Disorders
Autoimmune demyelination of CNS causing nerve conduction disruption
What is Multiple Sclerosis?
Patient with unilateral throbbing, photophobia, and nausea
What is Migraine Headaches?
IV antibiotics (long term for meningitis), Surgical removal: tumor, abscess drainage, hematoma evacuation
What is ICP Treatment?
Dark, quiet room, cold compress, hydration, identify triggers, stress reduction techniques
What is Migraine Headache Interventions?
Mannitol, Dexamethasone, Phenytoin (Dilantin)
What is ICP Diuretic, Corticosteroids, and Anticonvulsant?
(monitor BG, prevent GI ulcer)
Degeneration of dopamine-producing neurons
What is Parkinson's Disease?
Young adult with relapsing neurological deficits, vision changes, and fatigue
What is Multiple Sclerosis?
Rapid removal of stimulus (primary tx), antihypertensives
What is Autonomic Dysreflexia Treatment?
Fall precaution, small frequent meals, high-fiber diet, extra time for ADL's
What is Parkinson's Disease Interventions?
Disease Modifying Therapies (adrenocorticotropic hormone)
What is Multiple Sclerosis Medication?
Vascular headache disorder with neurovascular changes
What is Migraine Headaches?
Patient with decreased LOC, vomiting without nausea, and widened pulse pressure
What is ICP?
Disease-modifying therapy, corticosteroids, muscle relaxants
What is Multiple Sclerosis Treatment?
Sit pt upright, remove trigger, relieve fecal impaction, check cath, straight cath, monitor BP, loosen clothing
What is Autonomic Dysreflexia Interventions?
Carbidopa-Levodopa
What is Parkinson's Disease Gold-Standard?
(improves nerve impulses)
Caused by an overfull bladder, fecal impaction, visceral organ stimulation, occurs in spinal cord injury (usually above T6)
What is Autonomic Dysreflexia?
Patient with resting tremor, rigidity, bradykinesia, and shuffling gait
What is Parkinson's Disease?
Levodopa/Carbidopa (gold standard), Dopamine agonists, MAO-B inhibitors
What is Parkinson's Disease Treatment?
Elevate HOB, keep env. quiet, low stimulation, no coughing, sneezing, blowing nose, or straining, Monitor LOC & pupils, stabilize cervical spine, monitor CSF leak, NO LUMBAR PUNCTURE or SUCTION
What is ICP Interventions?
High dose of methylprednisolone within 8 hours and bowel regimen meds
What is Spinal Cord Trauma Medications?
Increased pressure in the skull
What is ICP?
Spinal cord injury patient with sudden severe hypertension and headache
What is Autonomic Dysreflexia?
Triptains (vasoconstriction), NSAIDs, Acetaminophen, Prevention (beta blockers, topiramate)
What is Migraine Headache Treatment?
Energy conservation, avoid heat, fall precautions, PT, manage bowel/bladder dysfunction
What is Multiple Sclerosis Interventions?
Change positions slowly, urine may darken, do not give with narrow angle glaucoma, monitor BG, protect drug from light
What is Levodopa Nursing Implications?