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Flashcards in Neurological disorders Deck (9)
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Outline the treatment approach for status epilepticus.

1. Maintain airway

2. Obtain IV access, give NS

3. STAT labs: BG, Na, Ca, serum & urine drug screen, anticonvulsant drug levels

4. Thiamine 100 mg IV

5. Dextrose 50 g IV push

6. Lorazepam or diazepam

7. Phenytoin


If not working:

1. Phenobarbital

2. General anesthesia (midazolam, pentobarbital, propofol)


Review the Glasgow Coma Scale.


How is the GCS score interpreted?

13+: mild brain injury

9-12: moderate injury

< 8: severe brain injury




What are the clinical manifestations of pheochromocytoma?

HA, sweating, tachycardia

pallor, HTN

purple book 7-10


What are the diagnostic studies used to confirm pheochromocytoma?

1. 24 hr urinary metanephrine & catecholamine measurement

2. Plasma free metanephrines

3. Adrenal CT/MRI


purple book 7-10


How is pheochromocytoma treated?

1. alpha blockade - pheoxybenzamine

2. beta blockade - propranolol

3. adrenalectomy

purple book 7-10


What are some causes of delirium?

   D   Dementia
   E   Electrolyte disorders
   L   Lung, liver, heart, kidney, brain
   I    Infection
   R   Rx Drugs
   I    Injury, Pain, Stress
   U   Unfamiliar enviroment
   M   Metabolic


What is the clinical manifestation of delirium?

  • Acute onset (hours/days) and a fluctuating course
  • Inattention or distraction
  • Disorganized thinking or an altered level of consciousness


Compare delirium and dementia.