Neuro #2 Flashcards
pt that is going to have a myelogram, how would you prepare
- Before the procedure assess and document the patients baselines of lower-extremity strength and sensation.
- Obtain an informed consent
- Have pt empty bladder
- Assess allergies of iodine
pt that has a cognitive fx (t6-t7) pt displays s/s autonomic disreplacia, what causes that.
Occurs with spinal lesions above T6 after the period of spinal shock is complete; causes include visceral distention from a distended bladder or impact rectum.
paraplegic pt, most likely their paralisis is at what level.
- Injury occuring between T1 and L4
- Paralysis involving only the lower extremities
how would you plan for pt with aphasia. *consider what typer of aphasia pt has
- Provide repetitive directions
- Break tasks down to one step at a time
- Repeat names of objects frequently used.
- Allow time for the client to communicate
- Use a picture board, communication board, or computerized technologies.
which by system would have the highest priority with pt who has Guillain-Barre syndrome
Major concern with Guillain-Barre Syndrome is difficulty breathing.
-Respiratory System
which action is the best way to reduce pts chance of getting west nile virus
- Use insect repellents containing DEET (N, N-diethyl-meta-toluamide) when outdoors and wear long sleeves and pants and light-colored clothing.
- Stay indoors at dusk and dawn when mosquitoes are most active.
- Ensure that mosquito breeding sites are eliminated, such as standing water and water in bird baths, and keep wading pools empty and on their sides when not in use.
pt that is experiencing autonomic dysreflexia, what symptom would indicate a complication of this
The syndrome is a neurological emergency and must be treated immediately to prevent a hypertensive stroke
what age group is most common for spinal cord injuries
Men between 18-25 years of age
know what the s/s of Meningitis in a pedi pt
Associated hydrocephalus (in infants) caused by exudate occluding the ventricles.
pt that has Trigeminal neuralgia, what can you tell them to minimize their pain?
Comfort Measures:
- Keep room free of drafts, moderate temp.
- Avoid walking briskly to bedside of patient
- Place bd out of traffic area to prevent jarring of bed.
- Avoid touching the face
- Do not wash or shave the affected area or to comb the hair during acute attack
- Stress importance of hygiene, nutrition, and oral care
- Provide lukewarm water and soft cloths and cotton saturated with solutions that do not require water for cleaning
- A warm mouthwash or small, soft-bristled toothbrush assists in promoting oral care
- Avoid hot or cold liquids, which triggers pain
- Puree food and ensure that it is lukewarm.
- Suggest that food be taken through a straw.
primary route of human infection is with west nile virus
The virus is contracted primarily by the relief of an infected mosquito. (Mosquitoes become carriers when they feed on infected birds.)
know what Encephalitis is
- Inflammation of the brain parenchyma and often the meninges.
- Affects the cerebrum, brainstem, and cerebellum
- Caused by a viral agent, although bacteria,fungi, or parasites may also be involved
Meningitis is
- Is inflammation of the arachnoid and pia mater of the brain and spinal cord.
- Caused by bacterial and viral organisms, although fungal and protozoal meningitis also occurs
Bell’s Palsy, and which cranial nerve/s are involved.
Caused by a lower motor neuron lesion of Cranial Nerve VII that may result from infection, trauma, hemorrhage, meningitis, or tumor.
pt that had a stroke and is having diffiulty distourning their body position, what is the term for that
proprioception the sensation pertaining to spatial-position and muscular-acitivity stimuli originating from within the body or to the sensory receptors that those stimuli activate
-this sensation enables one to know the position of the body without looking at it and to recognize objects by the sense of touch
pt impairement of crainial nerve 2, what kinds of things would you put in a nx careplan reagrding safety.
Safety precautions since the patient can not see.
if you have a spinal cord injury at what level would you still be able to ambulate and still have bowel control, etc.
T1-T6 and L1-L2.
what part of the spinal cord would be injured if pt had respiratory problems
C1-C8
quadpleticts have(…) , what BP would still be considered normal.
They have hyper tension. Systolic BP up to 300 mm Hg.
Heterotopic Ossification. what joints does it affect
.
what the s/s typically are of a DVT
- Calf or groin tenderness or pain with or without swelling
- Positive Homan’s sign may be noted; However, false-positive results are common.
- Warm skin that is tender to touch.
