first sign of increased ICP
most common type of repetitive stress injury
carpal tunnel syndrome
coughing, vomiting, straining, sneezing, suctioning are activities that may increase
ICP
leading cause of spinal cord injuries
trauma
four cardinal symptoms of parkinsons
tremors, muscle rigidity, bradykinesia, postural instability
interventions for carpal tunnel (3)
immobilize wrists, NSAIDS, steroid injections
anticholinesterase and immunosuppressants
ABCs, spinal precautions, frequent vitals, LOC, HOB 30-45, meds to control cerebral edema and seizures, CSF, nutrition
manifestations of increased ICP (7)
decreased LOC, behavior change, headache, N/V, change in speech, change in sensorimotor status, seizures
nursing interventions for increased ICP (6)
VS q/15, mannitols, airway, strict I/O, HOB @ 30, quiet environment
chronic disease caused by immune, genetic, and/or infectious factors that affects the myelin and nerve fibers of the brain and spinal cord
disease caused by distorted acetylcholine receptors in the muscle motor end plate membranes; nerve impulses do no result in muscle contraction
myasthenia gravis
multiple sclerosis
patient education myasthenia gravis
meds!! keep taking them everyday
treating autonomic dysreflexia (6)
elevate HOB, check BP, what is stimulus, remove it, antihypertensive, notify HCP
late sign of increased ICP
**daily double **
manifestations
Cushings triad
severe HTN, widened pulse pressure, bradycardia
examples of stimuli that lead to autonomic dysreflexia (6)
bowel/bladder distention, pressure ulcers, penile pressure, ingrown toenails, abd. abnormalities, uterine contraction
manifestations of this syndrome include HTN, headache, flushing, nasal stuffiness, diaphoresis, piloerection, dilated pupils with blurred vision, bradycardia, restlessness and nausea
autonomic dysreflexia
manifestations of myasthenia gravis (2)
increasing weakness with sustained muscle contraction
wiggle toes, move ankles, flex knees, move hands and arms
IMMOBILIZE; neck in a neutral position using spine board and hard collar
a life-threatening syndrome that occurs in clients with injury above T6 due to exaggerated ANs response to stimuli below the level of lesion
autonomic dysreflexia
severe exacerbation of symptoms of PD may follow emotional trauma or sudden or inadvertent withdrawal of antiparkinson medications
parkinsonian crisis