Meningitis
What precautions are used for meningitis?
Droplet
What should never be placed in the patient's mouth?
Any objects or fingers
Slow movement
Bradykinesia
What is damaged?
CNS myelin
Headache, decreased LOC, nausea, blurred or double vision, sluggish pupils, restlessness
What are 3 symptoms associated with Meningitis?
Nuchal rigidity, photophobia, severe headache
Loss of consciousness, stiffening then jerking of muscles is what type of seizure?
Tonic- Clonic (grand mal)
Classic triad of symptoms
Tremors, rigidity, akinesia or bradykinesia
What procedure is most diagnostic?
MRI
What procedure should be avoided with ICP?
Lumbar puncture due to risk of brain herniation
Name 4 types of meningitis
Bacterial, viral, fungal, parasitic/tuberculous
Brief staring episodes are considered what type of seizure?
Absence
Name the drug most effective but may cause dyskinesia and hypotension
Levodopa/carbidopa (Sinemet)
Name at least 2 types of MS
Relapsing-remitting, Primary progressive, secondary progressive, progressive-relapsing
Name 2 environmental nursing interventions
decrease stimuli, avoid Valsalva, limit suctioning
What is a positive Brudzinski's sign?
Involuntary flexion of the hip/knee as the neck is flexed toward the chest
Acute inflammation of the brain is referred to as ____ and often transmitted by ________
encephalitis, mosquitoes
Name at least 3 nursing interventions for a patient
Safety, nutrition, mobility, communication, psychosocial support, family education
Name the 3 most common manifestations
blurred vision, double vision, coordination difficulty
Name at least 3 causes of ICP
tumor, edema, hemorrhage, hydrocephalus
Name at least 2 of the treatments for bacterial meningitis
IV antibiotics, corticosteroids, IV fluids, seizure precautions
It is important to hold PEG feedings ___ hours before and after giving Phenytoin
2
The neurotransmitter that is deficient
Dopamine
Name at least 2 triggers
Heat, fever, stress, infection, fatigue
Normal range of ICP
0-15 mm Hg