TJR
What is the main course of treatment?
Low-dose anticoagulants
Pain meds
Knee CMP neutral position
Hip abduction of leg do not bend hip greater than 90°
Out of bed first. Day.
Incision care
Parkinson lacks blank leading to increased blank.
Dopamine
acetylcholine
What are the seizure precautions?
Oxygen and suction at bedside
Bed in low position
Padded side rails
No restrictive Clothing
Pillow supporting head
What are the three categories of a migraine?
With an aura classic
Without an aura common
Atypical
What is the patho for a stroke?
Blocked artery/ruptured vessel/blood clot
Brain cells don’t get enough oxygen and nutrients
Brain cell death
What are the complications?
Bleeding
Venous thrombosis
Infection
Decreased hemoglobin leading to anemia
What are the Hallmark signs?
Resting tremor
rigidity
bradykinesia
Balance issues
What are the types of seizures?
Generalized
Tonic clonic
Tonic
Clonic
Absence, a.k.a. petite mall
Myoclonic
Atonic
partial (focal)
Simple
Complex
Cluster headaches manifest blank and have no blank.
Excruciating pain
aura
What are the labs for an ischemic stroke?
CBC
Cardiac enzymes
PT/INR
What is the pathophysiology?
Relieves pain and improves function for patients with joint deterioration or hip fractures
What is the most common drug therapy?
Carbidopa/levadopa
What are the nursing interventions during seizure?
Maintain airway, turn patient to side, nothing in mouth, do not restrain, loosen restrictive clothing, if sitting/standing lower to ground or bed. Assess time and duration, seizure, characteristics, Neuro status, and vital signs
What are the non-pharmacological migraine prevention methods?
Identifying triggering factors
Uninterrupted sleep
Proper diet
What is the common cause for a hemorrhagic stroke?
Uncontrolled hypertension
What is the pre-op care?
Assess patient’s level of understanding pertaining to surgery
Consult with PT and OT preoperatively
Teaching regarding discontinuation of certain meds prior to surgery as well as possible need for blood transfusions postop
Preoperative laboratory imaging test
How is the diagnosis based off of?
Speech and swallow eval
Barum swallow
PT eval
OT eval
must have bradykinesia and one more of the three hallmark symptoms
What are the nursing priorities during a seizure?
Maintain airway give benzodiazepine
What are the abortive therapy indications for migraines?
nsaid
ergotamine derivatives
triptan preparations
antiemetics
What are the nursing interventions?
Frequent neuro checks
Monitor vital signs, especially BP for ICP
Maintain airway
NPO until pass swallow eval
DVT prevention compression stockings
Elevate, head of bed to avoid increased ICP
Turn every two hours
Full range of motion exercises
Bed alarm on
Assist with ADL’s
Communicate clearly and be patient
What is the postop care?
Collaborate with patient/family to become safety partners to prevent complications
Use of abduction, pillow or splint to prevent adduction
Monitor for signs and symptoms of infection
keep heels off bed
Encourage coughing and deep breathing
Assist patient out of bed as soon as permitted to prevent complications of mobility
Where is the patient education
Use rocking motion to initiate movement
Include regular exercise to help maintain movement
Avoid foods high in B6 effects levodopa intake
never Abruptly stopped taking meds
What are the seizure phases?
Prodromal early signs that can occur hours to days before actual seizure
Aura warning signs that may appear seconds to minutes before seizure occurs
ictus actual seizure, taking place usually about one to three minutes
postical recovery after seizure may feel fatigued, confused, or have loss of consciousness
What are the relaxation techniques?
Meditation
Acupuncture
Massage therapy
Dark quiet room lying still
Ice pack local compression
What are the left sided and right sided symptoms?
Left side: Right sided hemiParesis
Impaired speech, depression and anxiety, patient patient aware of deficts
right side: left sided hemiparesis
Spiritual defects
Impaired judgment
Patient unaware of defect