Bell's Palsy

Question 1

which cranial nerve is impaired in BP

Answer 1

CN VII
Facial

Question 2

caused by lower motor neuron lesion

Answer 2

Bell’s Palsy

Question 3

cause of bell’s palsy

Answer 3

viral infection

Question 4

viral infection causing bell’s palsy

Answer 4

Rubella
Herpes
Influenza
Mumps

Question 5

signs and symptoms of bell’s palsy

Answer 5

facial drooping
unilateral

Question 6

diagnostic procedure

Answer 6

MRI
Electromyography (for muscles, assess the electrical impulse of the muscle)

Question 7

nursing mgmt for electromyography

Answer 7

1. Explain procedure
2. Inform patient that sensation is similar to IM injection
   (muscle ache after)

Question 8

signs and symptoms

Answer 8

FIUPHaFaFaG
facial droop
inability to raise eyebrows
unilateral affectation
ptosis (di magalaw ung eyelids)
hearing sensitivity (conduction hearing loss if nag fail sa Rinne’s test: normal is air conduction is longer than bone conduction, abnormal: bone conduction is longer than air conduction)
facial flaccidity - merong softening of the muscle or no muscle contraction
facial paralysis
goes away with residuals (gradual recovery)

Question 9

is bell’s palsy reversible or no

Answer 9

reversible

Question 10

nursing management

Answer 10

facial muscle exercises
protect eye frim dryness and prevent injury
provide artificial tears as prescribed
promote frequent oral care
instruct client to chew on unaffected side
heat application

Question 11

pharmacological management

Answer 11

coricosteroids
antivirals (valacyclovir, acyclovir, famyclovir)
analgesics