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Pro Pract II- Exam 3
Chapter 61
36
Nursing
Undergraduate 3
03/30/2011

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Term
complete cord involvement
Definition
results in total loss of sensory and motor function below the level of the lesion (injury)
Term
Incomplete cord involvement
Definition
results in a mixed loss of voluntary motor activity and sensation and leaves some tracts intact.
Term
present special problems because of the total loss of respiratory muscle function.
Definition
injuries above the level of C4...
Term
GI problems set in related to hypomotility
Definition
if the cord injury occurred above the level of T5
Term
Poikilothermism
Definition
is the adjustment of the body temperature to the room temperature. Occurs in spinal cord injuries because the interruption of the sympathetic nervous system prevents peripheral temperature sensations from reaching the hypothalmus.
Term
autonomic dysreflexia
Definition
massive uncompensated cardiovascular reaction mediated by the sympathetic nervous system (most commmonly caused by distended bladder or rectum); emergency care would be to elevate the bed 45 degrees or sitting the patient upright; notifying the physician and assessment to determine the cause.
Term
extradural
Definition
spinal cord tumors outside the spinal cord
Term
intradural extramedullary
Definition
spinal cord injury with the dura but outside the actual spinal cord
Term
intradural intramedullary
Definition
spinal cord injury within the spinal cord itself
Term
Polio (poliomyelitis)
Definition
an infectious viral disease transmitted through the oral route by ingestion of contaminated food or water, or contact with infected sources such as unwashed hands.
Term
Postpolio syndrome
Definition
manifested by a new onset of joint and muscle weakness, easy fatigability, generalized fatigue, and pain. Uncommonly, individuals may also exhibit speech, swallowing, and respiratory difficulties. Management is targeted at controlling symptoms, particularly fatigue, weakness, and pain.
Term
Mild Head Injury----
Definition
GCS score of 13 to 15
Term
Moderate Head Injury----
Definition
GCS score of 9 to 12
Term
Severe Head Injury----
Definition
GCS score of 8 or less
Term
abnormal posturing
Definition
an involuntary flexion or extension of the arms and legs, indicating severe brain injury. It occurs when one set of muscles becomes incapacitated while the opposing set is not, and an external stimulus such as pain causes the working set of muscles to contract. The posturing may also occur without a stimulus. Since posturing is an important indicator of the amount of damage that has occurred to the brain, it is used by medical professionals to measure the severity of a coma with the Glasgow Coma Scale (for adults) and the Pediatric Glasgow Coma Scale (for infants).
Term
decorticate posturing
Definition
arms flexed over the chest
Term
decerebrate posturing
Definition
Arms extended at the side
Term
opisthotonos
Definition
in which head and back are arched backwards
Term
Brain herniation
Definition
an extremely dangerous condition in which parts of the brain are pushed past hard structures within the skull
Term
Olfactory smell
Definition
Cranial Nerve I
Term
Optic: Vision
Definition
Cranial Nerve II
Term
Oculomotor: Opening of eyelids, and pupil constriction and lens shape
Definition
Cranial Nerve III
Term
Trochlear: Down and inward movement of eye
Definition
Cranial Nerve IV
Term
Trigeminal: Muscles of mastication and sensation of face and scalp, cornea, mucous membranes of mouth and nose
Definition
Cranial Nerve V
Term
Abducens: Lateral movement of eye
Definition
Cranial Nerve VI
Term
Facial: Facial muscles, close eye, labial speech, close mouth; taste on anterior two-thirds of tongue
Definition
Cranial Nerve VII
Term
Acoustic: Hearing and equilibrium`
Definition
Cranial Nerve VIII
Term
Glossopharyngeal: Pharynx (phonation and swallowing) and taste on posterior one third of tongue, gag reflex, and parotid gland and carotid reflex
Definition
Cranial Nerve IX
Term
Vagus: Pharynx and larynx (talking and swallowing), general sensation from carotid body, carotid sinus, pharynx, viscera, and carotid reflex
Definition
Cranial Nerve X
Term
Spinal: Movement of trapezius and sternomastoid muscles
Definition
Cranial Nerve XI
Term
Hypoglossal: Movement of tongue
Definition
Cranial Nerve XII
Term
(Phenytoin) Dilantin
Definition
a primary drug for treating generalized tonic-clonic and partial seizures, long-term drug. Long half-life, so may be given QD, or BID. Common side effect is gingival hyperplasia that may be limited with good dental hygiene. It is metabolized by the liver, which may be a problem for those with compromised liver-function
Term
Phenobarbital
Definition
a primary rug for treating generalized tonic-clonic and partial seizures, long-term drug. Long half-life, so may be given QD, or BID. Shown to have potential effects on cognitive function; may be less desirable for older adults.
Term
Valium
Definition
Most commonly used for status epilepticus because it is so short acting, long-acting drugs such as phenytoin or phenobarbitol must follow Valium. Relieves spasicity, side effects: drowsiness, ataxia, fatigue; contraindicated with history of narrow-angle glaucoma. Avoid long-term use, avoid driving, be aware of addictive potential, and avoid concomitant use of barbiturates, MAO inhibitors, and antidepressants.
Term
Kernig's sign
Definition
Reflex contraction and pain on extension of the leg from a position of 90-degree hip flexion while supine.
Term
Brudzinski's Sign
Definition
Neck lesion produces neck pain and results in reflex flexion of the hip and knee.
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