Assessment
The CNS consists of these
Brain and spinal cord
Best for images of bony structures
Computed tomography (CT)
Treatment for bacterial meningitis
antibiotics
Causes of LBP
trauma, congenital, DDD
Headache caused by an underlying issue or problem
secondary headache
Test to determine LOC in a person with a TBI or other head injury
Glascow Coma Scale
Need to worry about jewelry and pacemakers
MRI
Used for prophylaxis of seizures
anti-epileptics (Topamax, Phenytoin, Clonazepam, Tegratol, Keppra, Gabapentin
Chronic neurological disorder where nerves of CNS degenerate (demylenize and scar up)
MS
Seizure where there is sudden loss of muscle tone
atonic
Number one part of the neuro assessment
LOC
Contrast injected into blood to see vessels in brain
cerebral angiography
Best drug to give for status epilepticus
Lorazepam (Ativan)
Sympathetic stimulation in SCI patients cause
hypotension, arrythmias, decreased vessel tone, blood pooling
Greatest concern with a tonic clonic seizure
safety and privacy
Mental status assessment by asking ____
person, place, time
Test for Alzheimer's disease
Diagnosis of exclusion only
Used for treatment of Parkinson's disease
Levodopa/carbidopa (Sinemet)
You are caring for a client who underwent a lumbar laminectomy two (2) days ago. Which of the following findings should the nurse consider abnormal?
a. More back pain than the first postoperative day. b. Paresthesia in the dermatomes near the wounds. c. Temperature of 99.2° F (37.3° C). d. Urine retention or incontinence.
D. Urine retention or incontinence may indicate cauda equina syndrome, which requires immediate surgery. Cauda equina syndrome (CES) results from compression and disruption of the function of these nerves and can be inclusive of the conus medullaris or distal to it, and most often occurs when damage occurs to the L3-L5 nerve roots.
S/S include nuccal rigidity, photophobia
meningitis
Take this into consideration with elderly patients
Slower reactions
Test performed to diagnose meningitis
lumbar puncture
Class of medications used when a patient is on a CIWA protocol.
benzodiazepines ex. Lorazepam, Diazepam
Caused by full bowel, bladder, infection, pressure ulcer, sitting on hard surface
autonomic dysreflexia
4 cardinal symptoms of Parkinson's disease
resting tremor, muscle rigidity, bradykinesia, akinesia