Meningitis
What precaution is bacterial or viral meningitis?
Droplet
Which one is the worst decorticate or decerebrate?
Decerebrate
Patient teaching for homonymous hemianopsia
Scan the area
This occurs below the point of injury
Paralysis
What interventions are used to prevent ICP?
HOB above 30 degrees, assess GCS, neuro checks, assess LOC
Indications of TPA
Ischemic stroke, Acute MI, Acute Pulmonary Embolism
When assessing a GCS score less than what number requires intubation?
8
What does BEFAST stand for?
Balance, Eyesight, Facial droop, Arm weakness, Slurred speech, Time
Paralysis caused by injury above T1 (C1-8)
Quadriplegia
List 2 interventions to help with delirium/confusion.
Dim lights, codeine for headache, allow visitors for familiar faces, use a calm and soothing voice
Risks of taking TPA
Bleeding, coughing blood, headache, nausea/vomiting
What is Cushing’s Triad?
Increased systolic pressure/ widened pulse pressure, bradycardia, Cheynes stokes
What is the priority test for a patient with suspected CVA? How soon should it be done?
CT without contrast within 25 min
Paraplegia is caused by a spinal cord injury in this location
T6 and above
True or false: phenytoin is the antiseizure medication for meningitis
What is the time limit for a TPA to have its desired therapeutic effect?
4.5 hours of 1st symptoms
What are the three neurological assessments that indicate ICP?
pupils fixed and dilated, Babinski's reflex, and abnormal posturing.
True or false: Right sided stroke can cause aphasia
False
GI/GU
Explain the intervention for monitoring intake and output for meningitis.
Potential fluid loss. Risk for dehydration or hypovolemia.
What does ICP-SS stand for?
Immobilize, avoid cough, position >30, suction PRN, seizure precautions
What is the type of headache associated with a hemorrhagic stroke?
Thunderclap
Spinal cord injury location that causes loss of control of respiratory muscles
C4