MED SURG FINAL (NEURO)

What drug is commonly used to decrease ICP?

Mannitol

Catopril

Vasodilators

To sample CSF, nurse does a ventriculostomy, which are the following are true?

Unclamp when moving patient

Line it up with upper ear

Line it up with tragus of ear

It is only used for sampling

Before performing a lumbar puncture, what lab would make you contact provider?

ICP : 20

Potassium 5.5

Creatinine 1.7

During teaching to a family member who has their loved one diagnosed with Alzheimer's, it is important to understand

Pain should be taken seriously and it is ok to give narcotics

Oxycodone can cause confusion so it will be held

ATC pain meds should be given (OTC and narcotics)

A patient with multiple sclerosis can experience

Diplopia, motor impairment, and nystagmus

Night sweats, weight loss, and motor impairments

Painful joints, heart issues, and eye pain

What is spinal shock?

Loss of deep tendon reflexes and sensation, absent thermoregulation and flaccid paralysis

Chronic phase after SCI, duration: months to years

Loss of deep reflexes above the level of injury

Autonomic dysreflexia protocol?

Keep pt laying down

Sit patient up

Take the patient blood pressure and explain it not real pain

Epidural hematoma

Loss of consciousness then lucidity, then decreased LOC

Acute inflammation of meningeal tissues around brain and spinal cord, highly contagious

Silent killer, no S&S until rupture

Subarachnoid Hemorrhage triple therapy

Reduce htn, hypovolemia, hemodilution

Induce htn, hypervolemia, hemodilution

Reduce htn, hypervolemia, hemodilution

Focal impaired awareness seizure manifestations?

More than 5 mins, neuro emergency, continuous

Repetitive behaviors like lip smacking, altered memory/sensations, altered consciousness

Loss of consciousness/ change in awareness when you wake up in the morning

Confusion, conversant, disoriented to 1 or more spheres : GCS (verbal)

Raise eyebrows, close eyes tightly, purse lips, exaggerate smile, frown

Hypoglossal

Facial

Trigeminal

Vagus

Bacterial Meningitis labs

Glucose 115

Protein 510

Glucose 32

Protein 310

Expressive aphasia: area of brain?

Werinickes

Broca

Temporal

Frontal

If patient experiences head injury and fluid is coming out with a red tinge=

Test for halo test, put CSF on gauze pad and see if leakage forms a circular puddle along with yellow ring

Look for battle sign

Test for halo test, put CSF on thin piece of paper and see if it appears yellow

Afferent pathway is

Motor

Sensory

Both sensory and motor

Patient has trauma to c3-c5, what are we most concerned about

Airway

Circulation

Paralysis

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