[Exam 4] Chapter 69: Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies ( Page 2065-2068, 2069-2089 ) Flashcards
(175 cards)
1
Q
What are the Infectious Neurologic Disorders?
A
Meningitis
Encephalitis
Creutzfeldt-Jakob Disease and Variant Creutzfeldt-Jakob Disease
2
Q
Meningitis: What is this?
A
Inflammation of the membranes and the fluid space surrounding the brain and spinal cord
3
Q
Meningitis: What are the two types?
A
Bacterial
Viral
4
Q
Meningitis: What do we do with Viral version?
A
Its Aseptic
Usually benign and does not require intervention
5
Q
Meningitis: What can cause Aseptic Meningitis?
A
Viral infection, Lymphoma, Leukemia, or Brain Abscess
6
Q
Meningitis: What causes septic meningitis?
A
Bacteria S. Pneumoniae or Neisseria Meningitidis.
7
Q
Meningitis: How does bacterial version occur?
A
Aerosol and secretion transmission
8
Q
Meningitis: What does bacterial version require?
A
Intervention
9
Q
Meningitis: N. Meningitidis transmitted by?
A
Secretions or aerosol contamination, and infection is most likely in dense community groups such as college campuses
10
Q
Meningitis: Manifestations of this includes
A
severee headache, fever, change in LOC, behavioral changes, nuchal rigidity (Stiff neck, painful), positive Kernig’s/Brudzinski’s sign, and photophobia
11
Q
Meningitis: What is required for those living in close quarters?
A
A vaccine for bacterial meningitis.
12
Q
Meningitis: Which one is the most contagious?
A
Bacterial, requires hospital care
13
Q
Meningitis: What is Kernig’s Sign?
A
Patient is laying flat on back. Hip brought up to 90 degree angle. If knee at 90 degree angle as well and tried to straighten the knee, they won’t be able to. Hamstrings are very tight.
14
Q
Meningitis: What is Brudzinski’s Sign?
A
Patient lying supine. If head flexed , chin to chest, will cause pain and will reflexively bring the knees up as well.
15
Q
Meningitis: Medical Management for Bacterial Meningitis?
A
Vaccination for all children and at-risk adults.
Prevention by meningococcal vaccination for adolescents and high-risk groups
Early administration of IV antibiotics for bacterial
Dexamethasone
Treat dehydration(bc of high fever), shock, seizures
16
Q
Meningitis: Nursing Management for this? (6)
A
Freq Assess including VS/LOC, motor movement, eye movement, speech
Protect pt from injury related to seizure or altered LOC
Prevent comps associated with immobility (ROM for them)
infection control precautions (high fever, so provide hydration)
supportive care
measures to facilitate coping with pt/fam
17
Q
Meningitis: Nursing management, what will you monitor?
A
Daily weight, serum electrolytes, urine volume, specific gravity, and osmolality
18
Q
Encephalitis: What is this?
A
Acute, inflammatory process of the brain tissue typically caused by a viral infections(herpes), vector-borne viral infection (west nile, st louis) can also be fungal
19
Q
Encephalitis: Signs of this includes
A
headache, fever, confusion, changes in LOC
20
Q
Encephalitis: Vector Borne signs? (West Nile, St. Louis)
A
Rash, Flaccid Paralysis, Parkinson-Like Movements
21
Q
Encephalitis: Herpes Encephalitis treatment
A
Acyclovir IV
22
Q
Encephalitis: Fungal Encephalitis treatment
A
Amphotericin
23
Q
Encephalitis: West Nile Encephalitis treatment
A
No actual medication to treat virus. Dexamethasone can decrease inflammation
24
Q
Encephalitis: Nursing Management for this?
A
Frequent, and ongoing assessment
Supportive Care
Antibacterial if by bacteria, run course if viral.
Seizure Precautions
Treat fever, watch hydration
Administer Dexamethasone.
25
Creutzfeldt-Jakob Disease: What is this?
Rare, degenerative infectious, transmissible spongiform encephalopathy. (TSEs)
26
Creutzfeldt-Jakob Disease: How does someone get this?
Body is exposed to prions (small proteinaceous particles that are smaller than a virus and resistant to sterilization)
27
Creutzfeldt-Jakob Disease: What is this known as to the public?
Mad cow disease
28
Creutzfeldt-Jakob Disease: How is this spread?
No contact. By indigestion of infected beef (vCJD) or by surgical tools used in eye or brain surgery. Brain or spinal fluids, tissue.
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Creutzfeldt-Jakob Disease: Lifespan for someone with this?
One year
30
Creutzfeldt-Jakob Disease: Treatment?
No treatment, progressive and fatal
31
Creutzfeldt-Jakob Disease: Diagnostic test of choice?
EEG. Electrodes watch on brain.
32
Creutzfeldt-Jakob Disease: How can CJD differ from vCJD?
It can be genetic, or spontaneously occurs.
vJCD is from eating infected beef.
33
Creutzfeldt-Jakob Disease: Sigins of this?
Affective (behavioral changes, limb pain, sensory disturbance, muscle spasms, rigidity and cognitive impairments
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Creutzfeldt-Jakob Disease: Nursing Management?
Prevention of disease transmission, blood and body fluid precautions, supportive care
35
Risk Factors for Bacterial Meningitis
Living in dense communities
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Risk Factors for Cruetzfeldt-Jakob
Eye or any CNS Infected Exposure
37
Infectious Neurologic Disorders: Complications include
ICP
Skin Breakdown
Seizures
Dehydration
38
How to prevent bacterial meningitis?
Vaccination
39
How to prevent Crutzfeldt-Jakob?
Improved screening of tissues
40
Infectious Neurologic Disorders: Labs and Diagnostic Tests?
Serum Electrolytes and Hydration
Urine Volume and SpG
CVJ Diseased Diagnosed by EEG
41
Infectious Neurologic Disorders: Nursing Diagnosis?
Ineffective Protection
RF Imbalanced Fluid Balance
RF Imbalanced Temp
RF Injury-Seizures
Confusion
Altered LOC
42
Infectious Neurologic Disorders: Goals for this?
Avoidance of complications
43
Infectious Neurologic Disorders: Education to patient for this?
Prevention
44
What are some Autoimmune Neurologic Disorders?
Multiple Sclerosis (MS)
Myasthenia Gravis
Gullian-Barre Syndrome
45
Multiple Sclerosis: What is this?
A PROGRESSIVE immune-related demyelination disease of the CNS
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Multiple Sclerosis: Body produces T Cell antibodies against what?
myelin sheath of the axon
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Multiple Sclerosis: What do the T Cells cause in the body?
Demyelination of the sheath. Nerve impulses unable to travel to target tissues.
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Multiple Sclerosis: Inflammation along the pathway can cause what?
Pain along the nerve pathways. Causing exacerbation's and remissions
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Multiple Sclerosis: Frequeuntly the disease is relapsing and remitting, has exacerbations and recurrences of symptoms including
fatigue, weakness, numbness, difficulty in coordination, loss of balance, pain with muscle spasms, and visual disturbances
Loss of bowel and bladder control
Gait
Swallowing
Skin Breakdown
50
Multiple Sclerosis: Cure for this?
No. Progressive for this
51
Multiple Sclerosis: Medical Management for this?
Disease Modifying Therapies: Interferon B-1a and Interferon B-1b (Increase neuron surivival, decrease inflammatory rsponse) glatiramer acetate (Copaxone, blocks myelin damaging T Cells) and Iv Methyprednisolone (Steroid to decrease inflammation, suppresses immune system)
52
Multiple Sclerosis: Symptom management of what symptoms?
Muscle spasms, fatigue, Ataxia, Bowel and Bladder Control
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Multiple Sclerosis: Assessment that needs to be done include
Neurologic Deficits
Secondary Comps: UTI (Weak Muscles), Pain, Falls, Aspiration
Impact of disease on physical, social, and emotional function and lifestyle
Patient and Family Coping
54
Multiple Sclerosis: Nursing Diagnosis? (8)
Impaired Physical Mobility
RF Injury
Impaired Bowel/Bladder
Impaired Verbal Communication
Disturbed Thought Process
Ineffective Coping
Impaired Home Maintenance
Potential Sexual Dysfunction
55
Multiple Sclerosis: Goals for this? (6)
Promotion of Physical Mobility
Adapation to Sexual Function
Avoidance of Injury
Achievement of Bowel/Bladder Continence
Promote Speech and Swallowing
Improved Cognitive Function
56
Multiple Sclerosis: Interventions with multiple professions include what?
Collaborative approach in healthcare
Coordinate and refer as needed to health care services: social services, speech therapy, PT, counseling, Home Care
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Multiple Sclerosis: Interventions with Activity and Rest includes what?
Program of activity and daily exercise
Relaxation , coordination exercises, walking, muscle stretching
Avoid Strenuous activity and extreme fatigue
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Multiple Sclerosis: Interventions for bowel and bladder control?
Instruction or administration of prescribed meds
Voiding Schedule
Bowel Training Program
Adequate fluid and fiber to prevent constipation
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Multiple Sclerosis: Reinforce and encourage
swallowign instructions, with strategies to reduce risk of aspiration
60
Multiple Sclerosis: What can be done to enhance cognitive function?
Memory aides, structured environment, and daily routine
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Multiple Sclerosis & Interventions: What daily exercise should be done?
Stretching technique and ROM
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Multiple Sclerosis & Interventions: What does their diet look like?
Fluid and Fiber
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Multiple Sclerosis & Interventions: How do they drink/eat?
Chin tucked swallowing and no straws. HOB is kept up
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Multiple Sclerosis & Interventions: What assistive devices would help?
Walkers, Velcro
65
Multiple Sclerosis & Interventions: You should support what worries?
Allow expression of worries of LTC placement or burden of family. Support the coping
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Multiple Sclerosis: What patient education would be given?
Avoid Fatigue/Stress/Strenous Activity
Avoid Extreme Temp
Memory Aids like calendars, pillboxes
No Rugs
67
Multiple Sclerosis: Risk factors for this?
caucasian Women b/w 15-60
Family History
Epstein-Barr Virus
Pts with DM1 or inflammatory bowel disease
Smoking
68
Multiple Sclerosis: Labs to test for this?
MRI
Lumbar Puncture
69
Multiple Sclerosis: How to prevent this?
No smoking
Good , general health
70
Multiple Sclerosis: What complications can this lead to?
Muscle Stiff/Spasms
Paralysis in legs
Problems with bladder, bowel, or sexual function
Mental Changes such as forgetfulness or mood swings.
Depression
Epilepsy
UTI
Aspiration
71
Myasthenia Gravis: What is this?
Autoimmune disorder affecting the myoneural junction, characterize by varying degrees of weakness of the voluntary muscles
72
Myasthenia Gravis: When does the thymus typically stop producing antibodies?
After Puberty
73
Myasthenia Gravis: What does the Thymus do in these patients?
Thymus continues to produce antibodies for unknown reasons.
74
Myasthenia Gravis: what do the antibodies do here?
Attack the acetylcholine receptor sites at the myoneural junction which impairs transmission of impulses
75
Myasthenia Gravis: First symptoms are seen in what area?
Motor disorders
76
Myasthenia Gravis: Initial symptoms involve
ocular muscles : Diplopia (Perception of two images of a single object) and Ptosis (Drooling or falling of upper eyelid)
77
Myasthenia Gravis: Patient will visit a physician which will perform what test?
Tensolin Test: Given to patient . Within 30 seconds, ptosis and facial weakness should be regained. Lasts for 5 minutes. Half Life is very short.
78
Myasthenia Gravis: What are some of the symptoms that patients could have?
Weakness of Facial Muscles
Swallowing (Aspiration)
Dysphonia (Voice Impairment)
Generalized Muscle Weakness
79
Myasthenia Gravis: Risk factors for thiss?
Over 60 years old
Family History
80
Myasthenia Gravis: How to prevent this?
Stress, illness, and fatigue can cause exacerbation bout
81
Myasthenia Gravis: Labs for this?
Anti-Acetylcholine receptor Antibody
82
Myasthenia Gravis: Is there a cure for this?
No, its a progressive disease
83
Myasthenia Gravis: What should you do for a patient with this?
Focus on patient
Medication education/manage
Energy Conservation
Strategies to help with ocular manifestations
Prevent comps/crisis
Reduce RF Aspiration
Avoid stress, infection, vigorous physical activity, some meds, and high environmental temps
84
Myasthenia Gravis & Medical Management: Therapy effective when..
there is improvement in symptoms
85
Myasthenia Gravis & Medical Management: When should meds be given?
30 mins prior to meals to help with swallowing
86
Myasthenia Gravis & Medical Management: What meds would be given?
Cholinesterase Inhibitor (Pyrostigmine Bromide (Mestinon): Has to be taken at same time everyday. No leeway with it.
Immunomodulating Therapy (Suppress immune system)
87
Myasthenia Gravis & Medical Management: What other therapeutic effects can be done?
Plasmapheresis : Run blood through dialysis machine to remove antibodies
Thymectomy: Remove part of Thymus or all of it.
88
Myasthenia Gravis: What are two major comps that can occur?
Myasthenic Crisis
Cholinergic Crisis
89
Myasthenia Gravis: What is a Myasthenic Crisis a result of?
Disease exacerbation or precipitating event, most commonly a respiratory infection. Can also occur is med is missed or late.
90
Myasthenia Gravis: What happens with a Myasthenic Crisis?
Severe generalized weakness with respiratory complications / failure
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Myasthenia Gravis: What may patient develop in Myasthenic Crisis?
Respiratory compromise failure. Patient can no longer breathe
92
Myasthenia Gravis: What is Cholinergic Crisis caused by?
Overmedication
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Myasthenia Gravis: Signs of Cholinergic Crisis?
Severe muscle weakness with respiratory weakness
94
Myasthenia Gravis: What may patients develop in Cholinergic Crisis?
Respiratory compromise and failure
95
Myasthenia Gravis: Difference between Cholinergic Crisis and Myasthenic Crisis?
The difference in level of acetylcholine. Both still cause respiratory failure
96
Myasthenia Gravis: What happens if you miss Mestinon too early, or miss it?
Miss it: Myasthenic Crisis
Too Early: Cholinergic Crisis
97
Myasthenia Gravis: What complications can occur with this?
Pneumonia
Aspirations
Myasthenic Crisis
Cholinergic Crisis
98
Myasthenia Gravis: What are signs of someone with this?
Motor symptoms (generalized weakness)
Initial symptoms with ocular msucles (diplopia and ptosis)
Facial weakness
Swallowing impairment
Dysphonia (voice impariemtn)
Luung sounds checked
99
Myasthenia Gravis: Patient education includes what?
Meds taken at same time
Reduce Stress
Avoid Extreme Temp.Fatigue
Avoid Vigorous Exercise
Signs of Myasthenic/Cholinergic Crisis
Teach family Heimlich
100
Myasthenia Gravis: What may be needed to ensure adequate ventilation?
Intubation and Mechanical Ventilation
101
Myasthenia Gravis: What supporitive measures should be done?
Measure airway/respiratory support
If patient cannow swallow, NG feeding may be required
Avoid sedatives and transquilizers
102
Myasthenia Gravis: What labs checked?
ABGs, Serum Electrolytes, I/O, Daily Weight
103
Myasthenia Gravis: Nursing Diagnosis for this?
RF Aspiration
Self-Care Deficit
Impaired Communication
Impaired Nutrition
RF Skin Breakdown
Ineffective Airway Clearance
104
Myasthenia Gravis: What interventions will be performed?
Energy conservation
Aspiration Precautions
Turn Q2H
Cough and Deep Breath, CPT, IS, Semi Fowlers
Humidification
105
Myasthenia Gravis: How much fluid will someone consume?
2500 mL to thin secretions
106
Guillain-Barre Syndrome: What is this?
Autoimmune disorder with acute attack of peripheral nerve myelin
107
Guillain-Barre Syndrome: What do the antibodies do here?
Attack the myelin sheath causing a RAPID demyelination
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Guillain-Barre Syndrome: What does the demyelination possibly cause symptom wise?
Respiratory failure and autonomic nervous system dysfunction.
109
Guillain-Barre Syndrome: Where does the muscle weakness start?
Lower periphery and move up the body. As it subsides, it will move in reverse order
110
Guillain-Barre Syndrome: What is not affected here?
Cognition and LOC
111
Guillain-Barre Syndrome: This typically follows what
Viral Infection
112
Guillain-Barre Syndrome: What is recovery like?
Patients will have no residual disabilities
113
Guillain-Barre Syndrome: Symptoms include what?
Weakness to Paralysis
Vocal Paralysis
Paresthesia
Pain
Diminished to Absent Reflexes starting toes to head
Tachy/Bradycardia
Hyper/Hypotension
114
Guillain-Barre Syndrome: Risk factors?
Viral Infection
115
Guillain-Barre Syndrome: How to prevent?
CAn't prevent
116
Guillain-Barre Syndrome: Labs for this?
Lumbar puncture will show elevated proteins with normal WBC
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Guillain-Barre Syndrome: Most important thing to do when in paralyzed state is to
Don't develop comps . Do ROM, no Pneumonia, turn frequently, kep feet in proper alignment to prevent footdrop. Won't have reflexes at all.
Watch VS because hypo/hypertensive
118
Guillain-Barre Syndrome: Potential Complications?
```
Resp Failure
Autonomic Dysfunction (BP, HR)
DVT (Immobile)
Pulmonary Embolism (Bedrest)
Urinary Retention (Bladder paralyzed)
```
Pain, Contractures, Skin Breakdown, Paralytic Ileus, SIADH
119
Guillain-Barre Syndrome: Goals for this?
No Comp
Improved Resp Function
Increased Mobility
Improved nutritional status
Ability to communicate
Decreased fear/anxiety
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Guillain-Barre Syndrome: Ongoing assessment consists of
emphasis on early detection of life-threatening comps of respiratory failure, cardiac dysrhythmias , and DVT
121
Guillain-Barre Syndrome: Monitor for changes in
vital capacity and negative inspiratory force
122
Guillain-Barre Syndrome: What will be continuously monitored?
VS, ECG
123
Guillain-Barre Syndrome: Nursing Diagnosis for this?
Ineffective Breathing Pattern
Impaired Gas Exchange
Impaired Physical Mobility
Imbalance Nutrition
Impaired Verbal Commun
Fear
Anxiety
124
Guillain-Barre Syndrome: Meds to treat this?
None
125
Guillain-Barre Syndrome: Antibiotics used to ..
prevent/tx UTI or resp infection
126
Guillain-Barre Syndrome: Whats given for pain?
Morphine
127
Guillain-Barre Syndrome: Why are anticoagulants given?
Prevent DVT and PE
128
Guillain-Barre Syndrome: What to give if hypotensive?
Vasopressors
129
Guillain-Barre Syndrome: What does medical management require?
Intensive care management with continuous monitoring and respiraotry support
130
Guillain-Barre Syndrome: What is used to reduce circulating antibodies?
Plasmapheresis and IVIG
131
Guillain-Barre Syndrome: What will be performed if someone cannot breathe?
Tracheostomy
132
Guillain-Barre Syndrome: Treatment for bradycardia?
Pacemaker
133
Guillain-Barre Syndrome: What to do if someone is on a ventilator?
TPN IV Fluids
134
Guillain-Barre Syndrome and Interventions: How do you enhance physical mobility and prevention of DVT?
Support limbsin functional position
ROM twice daily
Position changes every 2 hours
Elastic compression hose (SCDS or Ted Hose) or sequential compression boots
Adequate hydration
135
Guillain-Barre Syndrome and Interventions: What to do with aspiration?
Aspiration Precautions by assessing swallowing and gag reflex
136
Guillain-Barre Syndrome and Interventions: What labs will be monitored?
I/O and Urinary Retention
137
Guillain-Barre Syndrome and Interventions: Develop a plan for what?
Communication individualized to patient needs
138
Guillain-Barre Syndrome and Interventions: How to decrease fear and anxiety?
Provide information and support
Referral to support group
Relaxation measures
Maintain positive attitude and atmosphere to promote sense of well-being
Diversional activites
139
Guillain-Barre Syndrome: Patients and LOC
They never lose it. They have complete mental capacity during whole thing
140
Guillain-Barre Syndrome: Patient Education?
Change position slowly due to orthostatic hypotension
Explain syndrome will reverse over time
141
What are the Cranial Nerve Disorders?
Trigeminal Neuralgia (Tic Douloureux)
Bells' Palsy
142
Trigeminal Neuralgia (Tic Douloureux): What is this?
Condition of the fifth cranial nerve characterized by paroxysms of pain
143
Trigeminal Neuralgia (Tic Douloureux): Most commonly occur in what branches of the nerve?
2nd and 3rd.
144
Trigeminal Neuralgia (Tic Douloureux): Most probable cause of this?
Vascular compression and pressure
145
Trigeminal Neuralgia (Tic Douloureux): Occurs more often to who and when?
Women that are 50-60 and those with MS
146
Trigeminal Neuralgia (Tic Douloureux): Pain can occur when?
With any stimulation such as washing face, brushing teeth, eating, or draft of air
147
Trigeminal Neuralgia (Tic Douloureux): Patients may do what to avoid the pain?
Avoid eating, neglect hygiene, and even isolate themselves to prevent attacks
148
Trigeminal Neuralgia (Tic Douloureux): Patho of this?
Vascular compression and demylination of 5th cranial nerve causing paroxysm of pain when trigger zones (cheek, lip, gum, forehead) are stimulated
149
Trigeminal Neuralgia (Tic Douloureux): What can the lightest sitmulation cause? (draft in room)
Severe pain
150
Trigeminal Neuralgia (Tic Douloureux): How often does this occur?
Has exacerbations and remission periods
151
Trigeminal Neuralgia (Tic Douloureux): How to prevent this?
Can't
152
Trigeminal Neuralgia (Tic Douloureux): Labs for this?
Xray to rule out infection
153
Trigeminal Neuralgia (Tic Douloureux): Complications that can result?
Social Isolation
Malnutrition
Insomnia
154
Trigeminal Neuralgia (Tic Douloureux): Nursing Diagnosis of this?
Acute Pain
Impaired Nutiriton
Disturbed Sleep Pattern
155
Trigeminal Neuralgia (Tic Douloureux): What do you assess in patient?
How often pt experiences episdoes
Assess hygiene and eating habits
Pain scale
156
Trigeminal Neuralgia (Tic Douloureux): Medical Management fr this, what medications prescribed?
Antiseizure meds or Antispasmodic Meds
Analgesics
157
Trigeminal Neuralgia (Tic Douloureux): Surgical tx for this?
Microvascular decompression of trigeminal nerve
Rhizotomy: Destroys root, results in loss of reflex, sensation, and some m ovement
Radiofrequency thermal coagulation: Uses heat to destroy ganglion but preserves corneal reflex and sense of touch destroy
Percutanous baloon microcompression
158
Trigeminal Neuralgia (Tic Douloureux): Nursing Interventions?
Pt Education RT Pain Prevention and Treatment Regimen
Avoid Triggers
Care of Pt with Pain
Maintain Hygiene
Use Soft foods, chew on unaffected side , no spicy, avoid extreme temp . Tube feedings if cannot do it
Maintain room at moderate temp
Provide small frequent meals of lukewarm meals
Interventions for anxiety
depression, insomnia
159
Trigeminal Neuralgia (Tic Douloureux): Education for pt?
Avoidance of triggers
Chew on unaffected side
Avoid extremes of temp
160
Trigeminal Neuralgia (Tic Douloureux): Goals for this?
Maintain nutrition and hydration
Control pain
Maintain hygeien
Achieve complete sleep cycle
161
Bell's Palsy: What is this?
Facial paralysis caused by unilateral infalmmation of seventh cranial nerve
162
Bell's Palsy: Signs of this?
Unilateral facial muscle weakness or paralysis with facial disortion and painful sensations in the face. May have difficuclty with speech and eating
163
Bell's Palsy: Recovery time?
In 3-5 weeks and the disorder rarely reoccurs
164
Bell's Palsy: Patho?
Inflammation of 7th cranial nerve caused by herpes Type 1 and herpes zoster, but can be caused by other virsues too
165
Bell's Palsy: Risk factors?
Herpes Infection
Viral Infection
166
Bell's Palsy: Labs and Diagnostic?
None
167
Bell's Palsy: Prevention?
None
168
Bell's Palsy: Complications?
Corneal Damage
Permanent contractures of facial muscle
169
Bell's Palsy: Nursing Diagnosis for this?
Acute Pain
Disturbed Sensory Perception
Disturbed Body Image
170
Bell's Palsy: Assessment of this?
Unilateral Facial Paralysis with sudden onset
Increased tearing on affected side
Loss of blink reflex on affected side
Loss of corneal reflex on affected side
Pain Scale
171
Bell's Palsy: Medical Treatment for this?
Corticosteroid therapy to reduce inflammation and diminish severity of disorder
Artifical tears 4x / day
Pt: Stimulate facial nerve and maintain muscle tone
172
Bell's Palsy: Why would Acyclovir be prescribed?
Antiviral Medication
173
Bell's Palsy: Why would Prednisone be prescribed?
Anti-Inflammatory
174
Bell's Palsy: Patient Education?
Assure that patient did not have stroke.
Protect eye with shield and tape shut at night. Or have them close eye and use sunglasses. Can use eye ointment or drops
Be careful using eye patch.
Perform facial exercises and massages to maintain muscle tone
175
Bell's Palsy: What nursing interventions will you perform?
Moist heat
Soft Meals
Inspect mouth after eating for pocketed food
Practice wrinkling foreheading, closing eye, blowing air through puckered lips, and whistling for 5 minutes 3-5 times a day
