Unit 17-chapter 13+16 Flashcards

(47 cards)

1
Q

virulent means

A

strength or ability of pathogen to produce disease

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2
Q

Which of the following conditions would MOST likely mimic the signs and symptoms of an acute ischemic stroke?

A

hypoglycemia

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3
Q

Migraine headaches are thought to be caused by:

A

changes in blood vessel size within the base of the brain.

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4
Q

what does Lamictal and dilantin treat

A

seizures

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5
Q

what does SARS look like and do

A

SARS is caused by a virus and usually starts with flulike symptoms that deteriorate to pneumonia and respiratory failure.

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6
Q

Index of suspicion is MOST accurately defined as:

A

your awareness and concern for potentially serious underlying and unseen injuries or illness.

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7
Q

________________ is a disorder of the brain in which blood flow to a portion of the brain is suddenly disrupted, resulting in brain cell death.

A

Cerebral infarction

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8
Q

A degenerative cerebral disease is an example of a(n) ______________ cause of a seizure.

A

structural

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9
Q

syphilis is a STD, but also a ___ disease

can be treated within 24-28 hrs with __

creates lesions called __

A

blood-borne

Penicillin

chancre- on genitals usually

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10
Q

common early symptoms of meningitis

A

fever, headache, stiff neck and altered LOC

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11
Q

whooping cough is an airborne disease caused by __

AKA

A

bacteria

pertussis

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12
Q

t or false

MSRA are resistant to antibiotics and are commonly passed around in health care setting due to poor hand washing

A

true

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13
Q

MRSA more likely when-

incubation period

A

long term hospital stays in ICU, exposure to infected person, antibiotic therapy

5-45 days

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14
Q

central nervous system is responsible for

A

thought perception feeling and autonomic body functions

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15
Q

peripheral nervous system is responsible for

A

transmits commands from the brain to the body and receives feedback from the body

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16
Q

3 major parts of brain and what they primarily do

A

cerebrum- right and left hemisphere - controls opposite side of body

- front of cerebrum- emotion and thought
 - middle - touch and movement
- back- sight
 - left side- speech

cerebellum- muscle and body function

brain stem- basic function control- breathing , BP, swallow , pupil constriction

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17
Q

12 cranial nerves running directly to

A

parts of the head

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18
Q

complex activity in the brain is made possible by

A

synapses

present wherever a cell terminates and “connects” to next cell via chemical neurotransmitters

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19
Q

following a stroke , dead cells are called

A

infarcted cells

20
Q

interruption of cerebral blood flow may result because of -3

A

thrombus- clot developed locally
arterial rupture
cerebral embolism - clot from somewhere else

21
Q

two main types of strokes

A

ischemic and hemorrhagic ( arterial rupture )

22
Q

patients are at higher risk for hemorrhagic stroke who have ___

A

poorly managed hypertension

23
Q

what is an aneurysm

common signs-2

A

enlargement of artery due to weak wall

“worst headache “ or rapid LOC change ( ICP)

24
Q

when a hemorrhagic stroke occurs in a healthy person its called

A

berry aneurysm - subarachnoid hemorrhage - bizarre vital signs

25
what is happening if the brain herniates
ICP has forced brain down to brainstem / hole in head
26
skull ( cranial vault is filled with 3 substances )
brain , blood and CSF
27
stroke symptoms that disappear in 24 hours is called
transient ischemic stroke ( TIA )
28
left hemisphere problems include
- paralysis on right side of body - aphasia - cant produce or understand speech) - trouble understanding - receptive - trouble producing - expressive
29
right hemisphere problems include
paralysis on left side of body | - dysarthia - slurred speech
30
what is stroke " neglect "
- oblivious to problem - neglect certain parts of vision- cant see on that side - delay seeking help
31
what do seizures involve
sudden, erratic firing of neurons
32
seizures can be classified as either
generalized ( large portion of brain ) or partial ( limited area of brain )
33
generalized seizures are - 2
tonic- clonic or absence
34
7 steps of tonic-clonic seizure
``` 1- aura 2- Loss of consciousness 3- tonic - rigid 4- hypertonic- arched back and rigid 5- clonic- contractions 6- post seizure - major muscles relax 7- postictal- brain relaxes- asphasic ( unable to speak) ```
35
absence seizures have
little to no movement, common in child, few secs
36
simple partial seizures involve-
altered sensations or involve movement in one part of body | - may spr ead from one part to another in wave
37
complex partial seizures
-subtle changes in LOC - confused , dizzy usually doesn't go unresponsive
38
during seizure, neurons are in hypermetabolic state meaning
huge amounts of glucose are used and produce lactic acid
39
5 common causes of seizures
congenital ( epilepsy ), structural , metabolic (chemical issue ), febrile, idiopathic( unknown reason )
40
what mnemonic can be used to obtain pertinent history regarding seizures
``` F- focus ( generalized or focal ) A- Activity ( type of movement ) C- color or cocaine T- Time ( how long ) S- Secondary info ( events leading, medication, incontinence ?) ```
41
what is decorticate posturing decerebrate posturing
decorticate- flexs/ curls arms to core, points toes | decerebrate- arms outward and rotate lower arm, point toes
42
what kind of drug can be given to stroke to "break up" clot
fibrinolytic drug- within 3 hrs
43
is pt has had stroke , how should you lay them
paralyzed side down, pt head elevated 6"
44
stroke acronym
F- facial droop A- arm weakness S- slurred speech T- time since occurrence
45
write out glascow coma scale
``` Eyes- spontaneous - voice - pain - none Mouth- orientated - disorientated - inappropriate words - incomprehensible sounds - nothing Move- obey command - localize pain - withdraws from pain - flexion ( decorticate ) - extension ( decerebrate ) - nothing ```
46
hypercalcemia | hypocalcemia
hyper- excess calcium in blood - slowing of muscles, heart rate etc hypo- normally controls neurons firing leads to muscle spams, heart contractions happen, seizures
47
hyperkalemia
potassium out of cell, hydrogen ion into cell when acidosis, resulting in to much potassium in blood, can effect repolarziation in skeletal and cardiac muscles, slowing or arrhythmia