ICP
These are the 3 components that make up ICP
What is brain tissue, blood and cerebrospinal fluid?
Hypertension, diabetes, smoking and poor diet comprise of this.
What are modifiable risk factors for stroke?
The patient comes in with complaints of dizziness and eye pain. The nurse does a neuro assessment and notices a repetitive, uncontrolled movement of the eyes.
What is nystagmus?
You would use this technique to open up an airway on a potential cervical spinal injury patient.
What is the Jaw Thrust?
This is used to decrease cerebral edema and oncotic pressure.
What is Mannitol?
If the volume of 1 component increases. another must decrease to maintain ICP
This type of stroke would most likely present with a headache and possible vomiting.
What is a hemorrhagic stroke?
The nurse is performing an assessment and palpates the masseter muscles while the patient clenches teeth and asks the patient to open the mouth against resistance.
What is cranial nerve V?
This intervention is required for a patient who had a a knife stabbing if unknown when it was received last?
What is a tetanus immunization?
This is used prophylactically to prevent FES, PEs, or DVTs.
What are anticoagulants?
The clinical manifestations of decompensation related to ICP/cerebral edema
What is change of LOC, Cushing's triad and change of body temperature, Cranial nerve involvement, decrease motor function?
This is often caused by a cerebral aneurysm or trauma and has bleeding in a fluid-filled space between the arachnoid and pia mater.
What is a Subarachnoid hemorrhage
These cranial nerves test the gag reflex.
What are cranial nerves IX and X?
A chemical burn to the eye requires this immediate intervention.
What is continuous irrigation to the with LR, NS, or tap water?
What is an antibiotic therapy?
The name of the drainage device that is placed to manage ICP.
What is a ventriculostomy?
This type of stroke affects speech, will present with sensory impairment/paralysis, and may have visual problems.
What are the effects of a left hemisphere stroke?
The patient is unable to breath spontaneously and is responds to noxious stimuli which involves the arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backward. The muscles are tightened and held rigidly.
What is cerebrate posturing? (This is the worse of the 2)
A patient who had a recent femur fracture has presented with SOB, chest pain, and cyanosis. As the nurse you suspect...
What is a fat embolism?
This medication class may be prescribed to a hemorrhagic stroke patient to prevent vasospasms and minimize further neurological damage.
What is the calcium channel blocker nimodipine?
What is a Glascow Coma Scale?
This therapy uses a guide to place a stent in an affected artery in the brain. It is also a choice of treatment when it is a small vessel occlusion or time has passed for initial treatment.
What is endovascular Therapy?
This assessment finding is an early finding that the patient may be declining and should be frequently assessed on a neuro patient.
What is decreased LOC?
This injury is serious and includes 2 or more rib fractures and is associated with a severe blunt trauma injury
What is a flail chest?
The physician is going to perform a closed reduction of a fracture. The nurse should consider this medication.
What is a sedative agent/pain medication?
Give examples.