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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
How to tx status seizure?
Mannitol
Zofran
Ativan
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
Dermatomes : C6-8
Toes
Chest
Finger movements
Arm
Confusion, conversant, disoriented to 1 or more spheres : GCS (verbal)
4
3
5
6
Eyes GCS :Opening of eyes to name or command
4
2
3
1
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
Wanting to pass this final
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