ATI Unit 2 - Neurosensory Disorders (Josh) Flashcards Preview

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Flashcards in ATI Unit 2 - Neurosensory Disorders (Josh) Deck (16):
1

Which vaccines have decreased the incidence of Bacterial Meningitis?

Hib

PCV

2

--- is a life threatening disorder that involves acute encephalopathy and fatty changes of the liver.

Reyes Syndrome

3

When are Brudzinksi's and Kernig's signs reliable for diagnosing Meningitis?

2 years and up

4

Which Meningitis describes the following CSF appearance?

- cloudy
- elevated WBC
- elevated Protein
- decreased glucose
- positive gram stain

Bacterial Meningitis

5

What is the definitive test for meningitis?

lumbar puncture

6

What should we teach regarding postop for lumbar puncture?

client to remain in bed in flat position for 4-8 hrs

7

What do we assess prior to administering Acetaminophen or Ibuprofen for pain from Meningitis?

temperature b/c they can mask a fever

8

Which type of Meningitis is corticosteroids useful for?

Bacterial

- help w/ initial ICP

9

Reye Syndrome primarily affects which organs?

liver

brain

10

When is peak incidence of Reye Syndrom?

flu season (Jan-March)

11

Reye Syndrome can be mistaken for:

Meningitis

SIDS

Poisoning

Diabetes Mellitus

Psychiatric Illness

12

Why is Vit K given with Reyes?

improves synthesis of blood clotting factors in the liver

- subQ

13

If they have meningitis and decreased LOC, why should they be NPO?

risk for aspiration is high

14

Reye typically follows a -- illness such as --

viral

Flu, Gastroenteritis, or Varicella

15

Meds for Seizures

Corticosteroids for ICP

Mannitol for ICP

Antiseizures

Antibiotics for CSF leakage, lacerations, or penetrating injuries

Analgesis (acetaminophen) for head ache / pain

16

Why the heck would a stool softener be needed for ICP client?

so they won't strain when they go and have a vagal response (ELVIS)