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NS 406 Exam 1!! > Someone else's review > Flashcards

Someone else's review Flashcards

(77 cards)

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1
Q

Sumatriptan (Imitrex)

A

Anti-migraine med-given to abort ongoing migraine. not prevent

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2
Q

Beta Blockers (-olol)

A

ex) Metoprolol (Lopressor), Propranolol (Inderal), Atenolol (Tenormin)

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3
Q

Phenytoin (Dilantin)

A

Anti-Seizure med

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4
Q

Phenytoin (Dilantin) is used for

A

tx of seizures or bacterial meningitis

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5
Q

Fast acting anti-seizure meds

A

-Lorazepam (Ativan)

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6
Q

MS and pregnancy

A

MS sx are likely to improve during pregnancy and worse after pregnancy

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7
Q

Seizure nursing actions

A

-note duration: start/stop time

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8
Q

(GBS) Guillain-Barre Syndrome

A

Autoimmune disease that presents with flu like sx

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9
Q

Spinal Shock

A

SIC that causes:

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10
Q

Neurogenic Shock

A

SCI that causes loss of SNS innervation leaving the PNS unopposed

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11
Q

Hemodynamic instability

A

A state requiring pharmacologic or mechanical support to maintain a normal blood pressure or adequate cardiac output.

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12
Q

Hemodynamic instability parameters

A

Goal is to be above:

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13
Q

Delegation to unlicensed care provider p. 1344

A

Obtain VS

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14
Q

5 rights of medication administration

A

Right…

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15
Q

Bradykinesia treatment

A

slow movement

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16
Q

levodopa with carbidopa (Sinemet)

A

tx of parkinson’s sx

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17
Q

Carbidopa (Sentiment)

A

tx of parkinson’s motor sx

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18
Q

entacapone (stalevo)

A

tx of PD motor dysfnx

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19
Q

Pramipexole (Mirapex)

A

Started on this dopamine agonist Sentiment or Carbidopa wears off

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20
Q

Importance of nutrition in neuro pts (PD)

A

malnutrition and constipation can occur

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21
Q

S/sx of Myasthenia Gravis

A

You will see…weak skeletal muscle manifestations:

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22
Q

Assessment of MG

A

Respiratory status: RR, effort of breathing, suction?

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23
Q

Nutrition for MG

A

-larger meals in morning

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24
Q

Major concerns r/t MG

A

Respiratory insufficiency

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25
What is MG
-autoimmune disease causing "weak muscles"
26
ALS-amyotrophic lateral sclerosis
-progressive degeneration of motor neurons of the brain and spinal cord
27
Nursing care of pt with ALS
1. Facilitate communication
28
Voice banking
the process of recording voice samples for later use in a speech-generating device
29
What is a stroke?
ischemia or hemorrhage (inadequate blood flow) to part of the brain that results in death of brain cells.
30
modifiable risk factors for stroke
HTN, heart disease, DM, serum cholesterol, soking, obesity, sleep apnea, metabolic syndrome, lack of exercise, poor diet, drug/ETOH use, stress
31
thrombotic stroke (ischemic)
formation of clot/blockage that obstructs blood flow
32
Embolic Stroke (Ischemic)
circulating debri that obstructs blood flow
33
Hemorrhagic stroke (intracerebral or subarachnoid)
Blood vessel bursts and blood dc blood flow to brain tissue
34
Hemorrhagic stroke
-sudden onset of sx
35
TIA
transient ischemic attack (mini stroke)
36
PT for TIA
PT: seek help/medical attention with stroke like sx and note time of sx onset
37
Sx/sx TIA
Tinnitus, vertigo, darkened or blurred vision, diplopia, ptosis, dysarthria ,dysphagia, ataxia, and unilateral or bilateral numbness or weakness.
38
ABCD2
Risk assessment tool used to determine likelihood of progression to stroke.
39
Statins SE/AE
lower cholesterol; need to mange for PPX of TIA/stroke
40
Anticoagulants
prevent blood clot formation
41
tPA (tissue plasminogen activator)
Drug that immediately dissolves clots
42
Antiplatelet drug PT
Antiplatelet drug for ppx of thrombus or embolus development
43
Dx of stroke
-Rapid non-contrast CT or MRI of head
44
TX hemorrhagic stroke
*anticoagulants & antiplatelets contraindicated
45
carotid endarterectomy (CEA)
the surgical removal of the fatty plaque/clot clogging the carotid artery leading to the brain
46
A patient having TIAs is scheduled for a carotid endarterectomy. The nurse explains that this procedure is done to
prevent a stroke by removing atherosclerotic plaques blocking cerebral blood flow.
47
sx tx of stroke/TIA
1. Carotid endarterectomy
48
Frontal lobe
-motor fux
49
Parietal lobe
-ideation
50
occipital lobe
The occipital lobe is responsible for...
51
Primary assessment of stroke
focus on cardiac, respiratory, and neuro status
52
Secondary assessment of stroke
Includes comprehensive neurologic exam
53
NIHSS Stroke Scale
National Institute of health stroke score
54
d. Sudden onset of severe HA
D.
55
Cushings triad
three classic signs—
56
Monroe-Kellie Doctrine
as ICP rises (>20 mmHg), the body tries to compensate by decreasing one of the three components that make up ICP
57
Decorticate Posture (flexor)
internal rotation and adduction into core w/flexion of arms and wrists
58
Decerebrate posturing (extensor)
-"extensor posturing";
59
Nutrition for IICP
malnutrition promotes continued cerebral edema
60
Care for pt with IICP
-elevate HOB 30 deg, no higher
61
care goals for IICP
(1) maintain a patent airway;
62
When do you intibate?
GCS 8 or less
63
Best IV fluids for IICP
Hypertonic: push water out of cell
64
Coupe-countercopue
focal contusion (brain bruise)
65
Battle's sign
Bruising behind the ears, indicative of a basilar skull fracture
66
Racoon eyes
Bruising around the eyes, indicative of a basilar skull fracture
67
Basilar skull fx (linear)
-linear fx located at base of skull
68
halo or ring sign
test for CSF
69
Dextrostix or test-tape
test for presence of CSF
70
Complications of basilar skull fx:
-meningitis
71
Basilar skull fx contraindications
Do not place an NG tube
72
Craniectomy
opening into the cranium with the removal of a bone flap.
73
Burr holes
Opening into cranium with a drill to remove blood and fluid beneath the dura and releive pressure
74
Care or pt with craniectomy
general pre/post op teaching
75
Decorticate GCS
3
76
Decerebrate posturing GCS
2
77
tx and care of neuro pt on isolation
Meningitis requires respiratory isolation "droplet" and contact?

NS 406 Exam 1!! (9 decks)

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