ICP
Medical Management
Medical Management cont.
Disorders
MISC.
100
Where is the most dangerous and often fatal type of brain herniation?
What is Brain stem herniating through the foramen magnum.
100
Hypotonic solutions containing glucose are avoided for what reason?
What is Solutions containing glucose are avoided because they increase ICP.
100
What drug is used to slow the progression of ALS and delay the need for a tracheostomy?
What is Riluzole (Rilutek)
100
What is the most common clinical sign of Myasthenia Gravis?
What is Ptosis(drooping of the eyelids)
100
What is the cause of Bell’s Palsy?
What is cause is unknown, but a viral link is suspected.
200
What is the earliest sign of increased ICP?
What is Decreased level of consciousness.
200
When a person has been in contact with someone with meningococcal meningitis, what medicine is prescribed?
What is Prophylactic oral rifampin (Rifadin)
200
How does Deep Brain Stimulation work in Parkinson patients?
What is DBS works like a pacemaker for the brain, Blocks abnormal nerve signals that cause the parkinsonian tremor.
200
A “starring” seizure is another name for what kind of seizure?
What is Absence seizure, once refereed to as “petit mal seizures”
200
What is important to educate a patient when taking Phenytoin?
What is importance of regular dental examinations because of the potential for gingival hyperplasia.
300
What causes papilledema?
What is Interference with venous drainage from the eye and is observed through examination with an ophthalmoscope.
300
During preforming cooling measures why is it important to stop if shivering occurs?
What is Shivering increases temperature and ICP
300
What type of solutions should be avoided to prevent increased ICP?
What is Hypotonic solutions and solutions containing glucose.
300
What is important to document when a patient has a seizure? (5 things)
What is situation that proceeded the seizure 2. Duration of the seizure 3. Parts of the body involved in the seizure. 4. Vital signs 5. Oxygen Saturation
300
What is the classic triad of symptoms associated with increased ICP occur?
What is headache, vomiting, and papilledema is common.
400
Cushing Triad is characterized by what signs?
What is Pulse that increases then decreases, Systolic BP that rises with a widening pulse pressure, Respiratory rate that is irregular
400
What two interventions may shorten and enhance treatment of Guillain-Barre Syndrome?
What is Plasmapheresis and administration of IV immune globulin (Gamimine N)
400
A lumbar puncture in a patient with multiple sclerosis would reveal an Increased or Decreased WBC count?
What is Increased WBC count
400
What type of nutrition therapy is used in children not well controlled on anti-seizure medications?
What is ketogenic Nutrition Therapy
400
Describe the difference of Craniotomy and craniectomy?
What is CranIotomy = Incision through the skull & CraniEtomy= Excision of part of the skull
500
Describe Cheyne-Stokes respirations
What is Shallow, rapid breathing followed by periods of apnea.
500
What is the treatment used for a brain abscess?
What is Antimicrobial therapy and craniotomy
500
What medication is used as a prophylactic measure when a patient is in contact with someone who has meningococcal meningitis?
What is Rifampin (Rifadin)
500
What should you inform your patient of before a gamma-knife procedure?
What is they should expect to hear a clicking sound during the procedure
500
What the duration of the gamma knife radiosurgery?
What is the duration of each treatment varies from 2-4 hours depending on the client’s pathology.
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