

Additional Nursing Flashcards

 


 

Cards

Term
Pressure inside the skull?
Definition
Intracranial Pressure
Term
What is the minimum perfusion pressure to have adequate cerebral perfusion?
Definition
70
Term
What is normal ICP?
Definition
0-15
Term
The amount of blood in our brain?
Definition
Perfusion pressure
Term
What 3 components affect each other in the brain?
Definition
- brain
- blood
- CSF
Term
How is ICP measured?
Definition
- lumbar puncture
- holes in the skull with a cath
Term
S/S of ICP?
Definition
- LOC decreased
- pupils fixed or dilated
- altered motor function
- abnormal posturing
- cushing's triad
Term
Weakness on one side?
Definition
Hemioparesis
Term
Paralysis on one side?
Definition
Hemioplagia
Term
What do you have to have with Cushing's Triad?
Definition
- increase systolic BP
- no change to diastolic BP causing a wide pulse pressure S-D=PP
- very bradycardia and irregular heart beat
Term
Treatment of ICP?
Definition
- HOB elevated at 30 degrees
- IV monnitol: diuretic that can pass the blood brain barrier
- put on a ventilator to control hyperventilation
- Corticosteriods (dexamethasone) to help with inflammation
Term
Electrical impulses in the brain become highly chaotic yielding abnormal activity and behavior?
Definition
Epilepsy
Term
What information should you gather while a pt is having a seizure?
Definition
- how long it lasted
- did anything cause it
- how is LOC after
- how is behavior during
Term
This kind of Epilepsy is only effects part of the brain?
Definition
Partial
Term
What are the different Partial Epilepsy seizures?
Definition
- Simple: pt doesn't loss consciousness but will have twitching in a part of their body.
- Complex: may or may not loss consciousness but entire body will twitch.
Term
This type of seizure involves the entire brain. Consciousness is lost. May be tonic- clonic or absence?
Definition
Generalized Seizures (grand-ma seizures)
Term
What are different types of generalized seizures?
Definition
- Tonic: extremities are rigid
- Clonic: shacking (rhythmic moving)
- Absent: no shaking, looks like they are daydreaming
Term
Treatment for Epilepsy?
Definition
- Drug: anticonvulcer, muscle relaxers, sedatives.
- side rails up
- suction machine readily available
Term
Trauma with no visible injury to the skull or brain but loss of consciousness <5 minutes?
Definition
Concussion
Term
Bruising and bleeding in the brain tissue, can be serious if brain stem is affected?
Definition
Contusion
Term
Lesions within the tissue of the brain, maybe be large or small, and may cause brain damage?
Definition
Intracerebral Hemorrhage
Term
Accumulation of blood under the skull?
Definition
Hematoma
Term
Treatment for head injuries?
Definition
- debriding damaged tissue
Term
Interventions for head injuries?
Definition
- monitoring for signs of increased ICP
- initiate seizure precautions
- turning and repositioning
Term
Inflammation of the meningeal covering of the brain and spinal cord by either viruses or bacteria?
Definition
Meningitis
Term
S/S of meningitis?
Definition
- headache
- nuchal rigidity: can't flex neck forward
- irritability
- decreased LOC
- photophobia
- hypersensitivity
- seizure activity
- Kernig (can't straiten knee)
- Brudzinski (legs bend when held is pulled forward)
Term
Treatment for meningitis?
Definition
- Antimicrobial for bacterial infection
- DROPLET PRECAUTION
- elevate HOB
- seizure precaution
- monitor respiratory status
- vaccinate for pneumonia
- prophylactic abx for those in contact with bacterial meningitis pt's.

* will have a very high fever
Term
Inflammation of the brain tissue caused by a virus?
Definition
Encephalitis
Term
S/S of Encephalitis?
Definition
- fever
- headache
- confusion, delirium, restlessness
- hemiparesis, facial weakness
- alterations of motor activity
Term
Treatment for Encephalitis?
Definition
- same as meningitis
- DROPLET PRECAUTION
Term
This affects motor function of peripheral nervous system?
Definition
Guillian-Barre Syndrome
Term
S/S of Guillian-Barre Syndrome
Definition
- symptoms start in toes: weakness and tingling
Term
Treatment for Guillian-Barre Syndrome?
Definition
- Corticosteriods: helps change the immune system
- Plasmapheresis: blood is removed, contrifuged and returned to pt
Term
Progressive degenerative disorder of the CNS?
Definition
Parkinsons
Term
S/S of Parkinsons
Definition
Bradykinesia: everything slows down
Term
Treatment for Parkinsons?
Definition
- dopamine receptors agonists
- anticholinergic
- massage, heat, exercise, gait training
Term
Chronic, progressive degenerative disease that attacks the protective myelin sheath? Disrupts the conduction of impulses through the CNS?
Definition
MS
Term
Diagnosis of MA?
Definition
MRI of the brain and spinal cord can be done to reveal plaques
Term
Degenerative neurological disorder?
Definition
Amyotrophic Lateral Sclerosis (ALS) Lou Gehrig disease
Term
How long does someone live with ALS?
Definition
3-5 years after diagnosis
Term
Inherited degenerative neurological disorder. Usually begins in middle adulthood?
Definition
Huntington's Disease
Supporting users have an ad free experience!