Neurological disorders Flashcards Preview

INPATIENT > Neurological disorders > Flashcards

Flashcards in Neurological disorders Deck (9)
Loading flashcards...
1

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)

2

Review the Glasgow Coma Scale.

3

How is the GCS score interpreted?

13+: mild brain injury

9-12: moderate injury

< 8: severe brain injury

 

UpToDate

4

What are the clinical manifestations of pheochromocytoma?

HA, sweating, tachycardia

pallor, HTN

purple book 7-10

5

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

6

How is pheochromocytoma treated?

1. alpha blockade - pheoxybenzamine

2. beta blockade - propranolol

3. adrenalectomy

purple book 7-10

7

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

8

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

9

Compare delirium and dementia.