Insulin
Discharge medications ordered post-CVA
Antiplatelets - ASA, clopidogrel
Statins
The muscular assessment in a patient with ALS?
What is muscular weakness, atrophy, and eventually paralysis
Starts in extremities and spreads
Diagnose diabetes with the value of > or = to 126
What is fasting glucose?
Unilateral facial pain
Sharp, shooting, burning, electrical shock-like
What is trigeminal neuralgia
Triptans (sumatriptan) for migraines should be given with caution in those with certain conditions
What are CAD, HTN, PAD
Onset is 30-60 minutes.
What is regular-short acting insulin?
Hyperglycemia during the night as well as the morning.
What is Dawn phenomenon?
Measures the amount of glycosylated hemoglobin as a percentage of total hemoglobin to calculate the average glucose over the previous 3 months.
What is Hemoglobin A1c?
Sudden drooping of mouth and eyelid, inability to wrinkle forehead, not related to stroke
What is Bell's palsy
Why do polyuria and subsequent polydipsia occur?
Osmotic diuresis
Type of insulin that can be given IV?
What is short-acting-- Regular
Assessment findings for a patient diagnosed with Guillain Barre syndrome.
Symmetrical weakness and paresthesia of lower extremities, which quickly spreads (ascends) and leads to paralysis
The most commonly known trigger for Guillain-Barré syndrome
What is a viral infection
Visual, speech, auditory disturbances that occur before a migraine headache
What is prodromal aura
Medications given for status epilepticus
What are Diazepam, Lorazepam
The most common cause of death for those diagnosed with ALS?
What is respiratory failure
Blood sugar is low in the middle of the night but high in the morning
What is Somogyi effect
Prognosis of Guillain Barre syndrome
Progression of S/S rapid usually takes hours to days to a couple of weeks
Slow Complete recovery 4-6 months up to 1 year, as myelin can regenerate
High cholesterol and triglycerides, visceral obesity, hypertension, and insulin resistance clustered together increase the risk of heart disease, stroke, and diabetes.
What is metabolic syndrome?
Patient lying on back, have them flex their hip and knee; when the patient extends their knee, they will experience severe pain in neck and/or back
What is positive Kernig's sign
The cause of Huntington disease?
What is gene mutation
2 medications that can be given to treat hypoglycemia
50% dextrose and glucagon
Most common symptom of exacerbation of multiple sclerosis
What are visual disturbances-nystagmus, blurred vision, diplopia
What are the primary defects in Type II diabetes? (2)
Decreased insulin production and/or insulin resistance.
Lumbar puncture fluid analysis consistent with bacterial meningitis
Consistency, pressure, WBC, protein, glucose
Cloudy or purulent
High pressure from increased CSF
Elevated WBC, protein
Low glucose